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F <br /> Y <br /> ahQ4d!!y. "Mr.. <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> s . BUSINESS PHONE: (209) 468-3124 <br /> BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.: 0)+00}51 APN: 1 4-- 270 - 2.3 Contractor: <br /> Job-Site Address: � peU,/I � Use of Structure: <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: <br /> Address: <br /> City: State: Zip: ,j3 p Telephone:( } ea, IG59 <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: [3 Gz _ Occupancy Load: --- <br /> Type of Construction: l Square Feet: (� <br /> Zoning : _40 Fire Sprinklers: Yes4 <br /> Before a final inspection can be made by the Building Inspection Division, and prior to issuance of a Certificate of <br /> Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. It is <br /> the applicant's responsibility to obtain all signatures and return this form to the Community Development Department. <br /> Please be aware that advanced notice and a field inspection time may be required by each agency prior to signature. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: DATE: <br /> )d (�-)m. .__+1112 105� <br /> DEPART NTOFPQJABLIC WORKS -- <br /> j4 <br /> 411dos- <br /> ENVIRONMENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: TAArJTEC� - P <br /> CALTRANS <br /> MOUNTAIN HOUSE CSO <br /> 1711 <br /> STOCKTON METRO AIRPORT (209)468-4700 <br /> El <br /> OTHER <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the Community Development Department to complete a final ins ection. <br /> Once the required signatures above are obtained, return this form to the Community Development Department. A final <br /> building inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> F'ABUILDINGWANDOUMHANDOUT 072 C of O.doc(Revised 2125/04) Page 1 of 2 <br />