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_4 <br /> - CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> N: SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> { <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> rt �'fzoat'�P BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit Na.• APN:2—i j , —6 70--02,,, Contractor: <br /> it <br /> Job-Site Address: 3 (/ Use of Structure: Q �� <br /> d Planning Application No: 1P gg <br /> OWNER NAME AND ADDRESS �M <br /> Name: �{,�} 10 <br /> Address: 7 /L <br /> i�. <br /> <27 <br /> City: State: Zip: Telephone:( } �� ;1 4/ <br /> STRUCTURE REQUIREMENTS jl <br /> Occupancy Group: Occupancy Load: <br /> 13 Ji <br /> Type of Construction: Square Feet: <br /> Zoning : S Fire Sprinklers. Yes <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 /> DEPART E O PUBLIC WORKS � <br /> - <br /> ENVIkONMtNTAL HEALTH <br /> 171 <br /> OUN FIRE,W RISEN I` <br /> l <br /> FI CHIE 02'yl`...__... <br /> LOC L FI <br /> RE DISTRICT: <br /> CALTRANS 6 <br /> ,k <br /> MOUNTAIN HOUSE CSD <br /> ❑ <br /> STOCKTON METRO AIRPORT(209)468-4700 II <br /> OTHER <br /> OTHER <br /> I� <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the Commu I nity Development Department to complete a final inspection. ;R <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:SUILDINQHANDOUTSIHANDOUT 072 C of O.doc(Revised 2/25/04) Page 1 of 2 <br />