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°A4u`N CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> _ BUSINESS PHONE: (209)468-3124 <br /> BUSINESS HOURS: 8:A M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.:0670¢z-70 APN:006-- 26,0 -- c-/ Contractor- <br /> Job-Site <br /> ontractorJob-Site Address: 70g'7 6F. PELT/ Use of Structure: OFF/G <br /> Planning Application No: P4 - O(vC0 23 7 <br /> OWNER NAME AND ADDRESS <br /> Name: S US-14 jAk . <br /> Address: 70 !?7 6F. A LT/ 7Z P-b <br /> City: >vIPD State: C,4 Zip: Telephone:(2o1? 3 -z 33z <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: b/ <br /> Type of Construction: UN Square Feet: /0 /ZS <br /> Zoning : '46 - 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 REQUIRE DATE: <br /> ::; <br /> _4PO�Z-ow- 17 7 <br /> P T 0 FXJB L I C RKS <br /> ENVIRO ENTAL HEALTH <br /> XCOUNTY FIRE WARDEN �3T:k�V-r=F- ,4.L7-0 <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <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 inspection. <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 /> FABUILDING\HANDOUTS\HANDOUT 072 C of 0 doc(Revised 2/25/04) Page 1 of 2 <br />