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2: <br /> �T c CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> !N I � SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> 7k1W/. BUSINESS PHONE: (209) 468-3124 <br /> �.R, BUSINESS HOURS: &A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit No.: APN: Contractor: <br /> Job-Site Address: Wyv xy, l>Ezz/ Use of Structure: /,/47- V14u4,4.kA_.�e�- � L ----- <br /> Planning Application No: JIX <br /> OWNER NAME AND ADDRESS <br /> Name: /&XV4 .IAW <br /> Address: /2p2Z E. CO,C//� C gyp <br /> City: gi-octy_� State: Zip: Telephone:(ZFi� ) <br /> STRUCTURE REQUIREMENTS _ <br /> Occupancy Group: U Occupancy Load: --- <br /> Type of Construction: Square Feet: <br /> Zoning : "- Fire Sprinklers: Yes I6 <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 R -QUIR A : <br /> D N O PUBLI WORK <br /> � <br /> ENVIRONMEN LTH Z-6) <br /> "b,4,4 T/k1 <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> El <br /> CALTRANS <br /> 171 <br /> MOUNTAIN HOUSE CSD <br /> El <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> 171 <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 O.doc(Revised 2/25/04) Page 1 of 2 <br />