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o P4�•.eo <br /> CERTIFICATE OF OCCUPANCY ROUTING FORAM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> • BUSINESS PHONE: (209)468-3124 <br /> *;4 BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.6 3•]7IQ APN-.69 - Contractor: <br /> ,lob-Site Address: [-tG'2 f M.5] ' Use of Structure: F_6o9() P��Vfl?� �►Crhi1 �u <br /> 5 Planning Application No: Pn — --� <br /> OWNER NAME AND/ADDRESS <br /> Name: 0L-, L <br /> Address: "? <br /> City: L� •� State: Zip: Z3 Telephone:(Zd <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: <br /> Type of Construction: 6 t1J Square Feet: <br /> Zoning .40f Fire Sprinklers: Yes/No r <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 /> 17 <br /> DEPARTIv4—/ OF P BLIC WORKS <br /> x �I q I O(-- <br /> ENVIRONMENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE ISTRICT: <br /> CALTRANS <br /> El <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 DBpartment. 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\HANDOUT&HANDOUT 072 C of O.doc(Revised 2/25/04) Page 1 of 2 <br />