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CERTIFICATE OF OCCUPY ROUTING FORM <br /> �^,�� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> � BUSINESS PHONE: (209)468-3124 <br /> BU I SS HOURS: &A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.:010-+ Q I 1 APN: O,Sg— 1 IC)—40 Contractor: <br /> Job-Site Address: 31 2S g j.((� W, Use of Structure: GpVQq Ap <br /> 11001 Planning Application No: r/} Q4—2&& PWvisr <br /> OWNER NAME AND ADDRESS <br /> Name: PA4V_pikfL J_001 41DC-h,_T) <br /> Address: 31'yb J?• AfL1ST t4(. • <br /> City: boy State: C, Zip: 5-g4o Telephone:( ) 4RO— 2-sg0 <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: 3 Occupancy Load: <br /> Type of Construction: 14 _ Square Feet: 414co <,Q. TTT <br /> Zoning : At& —40 Fire Sprinklers: Yes/19 <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 FO M. <br /> APPROVAL REQUIRE <br /> A A E: <br /> Glfl � O� <br /> DET OF BL/ WORKS <br /> L <br /> ENV^I/R 1_ HILA TH o Y' <br /> c OU TY RE WAFDEN <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 /> F'\BUILDING\HANDOUTS\HANDOUT 072 C of O.dx(Revised 2/25/04) Page 1 Of 2 <br />