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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 /> ;�iknYet' BQESSHOURS: S:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit No.: 0-503;O APN: aS-, -//L2' 0 Contractor: <br /> Job-Site Address: /7V17k Use of Structure: <br /> Planning Application No: 4 <br /> OWNER NAME AND ADDRESS <br /> Name: 4,44Z e9FX7L <br /> Address: <br /> City: /j/ State: Zip: Telephone:( -,�W) e-7— P-f;f'� <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: (4_6 <br /> Type of Construction: Y Square Feet: (0150 <br /> Zoning : 461 - Fire Sprinklers: a /No <br /> Before a final inspection carl 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 ROUTI G FORM. <br /> APPROVAL RE I ED: DATE: <br /> 'C L�,� <br /> 8 1110 <br /> DEP E P BLI6-WSRK& <br /> ENVIRON E TAL LTH <br /> - $'v2-off <br /> C FI E WARD7 <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> El <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER G 00 . <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:WILDING\HANDOUTS\HANDOUT 072 C of O.doc(Reviwd 2/25/04) Page of <br />