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AWA <br /> 4. <br /> CITY OF STOCKTON <br /> FIRE PREVENTION DIVISION <br /> Telephone, (204) <br /> AP�PRO <br /> APPICATI 'F ON FOR PF.EtI+CI <br /> LSPECIAL IH5PECTINSPECTIONORP <br /> TryAN V <br /> Date: <br /> Application & Permit :1a. <br /> Application is hereby made for a permit/special inspection/plan <br /> approval as required by the Stockton Municipal Fire Code, <br /> Articles) <br /> Sections) <br /> Fee(s) Required <br /> This permit/special insp <br /> ection/Plan approval is to be used for the <br /> following purpose(s) <br /> Location: <br /> Occupant C - <br /> Street ,! '�I Telephone <br /> Zip Code Etc.) <br /> Names of Additional Parties Involved (Contractor/Installer' <br /> Name------ city <br /> Street feiephone <br /> Zip Code the <br /> have read the above application and know the contents <br /> familiar with <br /> same is trete and correctnd prevention ther state that practicea as set forth in the <br /> accepted fixe protectionand the amendments thereof, and <br /> of Stockton far conform <br /> City kton Uniform Fire Code, to these practices. <br /> use of '.he permit being applied will <br /> Applicant's <br /> Signature <br /> ° w <br /> Inspected by; i <br /> C't <br /> Issued by: �����Code: JA r� ^ <br /> pate: CO GF <br />