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CITY OF STOCKTON <br /> FIRE PREVENTION DIVISION <br /> Telephone: (209) 944-8271 <br /> APPLICATION FOR PERMIT. SPECIAL INSPECTION OR PLAN APPROVAL <br /> Application & Permit No. ' <br /> Date: �� l <br /> Application is hereby made for a permit/special inspection/plan <br /> approval as required by the Stockton Municipal Fire Code, <br /> Article(s) <br /> Section(s) i� <br /> Fee(s) Required <br /> This permit/special inspection/plan approval is to be used for the <br /> following purpose(s) r <br /> -.•...� -�:� � /`.-sem-- `.,. <br /> U f. L <br /> Location: / <br /> ,tom- <br /> Occupant .,,.�l,t.Gc.. <br /> Street 7.S,41 / Tf`. G /•-�C ty <br /> Zip Code - Telephone <br /> Names of Additional Parties Involved (Contractor/Installer, Etc.) <br /> Name <br /> Street ey i 7 `7 C Lty r_ <br /> Zip Code Telephone <br /> I have read the above application and know the contents thereof; the <br /> same is true and correct. I further state that I am familiar with <br /> accepted fire protection and prevention practices as set forth in the <br /> City of Stockton Uniform Fire Code, and the amendments thereof, and <br /> use of the permit being applied for will conform to these practices. <br /> Applicant's <br /> signature <br /> ' r <br /> Inspected by: <br /> Issued by: d .-1 <br /> Code: <br /> Date: <br /> 00. <br /> OF Ff4dP�'C, <br />