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f - - <br /> CITY O_' 5'rOCKTON <br /> FIRE PREV"ENT2O DIV'58071 <br /> Telephone: <br /> APPLICATION FOR PERriI <br /> T SPECIAL YN5PECPION OR PLAN APPROVAL <br /> Date: <br /> Application & Permit Na. s ecial <br /> Application inspection/'plan <br /> is hereby made for a Permit/ P <br /> the Stockton Municipal Fire Cade, <br /> approval as required by <br /> Article(s) <br /> sections) <br /> Fee(s) Required <br /> This permit/special inspection/P <br /> lan approval is to be used far the <br /> following purpose(s)�_ r <br /> Location: <br /> Occupant <br /> Street 7/7 Telephone <br /> Zip Code <br /> Names of Additional Parties Involved (contractor/Installer, Etc.) <br /> Name `.� City <br /> � Street Telephone ` f ` � <br /> Zip Code the <br /> I have read the above application and know the contents thereof; <br /> that I am familiar with <br /> same is true and correct. I further state t a as set forth in ,:he <br /> and <br /> accepted fire protection and Prevention pthereof <br /> practices <br /> of Stockton Uniform Fire Code, and the amendn►ents therea , <br /> City applied for will conform to these p <br /> use of the permit being PP <br /> Applicant's <br /> signature--- <br /> Inspected by: 4' <br /> C'1 - <br /> Issued by: �\" <br /> r Cade: 5A <br /> ------ -. - <br /> Date: CC DC OF <br /> IFS <br /> o�.A1o7111i� <br />