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t <br /> i <br /> r r <br /> CITY OF STOCKTON <br /> FIRE PREVENTION DIVISION <br /> i <br /> Telephone: (209) 9448271 <br /> APPLICATION FOR PERMIT AND SPECIAL INSPECTION <br /> Application & Permit No o ��` ��` �� Date + <br /> � - / - C/ <br /> Application is hereby made for a permit/special inspection as required by the Stockton Municipal Code <br /> ' ArticIe(s)/Section(s) Fee(s) <br /> Total Fee Required <br /> 1 This permit and special inspection is to be used for the following purpose(s) <br /> M <br /> Business f%�C_C_�� c /�_ `j tL-�� <br /> ' Street <br /> Telephone <br /> i <br /> ' Names of Additional Parties Involved <br /> r i <br /> Name �- <br /> Street— <br /> City f < < — Telephone <br /> I have read the above application and know the contents thereof, the same is true and correct. I further <br /> ' state that I am familiar with accepted fire protection and prevention practices as set forth in the City of <br /> Stockton Uniform Fire code, and the amendments thereof, and use of the permit being applied for will <br /> conform to these practices Q <br /> ' Applicant's ---it II- Code 5 <br /> Signature t r''crr n , ,,, •T 2 1%4 <br /> r. <br /> t z <br /> InspectedlIsI� ON DiVIS!oN <br /> s ' ��+ <br /> Date: „ t 41E <br /> AIRGPI <br />