Laserfiche WebLink
:�i.uV JUAUUIN CUUNTY <br /> i� FIRE PREVENTION BUREAU <br />'f <br /> 222 E. WEBER AVE. ROOM 407 <br />� � STOCKTON CA. 95202 <br /> , ( 209 ) 458-3380 <br /> APPLICATION FOR PERMIT <br /> f . <br /> Permit No. Application Date: 10-15-90 <br /> F <br /> Application is herebymade for a PERMIT as required b . the San Joaquin Count <br /> 4 Y 4 Y <br /> Bureau of Fire Prevention and the Uniform Fire Code. <br /> FArticle. 79 <br /> Article/Section. 79. 115 <br /> Rule. REMOVE, ABANDON, PLACE TEMPORARILY OUT OF SERVICE OR OTHERWISE <br /> F DISPOSE OE ANY FLAMMABLE OR COMBUSTIBLE LIQUID TANK ; <br /> �e Required. $100. 00 Fee Paid: ,YES: X NO <br /> I <br /> This PERMIT, is to be used for the following purpose( s ) . <br /> exO,gO AMA and d s oralCE t S v�d ��� s-►t� • �. <br /> F - 11ov� - t,n4. � - lo-K <br /> Name and loc tion where permit will be used. ! <br /> gine"ss Name: GteA1jyla(- <br /> L1 �ee J ' C- '�rs Last Name: HDM !ZAEV First: <br />:..ddress• Z�3S3 �4kCAvrtlner- ?Oct City: irP" t CA Zip: <br /> P.Tione: G L5)Uq2-tL132 Contact Person-21odt)ey 4217s t+r1 <br /> Fame of other persons involved. Contractor(X) Installer( ) Other( - ) <br /> Last Name: AMERICAN ENVIRONMENTAL MGMT. CORP. First: <br /> r <br /> dress: 9719 LINCOLN VILLAGE DR. SUITE 501 City: SACRAMENTO Zip: 95827 <br /> one: 915-354-8872 Contact Person: CATHY AMARU <br /> I have read the above application and know the contents thereof; the same is <br /> Frue and correct. I further state that I am familiar with accepted fire <br /> _rotection and prevention practices as set forth in the San Joaquin County <br /> Uniform Fire Code, and the amendments thereof, and that the use of the permit <br /> F-eing applied for will conform to these practices. Y <br /> F <br /> Applicant 's <br /> Signature �,L.�----- <br /> ' Inspected By. <br /> Issued By. <br /> 7 Date Issued. <br /> ROUTING Expiration Date. <br />{ ) Finance <br /> rjFire Department: <br /> . Deputy Fire Marshal <br />{ t .File <br /> FORM AP 01-01-90 <br /> F <br /> I' <br /> F * i, <br />