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N ryr <br /> BAN JOAQUIN COUNTY <br /> VIRE PREVENTION BUREAU <br /> 222 E. WEBER AVE. ROOM 407 <br /> ` STOCKTON CA. 95232 <br /> (209) 468-3380 <br /> APPLICATION FOR PERMIT <br /> YJ Permit No. Application <br /> Application Date: 07-03-91 <br /> Application is hereby made for a PERMIT as required by the San Joaquin County <br /> Bureau of Fire Prevention and the Uniform Fire Code. <br /> Article. 79 <br /> Article/Section. 79.115 <br /> Rule, REMOVE, ABANDON, PLACE TEMPORARILY OUT OF SERVICE OR OTHERWISE <br /> s DISPOSE OF ANY FLAMMABLE OR COMBUSTIBLE LI <br /> Fee Required. $100.00 Fee Pa YES: NO: X <br /> This PERMIT, is to be used for the following purpose(s) . <br /> ----------- <br /> ---------- -~ Nage anu L.C.-I-11 w ere perms wi <br /> .3usiness Name: ESCALON PACKERS INC. First: <br /> Owners Last Name: City: ESCALON zip: <br /> Tess: 1905 McHENRY AVENUE <br /> Contact Person: CONTRACTOR <br /> Name cf other persons involved. Contractor: X Installer: Other: -- <br /> ;ame: SEMCO City: MODESTO Zip: <br /> Address: 431 W. HATCH ROAD <br /> Phone: 524-9653 Contact Person: RICRARD HAMILTON <br /> copy of the Health Department Clearance is required before the permit will be <br /> issued. <br /> T. have read the above application and know the contents thereof; the same is <br /> ;rue and correct. <br /> Applicant's ` <br /> Signature <br /> r <br /> ROUTING <br /> ( ) Finance <br /> I ) Fire Department: ESCALON F.U. <br /> Deputy Fire Marshal FORM AP 01-01-91. <br /> File <br />