Laserfiche WebLink
^ <br />tiinr ripas <br />13UREAU OF FIRE PREVENTION <br />^ - ��m 1��� P.O.OX 9 <br />f�� ���� ' <br />�u^��«� am E. FRENCH CAMP RD' <br />FRENCH CAMP, CA. 952al <br />^ C209) 982~0492 <br />^ermit No. <br />(department use) <br />APPLICATION FOR PERMIT <br />.- -'--_ <br />FIE NUMS <br />Application Date; 07/22/94 <br />� <br />' <br />4pplication is hereby made for a PERMIT as required by the Uniform ode. No <br />xctiwity requiring a permit may commence until the premises are inspected and <br />the permit is issued. FAILURE TO OBTAIN REQUIRED PERMTT IS A MISDEMEANOR. <br />Article. 79 <br />Articl.e/Section. 79.10-Zj� D <br />Rule. FLAMMABLE AND COMBUSTIBLE LIQUIDS - INSTALLA[ION OF UNDERGROUND <br />TANK/S AND NEW SFRVTCE STATION PLAw CHECK, INSPECTION, AND TESTING <br />ree Required. $415.80 Fee Paid YES: NO: <br />This PERMIT, is to be used for the following purpose(s>. <br />lNSTALLATIOM OF A 10,000 GALLON FIBERGLASS DOUBLE-WALL DIESEL FUEL TANK <br />OR THE NEW CENTRAL PLANT ' <br />Name and local -,ion where permit wi1l be used. <br />Business Name: San J'3aquin General Hospital (Central Plant) <br />Owne's Last Name: First: <br />sAddress: 500_Hasp ital Rd. City: French Camp,Ca Zip:952_31 <br />Phone: Contact Person: <br />Name of other persons involved. Contractor( ) Installer( ) Other(X) -Construction <br />Manager <br />Name: O'Brien-Krp*itzberg <br />Address: 100 W. Matthews Rd. City: French Camp,CaZip: 95231 <br />Phone: (209) 468-4540 Contact Person: John Tuttle <br />I have read the above application. I further state that I am fALmiliar with the <br />requirments of the FRENCH CAMP FIRE DISTRICT, Uniform Fire Code, and National <br />Fire Protection Association Codes and Standards, and that the use of the permit <br />being applied for will conform to the requirements. <br />PLEASE FILL IN BLANK SPACES AND RE-rijRN ORIGINAL COPY <br />ROUTING <br />Fire Marshal <br />� ) File <br />(Applicant's ' <br />Signature <br />Title Date <br />' FORM AP ()7-2"`_-93 <br />