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CITY OF STOCK ON <br /> FIRE PREVENTION DIVISION <br /> Telephone: (209) 44-8271 <br /> KATION OR SP CIAr7L PECTION OPTAH <br /> Application ication & Permit No. 3 -� / Date: � ' � f3 <br /> made for a ermit/special inspection/plan <br /> Application is hereby <br /> approval as required by the Stockton Municipal Fire Code, w <br /> Articlp(s) 1 <br /> Secti'bn(s) <br /> Fee(s) Required <br /> This permit/special inspection/plan approval is to be used for , the <br /> following purpose(s) <br /> ' i�� l!: L.-�` �► G "7�i if 77t. / b <br /> Location: ` <br /> occupant r •Gtj�, �tcfc-r� A/, �C <br /> Street/Zip 'J�/ t-r- <br /> Telephone <br /> Names of Additional Parties Involved ( ontractorlinstaller,r Etc. )rZo . <br /> Name <br /> Street/Zip <br /> 5 T lephone <br /> City <br /> I have read the above application 'and know the contents thereof, .the <br /> same is true and correct. I further state that 2 am familiar. with <br /> accepted fire protection and preventi n practices as set forth in. the <br /> City of Stockton Uniform Fire Code, and the amendments thereof,- , and <br /> use of the er it �being applied for will conform to these practices. s . <br /> A plicant's <br /> Signature <br /> Inspected/Issued by* 'r <br /> Code: 5A <br /> Date: <br /> 1.: r <br /> _- <br /> FIRE DEPARTMENT PERMIT APPL CATIONS ARE LIMNED ., <br /> "FIRE <br /> ` <br /> M .180 DAYS. LACK OF ACTIVITY 3N THE PART 0F_ THE <br /> . LT IN AN D D ITIO N AL CHARGE' <br />