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INSPECTION DEPARTMENT -- CITY OF STOCKTON <br /> APPLICAT`-)N FOR BUILDING, ELECTRICAL, PLUMBIN ,PERMITS <br /> ,r f _ 11ND/OR CERTIFICATE OF OCCUPANG <br /> Date <br /> 30924 <br /> QRIGINAL 1 <br /> dress <br /> Fire Zona <br /> Work to be don <br /> No Units-- <br /> Name <br /> nits,Name Owner ddress h go.'- <br /> dlLegLegal <br /> al Description Lot Block--.-Tract / ��• <br /> 01 <br /> Contractor ddres 3 � <br /> IF_ License <br /> Engineer ddress License <br />' Architect Address _ <br /> License <br /> 1,0ccupancy Dtvision , Type Const Est Cost 0� Code <br /> ( MIT <br /> i ow const Zone Use Permit No V/ <br /> Brat on-- _ Bldg Perm Fee <br />' Plumbing <br /> Elect, Remarks E Plumb Perm Fee <br /> Mavi ng <br /> Wrackina Elect Perm Fee <br /> Sign _ d. <br /> e ' Plan Ch Fee <br /> Plans U <br /> App d ey vv <br /> e <br /> ha-e egad me above application and know the contents thereof the some is true and correct <br /> I further state that f am familiar with the laws governing building, electrical work and/or plumb- Total tS(P r <br /> )moi ing within the City of Stockton and theState of Calif rma, and the amendments thereof, and that �r <br /> v the above wilding an or suu a will in nformity therewith <br /> v <br /> Signe - j T �- <br /> ._��.. E lr-No. -�- 0,9�24 <br /> ' � Sia. 0A_ 'G <br /> Issued By <br /> o� <br /> Qf ,zr <br /> r <br />