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INSPECTION DEPARTMENT — CITY OF STOCKTON <br /> APPLICATION FOR BUILDING, ELECTRICAL, PLUMBING PERMITS <br /> AND/OR CERTIFICATE OF OCCUPANCY31763 <br /> Date— �`" <br /> ORI NAl <br /> Oddress 69 Etre Zone <br /> Work to be clone Units` <br /> "`"`��''�` Units <br />' Name Owner -Address Ph <br /> Legal Description Lot Bloc Tract <br /> 1 <br /> Addres <br /> Contractor s— <br /> License <br /> Engineer Address License <br /> Architect W E N Address <br /> License <br /> Occupancy Division T ,,,, nst�XO) r+ 'n t Cost Code <br /> TYPE PERMIT RR <br /> Now Const Zone ` 4 s It f BEd Perm Fee <br /> Alteration - <br />' Plumbing }t <br /> Electr Remar V Plumb Perm Fee <br /> Movi <br /> W ckin �y^f r� Elect Perm Fee <br /> Sign_ ,_,_ �1lY D <br /> lan�h Fee <br /> Pfcns �� <br /> App d 6y- 0 4v <br /> 1 have read the shove appficatron and know the contents thereof the same is true and correM ., nr /.+y <br /> / V O' t� <br /> I further state that i am fomrf+ar with the lows governing �uilding, electncai work and/or plumb � �T4tQl Fees" � � �� <br /> ing within the City of Stockton and the Stats of Colrfornia and the amendments thereof, and t �/ (� 1 '�'"� <br />' rhe above bur{ and/or str crura ill 6e built m confarmiry therewith Ste! � rti +S1 <br /> Signed /u1 C f /� :z <br /> PERMIT No. 3 10 ���3 <br /> lt- <br /> D��Issued By j; <br /> r <br /> 1 <br />