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AUTHORIZATION FOR APPLICATION FOR PERMIT(S) <br /> BY OTHER THAN OWNER OR LICENSED CONTRACTOR <br /> T San Joaquin County <br /> Department of Planning and <br /> Building Inspection <br /> 10 E. Hazelton Avenue <br /> S ckton, CA 95205 <br /> Ph (209) 468-3123 <br /> 1, as the o er of the property, under and or have been <br /> informed tha, he application for a B lding, Plumbing and/or <br /> Electrical Pe 't must be signed by e owner of the <br /> property, his y authorized agen or a licensed contractor. <br /> I am also aware t t I may desig to a third party, such as a <br /> tenant or person in y employ, sign the application for a <br /> permit on my behalf. I unders and that that person's only <br /> responsibility or fun 'on i to acqu+re a permit on my <br /> behalf. <br /> I am aware that the respo 'bility for the construction and <br /> compliance to codes and d ances is entirely mine and I <br /> agree to accept the say <br /> Therefore, as the ow r of the o erty located at <br /> Stockton, CA L-Lj <br /> ddress 'L <br /> 00 <br /> I do hereby aut rite <br /> A > <br /> e Z <br /> to obtain a <br /> in name by affixing <br /> type of pe--r-m-lt-T- <br /> my name fo lowed by his or her signature on t application <br /> for <br /> (type of'permlEy- SOW <br /> OWNE S SIGNATURE <br /> OW R'S ADDRESS <br /> O RIS PHONE NUMBER DATE <br /> p <br />