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CITY OF STOCKTON <br />FIRE PREVENTION DIVISION <br />Telephone; (209) 944-8271 <br />R <br />Application • •. D. <br />Application is hereby made for a permit/special inspection/plan <br />approval as required by the Stockton Municipal Fire Code, <br />Article(s) <br />Section(s) 713 <br />Fee(s) Required lo - <br />This permit/special inspection/plan approval is to be used for the <br />following purpose(s) <br />IMF 11111111101F <br />WWAI <br />11 <br />Location: (� <br />Occupant +�..J —4 7 61 C -q VeU j6 <br />Street/Zip 37C -7t 1V <br />Telephone <br />Names of AdditiopAl Parties Involyed (Contractor/Installer, Etc.) <br />Name ' /t Grp E (S ' r/ C)771-94\ <br />Street/Zip <br />City <br />elephonei446(�--�-9332 <br />I have read the above application and know the contents thereof; the <br />same is true and correct. I further state that I am familiar with <br />accepted fire protection and prevention practices as set forth in the <br />City of Stockton Uniform Fire Code, and the amendments thereof, and <br />use of the permit being applied for will conform to these practices. <br />Applicant's <br />Signature_ <br />Inspected/Issued by; <br />Date. <br />�:..1-.!f .:3/g 9 ? <br />7 3 f <br />Code: 5A_ <br />