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r li <br /> AUTHORIZATION FOR APPLICATION FOR PERMITS ) !� <br /> BY OTHER THAN OWNER OR LICENSED CONTRACTOR q <br /> II <br /> TO: San Joaauin County if <br /> Department of Planning and <br /> Building Inspection ii <br /> 1810 E. Hazelton Avenue <br /> Stockton , CA 95205 <br /> Phone ( 209 ) 944-3701 <br /> I , as the owner of the property, understand or have been <br /> i <br /> f informed that the application for a Building , Plumbing and/or <br /> Electrical Permit must be signed by the owner of the <br /> property , his duly authorized agent or a licensed contractor . <br /> , I am also aware that I may designate a third party , such as a <br /> tenant or person in my employ, to sign the application for a <br /> permit on my behalf. I understand that that person ' s only <br /> responsibility or function is to acquire a permit on my it <br /> behalf. II <br /> I am aware that the responsibility for the construction and <br /> 11 <br /> compliance to codes and ordinances is entirely mine and I <br /> i �! <br /> agree to accept the same . <br /> Therefore, as the owner of the property located at <br /> it <br /> Stockton, CA <br /> , <br /> (address ) <br /> J Ii <br /> I do hereby authorize <br /> name ) <br /> in my name by affixing <br /> to obtain a ii <br /> ( type of permit ) I <br /> I <br /> my name followed by. his or her signature on the application <br /> f for .Lf= <br /> k (type of permit ) <br /> A <br /> OWNER ' S SIGNATURE <br /> F <br /> OWNER' S ADDRESS <br /> OWNER'S PHONE NUMBER DATE S <br /> �/,)6 <br /> t <br /> li <br />