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ip <br /> BUILDING PERMIT APPLICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3121 <br /> INSPECTION REQUEST-24 HOUR RECORDER: (209)468-3165 <br /> THE"AI'PL ATION MUST BE"COMPLETELY FELLED OUT BY THE APPLICANT IN ORDER TO APPLY FOR <br /> Construction of pre fabricated modnlar protection automation control (MPAC)& battery buildings; <br /> of <br /> tP/Ork: replacement of various electrical switches, controls & hardware. <br /> Scope <br /> ubstation - 23851 Kasson Rd. , San Joaquin County,CA (APN 23909009) <br /> Project Address:PG&E Kasson S <br /> Project Valuation: $70,000 Contact E-mail: Doug Edwards dxel@pge.com <br /> ;;°p111I14ER NAME AND ADDRESS APPLICANT NAME AND ADDRESS <br /> .. Pacific Gas & Electric Company Name: Pacific Gas & Electric Company <br /> Name: <br /> Address: 2730 Gateway Oaks #220 Address: 2730 Gateway Oaks #220 <br /> ento State: California City: Sacramento State: California <br /> City: Sacram <br /> Ph#(916)923-7060 ZIP: 95833 Ph#(916)923-7060 _ <br /> Zip, 95833 <br /> ONTRACTOF2FNFORINATIUN Ph#( 916)923-7060 <br /> t <br /> Company Name: Pacific Gas & Electric Company <br /> Lia N0. City: Sacramento St: CA ZIP: 95833 <br /> 2730 Gateway Oaks #220 <br /> Address <br /> - <br /> P INFORMATION Ph#( ) <br /> �" " � Company Name: <br /> Lic,No: City: <br /> St: ZIP: <br /> Address <br /> I:ENDING AGENCY Ph#( ) <br /> ComPeny Name <br /> City: St: ZIP: <br /> Address: -, `0F'FICtp�I IJS�s'ONLY <br /> permit will be <br /> issued to an"Owner-Builder' Yes ❑x No El <br /> If yes,a completed <br /> opleed Own along ild�ith copy of the ownr Verification Form e <br /> identification p must Identification Number: <br /> 9 <br /> e signed and rior to issuance of the building permit. <br /> DECLARATION BY CONSTRUCTION:PERMIT/APPLICANT` ;,' <br /> By my sig"nature below, I certify to one of the following: <br /> 8 <br /> I y r ❑a California licensed contractor or❑the property owner or® authorized to act on the property owner's <br /> ires written approval and Owner/Builder Verification Form signed and submitted). <br /> behalf(requ <br /> I haVe read this construction permit application and the information I have provided is correct. <br /> ing <br /> tagre eto 0 aslof with <br /> s city or counie county ty^to enteothinabe�6f ed property forrelating <br /> inspection purposes.construction. I authorize <br /> Applicant's Sig <br /> nature 1 V l I W- Date <br /> irement <br /> ng permit <br /> aFr your cOnveniencO checklists re available at the Building Div soon cladditional <br /> counter. spermiit end mobile a homeoon foundation d require check- <br /> 11 <br /> list. <br /> ed(07-0 atio 10) <br /> (Revise & Handouts\HANDOUTS1Building Permit Applicalion.docPage 1 of 2 <br />