Laserfiche WebLink
iy <br /> 9 <br /> I3se of Structure:- �� ���-.�✓ iCG. � <br /> w^ / ,v1oldcsfo <br /> Address of Structure: Address : I P Xe <br /> CwtsT L°�t PAIM N <br /> . <br /> Owner <br /> .+ r, ya.vf?,.ti»♦ +�-..uird..:.vkA- i (S hrnfs!:. ca ,.w'M. -.w .. <br /> Doing Business As. <br /> / �[ Contact Phone No. = g6Z-ZL <br /> Contractor: �olQ�u �o+►Sf�W 4T.°'� _ -. <br /> Occ. Group: �Z Type, o,f Construction: <br /> YiV Zoning: M <br /> fV,�ul J A 1, <br /> IVo Occ.-_. Load:___. Area, Separation Wall in Lieu <br /> Sprinklered: ._.. of Sprinkler: " <br /> Square Feet: IC� 'Dv <br /> Before a final inspection can be made, by the. Building Inspection <br /> and riot to issuance of a ertificate of Occupancy by the <br /> Division P royal signatures must be obtained from each <br /> Building Official, aPP applicant ' s responsibility to obtain <br /> agency listed below.. . It is the app g please <br /> all signatures and return this form to the Building Divisionbe required <br /> be aware that- advanced notice and field inspection time �Y roved <br /> b each agency prior to signatw e. . . signatures onuthePP <br /> Y <br /> Development Plan or plot plan when obtaining <br /> Certificate of occupanc outing form.._ .. <br /> E <br /> Public Works Departme is <br /> ` Date <br /> Approval Signa t a � �° - PUBLIC WORKS DEPARMENT <br /> RY H. HIRATA, DIRECTDR, <br /> by Al Blevins , Field Engineer <br /> Comments: _ <br /> San Joaquin Local Health District: <br /> Date <br /> Approval Signature DIRECTOR <br /> �` ALD VALI OTI , ACTING <br /> ENVIRONMENTAL HEALTH .DIVISION <br /> comments: <br /> i <br /> San Joaquin County Fire Warden or City of Stockton Fire Department: <br /> Date <br /> Approval SignatureSTEVE THIENES <br /> COUNTY FIRE WARDEN <br /> Date <br /> Approval Signature_ ._. <br /> � APPLICABLE FIRE CHIEF AND FIRE DISTRICT) <br /> f Comments : <br /> ( 12/86) <br /> ` f <br /> ' I <br />