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;W. CARLSBAD BUILDING DEPARTMENT - • ~ - -^— APPI IPATION A PFF„ , . . 1200 Elm, Carlsbad, California 92008 1989 (714) 438 5525 - v , "rr *-'***» ' IV" « r fc-r^T^1 OQ
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K ' D .' *>«f*by affirm that I am licensed under ]Op- provisions of Chapter 9 (commencing-wlth ,J- Section 7000) of Division 3 of the Business ;4 and Professions Code, and my license is m <* .' full force and effect , _ . Jf - hr Hn Class [^z
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PC, ; --L i1 hereby affirm that 1 am exempt from the Contrac . j< tor s License Law for the tallowing reason (Sec 7031 5 '-* Business and Professions Code Any city or county which reqmres a permit lo construct alter improve demolish or ',repair any structure priciMo its issuance also requires the ap Iplicant lor sucti permit lo file a signed statement that he is " ilicensed pursuantHo the provisions oLlhe Contractors ' jt License Law (Cnapler 9 commencing withiSection 7000 of - jDivision 3 at the Business and Professions Gods\ or that iseK ',empt ineretrom and tne basis for ttie alleged exemption Any " ,violation ot Section 7031 5 By an applicant tor a permit sub i' lects the applicant to a civil penalty of not more than fivehun ,died dollars ($500) * " 100
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\* ANOSHAPeRM"TIS«6OUIREDFORBTCAVATlONSOVER5 0 ' DEEP AND DEMOUTION OR CONSTRUCTION OFSTRUCTURES OVER S STORIES IN MEKiMTing OfNctai lintlef the provisions of iftis.nuif^ndvOid Ifltie buildirtg or vojrkwilrttn ISOtJaysffomlhedateQjsiJcrind by Such permit ta suspended orimeneect lor 3 oerjod of 180 dava~ E 3
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^V\O AGREE TO S^V£ JNDEM^FY Af)DABILITIES, JUDGMENTS COSTS ANDMB CITY IN CONSEQUENCE OF THE"STRUCIION WHETrf£HSPEGIReDTi£RElNOSNOT j AUKEEP HARMLESS TH£ QITY-OF CAt^l,SBAD AOAINST ALL L+trxPEWSES WHICH JMAY IN ANY WAY AGORWt! AGALNST SfGRANTING OF THIS PERMITft\
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