HomeMy WebLinkAbout2016 CARACOL CT; ; 80-187; PermitCONSTRUCTION LENDING AGENCY1 hereby affirm that there is a construction len-dino. aoencv for the performance of the work forCERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE(This section need not be completed if the per-mit is for one hundred dollars ($100) or less).I certify that in the performance of the work forwhich this permit is issued, I shall not employ anyperson In any manner so as to become subject tothe Workers' Compensation Laws of California.NOTICE TO APPLICANT: If, after making this Cer-tificate of Exemption, you should become subjectto the Workers' Compensation provisions of theLabor Code, YOU must forthwith comply with suchprovisions or this permit shall be deemed revoked.1 HAVE CAREFULLY EXAMINED THE COMPLETHEREBY CERTIFY THAT ALL INFORMATION HFURTHER CERTIFY AND AGREE IF A PERMIT 1COUNTY AND STATE LAWS GOVERNING BUILCSPECIFIED HEREIN OR NOT. 1. ALSO AGREE TCLESS THE CITY OF CARLSBAD AGAINST ALLEXPENSES WHICH MAYINANYWAYACCRUEAOF THE GRANTING OF THIS PERMIT.t.
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