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IEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OH THE — T <— ^j-y xxy /T ~"''f «»• T ~jg f~ /T RY PHONE nGRANTING OF THIS PERMIT ^^ ^y^^^ Z£Z&6£^P^Z** ^11 pnrter * Artdrpss1STRUCTION WHETHER SPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVE INDEMhKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS CCcn--l "n
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£P3§E CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY!FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THEARATIONS ARE TRUE AND CORRECT AND 1 FURTHER CERTIFY AND AGREE IF A PERMIT ISED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CONslU
n Every permit issued bytheBuittexpire by limitation and becomeby such permit is not commenceif the building or work authonat anv ttme after the work is corJing Official under thenull and void If the1 withm 180 days frorrzed by such permitnmenced for apenodsrovisionsofthisBuilding or workthp date o' sucns suspended orof 180 days* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER5 0 DEEP AND DEMOLITION OR CONSTRUCTION OFSTRUCTURES OVER 3 STORIES IN HEIGHTm
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CONTRACTOR^^I hereby alfirrr that 1 am exempt from the Consraclor s License Law fcr the following reason (Sec 7031 5 'Business ana Professions Code Any city or county whicfi re |quires a oermit to construct alter imnrove demolish orrepair any structure anor to its issuance a-so reou-res 'he ap 1piicant for sucn oermit to file a siqnetl statement that he islicensed pursuant to the provisions of :ne Uonnactoi s 'License Law (Chapter 9 commencing with Sernon 7000 of iDivision 3 o1 tne Bus-ness and Profess nns Code( 0' t^at -s exempt therefrom and the basis for the alleged exemption Any 1violation of Section 7031 e> by an applicant for a per mil subjects ihe applicant to a civil penalty of not more man five hun 'dred dollars ($500) 1f
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V 1Kz__ c - CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT^•- 1200 Elm Carlsbad California 92008 1989 (619)4385525White — Inspector Green — (1) Finance (2) Data Process, Yellow — Assessor -^- 'Applicant Gold — Temporary File
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