HomeMy WebLinkAbout2172 CHESTNUT AVE; ; 81-72; PermitCONSTRUCTION LENDING AGENCY1 hereby affirm that there is a construction len-ding agency for the performance of the work forwhich this permit is issued (Sec. 3097, Civil Code).^
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i?CERTIFICATE OF EXEMPTION F\PMWORKERS' 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 PERMITCOUNTY AND STATE LAWS GOVERNING BUILCSPECIFIED HEREIN OR NOT. I.ALSO AGREE TCLESS THE CITY OF CARLSBAD AGAINST ALLEXPENSES WHICH MAY IN ANY WAY ACCRUE AOF THE GRANTING OF THIS PERMIT.0 L „ - <" m m
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—WORKERS' COMPENSATION DECLARATION1 hereby affirm that 1 have a certificate of con-sent to self-insure, or a certificate of Workers'Compensation Insurance, or a certifiadh..copythereof (Sec. 3800, Labor Code). v »«JPOLICY NO VV/ (*1)S \ JroMPiuv <i-//4/»>> nX htts rt*YJ-/L^REMODEL/ALTER PER CIRCUITFENCE OVER 6''
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fj&iS OWNER 4-38«-9191w'X$47HONECHARLES R. SHAFER 729-8719PRIME CONTRACTORBOBS PLUMBING SERVICESTATE LICENSE2^57071LICENSED CONTRACTOR'S DECLARATION1 hereby affirm that 1 am licensed under provi-sions of Chapter 9 (commencing with Section7000) of Division 3 of the Business and Profes-sions Code, and my license is in full force and ef-fect.z_ o
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