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t*person in any manner so ss to become subject tothe Workers' Cornpensation Laws of California.NOTICE TO APPLICANT: H, after making this Cer-tificate of Exemption, you should become subjectto the Workers' Compensation provisions of theLabor Code, you must forthwith comply with suchprovi^/ons or this perm it shall be deemed revoked.T r o) n -n i -
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MINED THE COMPLETALL INFORMATION HAGREE IF A PERMIT<VS GOVERNING BUILCOT. l.ALSO AGHEE TCS6AD AGAINST ALL7Jo£l!i*S!
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UMBER1LICENSED CONTRACTOR'S DECLARATION1 hereby affirm that 1 am licensed under provi-sions ol Chapter 9 (commencing with SectionC
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