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i]^H CITY OF CARLSBAj^teUlLDING DEPARTMENT i^^k ^^W^ APPLICAWN& PERMIT W APPLICA^CUSE BALL POINT PEN ONLY 12QO E|_M AVENUE (7U) 438_5525 MATION WITHIUJ
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EACH FIXTURE TRAPniSOOOOOt U3AOEACH BUILDING SEWERBOILER/COMPRESSOR UP TO 3 HPEACH WATER HEATER AND/OR VENTBOILER/COMPRESSOR 3 15 HPEACH GAS SYSTEM 1 TO 4 OUTLETSBOILER/COMPRESSOR 16 30 HPEACH GAS SYSTEM 5 OR MOREVENT FAN SINGLE DUCTEACHINSTAL ALTER REPAIR WATER PIPEMECH EXHAUST - HOOD/DUCTSEACH LAWN SPRINKLER SYSTEM-BUILDING PERMITRELOCATION OF EA FURNACE/HEATERWATER SOFTNER-SIGN PERMIT—
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Xa.WORKERS COMPENSATION DECLARATION1 hereby affirm that 1 have a certificate of consent to self insure or a certificate of WorkersCompensation Insurance or a certified copythereof (Sec 3800 Labor Code)t .*\x\ t ^ i S\ *^*^-^*-^l .-^-
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-TEMP OCCUPANCY (30 DAYS!-
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TOTAL FEES PAYABLETOTAL ELECTRICAL ^*7 ^ .CONTRACTOR fCERTIFICATE OF EXEMPTION FROMWORKERS COMPENSATION INSURANCE(This section need not be completed if the permit 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 any*r^*
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AN OSHA PERMIT IS REQUIRED FOR5 0 DEEP AND DEMOLITION OR COSTRUCTURES OVER 3 STORIES IN HEl/V3JLLijt JJ__f A GJ> C-JoD
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m £ K "" * '1 HAVE CAREFULLY EXAMINED THE COMPLETED APHEREBY CERTIFY THAT ALL INFORMATION HEREONFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUECOUNTY AND STATE LAWS GOVERNING BUILDING CCSPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL LIABILperson in any manner so as to become subject tothe Workers Compensation Laws of CaliforniaNOTICE TO APPLICANT If after making this Certificate 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^\.
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APPLICANT S SIGNATURE OWNEREJT^) CONTR ACTORflf-AGENT D BY PHON/nOF THE GRANTING OF THIS PERMIT „i
CONSTRUCTION LENDING AGENCY1 hereby affirm that there is a construction lending agency for the performance of the work forwhich this permit is issued (Sec 3097 Civil Code)
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