HomeMy WebLinkAbout2811 ATADERO CT; ; 86-109; PermitDECLARATIONS
CONTRACTOR 1- OWNERAUILDER WORKER'S COMPENSATION _. 17- LENDER 11 I
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ATTENTION PROPERTY OWNER:
An "owner-builder" building permit has been applied for in your name and bearing your
signature. Please complete and return this information in the envelope provided at your earliest
opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received.
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I personally plan to provide the major lab r and materials for construction of
I @have not) -
the proposed property improvement (yes or &
signed the application for a building permit.
I have contracted with the following person (firm) to provide the proposed construction.
Name 5 PCLIN\$I $6 Phone
Address Contractors License No.
city
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work.
Name 6 Phone
Address. Contractors License No.
CI ty
I will provide some of the work but I have contracted (hired) the following persons
to provide the work indicated:
Name 1.1 Address Phone Type of Work I" ! '
EACH SUBCONTRACTOR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSRAD BUSINESS LICENSE AND FURNISH A CERTIFICATE OF WORKMAN'S COMPENSATION TO THE CITY OF CARLSBAD.
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