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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 1n the envelope provided at your earliest
opportunity to avoid unnecessary delay in processing and Issuing your building permit.
No building oermlt will be issued until this verification 1s received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) *jje~ S .f-
2. I (have/have not) 4A&O £ signed the application for a building permit.
3. I have contracted with the following person (firm) to provide the proposed construction.
Name ^>-^ Phone
Address ^^^ Contractors License No.
City ^"^-^
4. I plan to provide portions of the work, but I have hired the following person to
coordinate, supervise and provide the major work.
Name v^--^. Phone
Address ^*"^--^ Contractors License No.,
City ^-^-^. _
5. I wIlT-provlde some of the work but I have contracted (hired) the following persons
to provide the work Indicated:
Name \\ Address Phone Type of Work
Signed: Property Owner L.S.
Social Security Number
Date: ^ ~-^ v -
EACH SUBCONTRACTOR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSBAD BUSINESS LICENSE"
AND FURNISH A CERTIFICATE OF WORKMAN'S COMPENSATION TO THE CITY OF CARLSBAD,
Initials