HomeMy WebLinkAbout1703 CANNAS CT; ; CB880527; PermitDECLARATIONS
LENDER WORKER'S COMPENSATION OWNER/BUILDER CONTRACTOR
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1 1 !-STRUCTON. WHETHER SRECiFifD HEREiN OR NOT 1 ALSO AGREE TO SAVE INDEMfKEEI?*H^^llESStHeXlT^VOF CARLSBACX A GAINST ALL LlABiUTIES. JUDGMENTS. CC' EXPENSES WHiCHJtfAY IN ANYWAY ACCRUE AGAlNSrS^Vt) «TY UN CQjHSBaUENCtGgANJlNG OETirtl^ fEflMlT.. «.. - * . * t ! - * *•*''«'*—'STSAND APp<-!CANrs SIGNATURE * OWNER H CONTRACTOR D°FYH&JhK\H^-nt.9c^tb BY™°NEnT)
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V 1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCACERTIFY" UNDER PENALTY OF PERJURY THAT ALL INFO, DECLARATIONS ARE TRU| AND CORRECT ANO i FURTHERJlSSUED-v.TO COMPLY WITH ALL CITY. COUNTY AND STATTIQN ANO PEflMrr AjNO DORMATION HEREQN INCLUTJCERTIFY AND AGREED A F-LAWS- GOVERNING BUILDZ 1r\ 2 i
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^ — X 03f- ZP rn -< •Expiration £very permit issued by theBuiicCoOe shalt expire by tirmtatton and bScom«authorized By such permil is no! commsnciacpermit, or if the building or work authonabandoned at any time ifterihe work is coning Official under thenuii and void" t) ihewithin 180 days fromeO by such permitimeneetf hti a periodI'ovfsionsoflhisjuilding 01 workthe date o' suchs suspended orof T30 days* AN OSHA PERMITS 0 DCEP*NDt«STRUCTURES OVE'5 <£ tri t
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/I-^ c^licensed pursuant to the provisions 0' the Lontractor slicense Law [Chapter 9 commencing with Section /ODD ofDiv sion 3 ol the Business ana Prolessions Lode, or lhat is e«- ie-npi jnerelrom ant) ihe basis tor the alleged exemption Any .violalion ol Section "031 5 By an applicant tor a perrni1 suo 'lecis tne applicant to 9 civi1 penally ot not more Inan live him- |died do'lars iSSOO*,." ' °
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1 ri'l hereby affirm thai 1 am licensed under"~ [jjrovlslons of Chapter 9 (commencing withSection 7000) o) Division 3 ol the Businessand Professions Code, and my license is m_ full force and effect1 hereby aHirm that 1 am exempt lro"» the Contraclor's License La* lor the following reason (Sec FQ31 •)Business and Prolessions CMe Any city or counly tviicr •£quires a oermii to construct aller. improve demolish orrepair any structure prior 10 '.Is issuance also reou re; ">e. ap-plicant tor such permit lo tile a signed staiemen' tnat he is ,' -, 65
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[CONTRACTOR'S'* DO RESS2819 Central Ave.STATE UCENSE NO. '443348BUILDING SQ FOOTAGEOWNgH'S PHONEr• o". H
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ASSESSOR PAftCEL NO.'" ' . •'•'-• ""' 'CONTRACTOR _ 'Arlen Poster Plumb-inaCONTRACTORS PHONE #697-41 SIozm JOBADOHESS , AV. ST.RO. THOMAS BpOS NO.1703 Cannas Ct. Mimoga Dr.DATE OF APPLICATION3/15/88BUSINESS LICENSE *19451VALUATOZ
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