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HomeMy WebLinkAbout02_01_1984 - 1724 MORNING CANYON RD (3) w°RK�s•co^^�N�,T�o�°E��,w�Ti°N APPLICATION FOR PLUMBING PERMIT � ; I hereby affirm tFqt I Aove o cenifimte of consarrt to self� ��y�yy�p , iMore,or a cMificofe of Wmkera'CompenuAion Inwrance, CF Bn(REv.1oiB1) �. . . . . � . or a cerrified copy thereof(Sec.380p,lob.C.) COUNTY OF LOS ANGELES BUILDING AND SAPETIf �' Policy No. ..�TGompaqy � � .. . � ❑ CerHfied copy is heroby fumished. � � �. � . fOR APPLKlWT TO FILL M�PRIM OR iYPE) BUA�� Certified copy o fited with the couNy bu�tdirg inapec- .� fio�dlptlPlT9n1. - . NUMBER FIMUREQRiTFM � � i{E ��`m � � WAiERCLOSE� . i Da�s ..--_-_-APPlir,ant � h1FARE5f � CERTIflCA7E OF E%EMPIION FRQM WORKERY enTH 7U8 ��• -� COMP�NSATION INSUR/W.C� ... SHOWER . �� � . � � (Thtf�Mion nNd not M rn�nplN�d.ff fRe�woric invel��d by . . i tha portnB is toT ono hundnd dellerr(;16tl)ae Ins.} �pyp7O�y �� I eenify that in tFre performa�rce of tha work fbr whirh this . - ? � permN is fuued,f shall not emptoy a�ry pm'son in any monoer� Smnc � � CIiY� iF1.NO. so o�fo hemme subject o fhe YVuken' fonlowa. �� . � A! . . . ORHW/ASIftR � �pp � . Oate��J��irnnt U07ME5 W0.5MER � - � + �� 9 NOTICE itJ APPLICANT: If, aHer matting ihis CaAiti� �e of S,w������� U j Ezempti�n, you shor�id bacome subjaet ro the W ken . �y �, { Competrsation proviaiqns ef the Lohvr COde,.you m�af foAh- �qWIVSPRINK1fRSYSfEM .� �with mmpiy with sach provisiont or thia permit=MqYI be SiA7E LK. � � deemed reroked. � - � � WAtFR HEnYE�t � � -� � ���� �g . IiCENSED CONTRACTORS�CIARATlON . WStR�C� . 8v IherobyaflirmMiWlamlicat�sed�rnlMAroyiiiq�ofGwp�ar9 - ���GASSYSiEM - OV1lkT5 � !?O � �`Q (mmmenang wi�h Senion 75100)of�[�kisinn 3 of tha Business ptntEiS . . � 1 and Profesaiom{o�e.Qnd mV Ikeme is In full forte_and effecl. �R 5� .FINAL A vau�anoN � •` p O DAlE � �A�'� litenae Nv r � '.Cless�� . . �� Ot � + ���� � FINAi /-� O Gontractw Oate . - BY C G OvW� � I am eaempf un ar Sec. - 4' � B.BP.C.fm this raoson � . .. . . .. .. . � � z I Plctn che�k fee. � oarB: � v�uneswG a�an+�T issu�wc r�a ,�D signotuie � � . - TOTAIFEE q9 d � � i .... . . Plan check appYiwn� .. . r�� �3,']A _ i . SINGLE fAMttY � . #� � • �5 i HOAAE OWNER-BUIlOER Ofq,ARAiION� Name - � I • •2250 ` I hereby affirm thar I am exempt fiom�ha CoMrotfor's Ucense pd�s . law for the 4ollowing remon(Sedion 7031.5,Busines�a� � � �2 2 5 d� Rofessions Code}: � City �Tei.Na � - - . ? . ❑ I,m owner of the propMy,w�ll do ihe work a�the . � ► 0�n� �8 4 � shucture is not intended w offered for wle(Sacrion � . 7044,Buainess ond Prnfessiwn Code). . . . � � - CONSTRUCTION LENDING AGENCV. . . . . . . � I hereby aifirm rhar rhme is a corrsh�xtion lending agency for . rha pedormance of ihe woric tor which rhis perma if iuued . . . � � � � - � (Sec.3097.C'w.C.).. � . . Lendx's Name- . . . ... . . . � . � � . . �J Lendx's Address ' � I ce.tify that I have reod this opplimtion and sfate fhol fhe - . �, . . obove infprmotion is[Orced.I pgree to comply wilh all County , ordirwnces o�Stata hws reguloting Plumbing,and hereby � au�horixe re reaeo�a�ive• f his CouNy�o eMer�pon Ihe . � � - � ��� � � re-m io ed proper�y r inspetlion purpoeex. . . '. . . . . SEE REVERSE FOR EXPIANATORY LANGUAGE � Signa Per �inee are .. . . � � �, c� oz � i yy � �, N .. ' � f N � � � � S N � . . � _ y D Y '� N '� q �` � G � O .i��_--"' _.. m� f n0 ,�i. � � O q . . ' � �'n q Z � � 4} � � �� � m w =� - O� Q u' _ r .. _ . - . , � � ➢+ . M ' o � _. � / . .. � � � _ � ' ` - . , . , �� U� , � , � � "r�� � Z � � �- �t u, '" � � � ' ° O � � � F a N m a Z , . w � � N � 0 � ` � � , '� � � �� O � '� � � � N �� �, � � �\ ' C � � �; . 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