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1301 GLENTHORPE DRIVE (12)
�sa3��� A�'��...,0���1 1�1 ��� ���Il�i"�` � �WOR[4�R3':COMPENSAl10A RrELARATLON �� CE &48(Z&Q _ . . v :� .,w.� .x. - . P�heceb7 af4irm tnai,i huve;a csriiYtcaSe Uk�c"ons�ji2 tP selfA..a .,. ._._. �*k'a�s��.,a �:. xnsure;o a�.ehtrfi�cat ot T✓orkers'GomRe�s"a.ton YngG*r3nee,ot' - , * � .� #'����iPdCa\I�$9TtL�aT{d��Al� Y3N�i'F6C9F�I11� . .,..,� + - ,. .- a certikiedco Y fYi r�of(SeGy,:�$�00,d,aN� /.'.�� � . . p pov��f�-��'�'�!� Ct�UNTY�F LtIS AMG�i.�S BUiLC2tFiG AND SAFET'Y � 3 GerW3led copv vs ltnreYr iurmshed:"�. - ': � � - .y ` - � , . � � BUYLDING ��� . ��.Gecskf�ed copy u fitea w�chx,ha con�tty aui��n�insPecYio" , pp�RPFLiC.44%1'��TZ7���'�-�� -. aooReSs �/] dc.par'ttYlent.��- , .. :fPRiNT RR YRE 4N1.lFl a �.QCAL!�'" _ � *4�����i"".'� Date---'�'�"-APPIs.a�� . .�.' . .�,- .. EEE _�-,. . . .. - . yp_ :.7YAE 0�.1�PPLIRfJCE 4R EdUfip�/`��T ,�. NEA,REST. .} �CERTIFiGAThOP`FX�A'ZtT_����Um��RK�4�z ��, - ": � CROSSST _ „ . .r-..-�--r__--•�-..-�-�-- COMPLN5A'F�1�"JhIN8T7R�.A'S�tC� �_., ., . . . . . , ,. - = ' � ABSORPTIOHGNIT..,B"r�:�u„ rv, �'1Jl5TRIG7N0 ��i :�'ROCESSEOBY ��_� � V ('Shis secuort need not be-com�ieteci)f the �xx a`�tessd ' � . f. .. . t,y the pecmct is �or one hun ��T da4lats (�t0�) � a,���A��y�r�vr urvcr ct r� � �+ �?') � � F'�eri'+Yy thal u�_.tAt pe f4rmaace of't�re wo�k€or pU7veh Ct��; - � : ' � .- , . r F' 7 ' PiSn�1[12nV platitt@Y . •.T B(�1lEFl� 41 lNS7�CT 5$'GNAT�UAE � permrt w ts�uC�.-1 hail i�iot�mp oY di��'-.1� �� �_ � APPROVALS,� DA IIate to become:sub�est to�he�'✓orkecK Comj9e#te t�on Laws �_ � ; x=. . �,�,_ AOP�ca�st � � � COMPR@SSOR fiTU- � ROJ ��., ' ��� z ._. F�r PIOT,IC£T4?.PPLSC,AN'T Sf q(te�maktag tht (.e,i�i�xqa£eof.- �� V�cttlTl�A'i10115YSTEM � ' d . E�ee,rnption, Y,o�l shpi;Ifi'"b�uoirt$ slihlec. ti5 thz Wor1<ecs '� _ , �:. ;e.,,..,_,.� ; � ,.;.�;< ;^� a LiC7 �i�N . . ..... Coyn�pensa.iqn proYiscons of the$,ahoF;Code.Ycav muat f[t{t , �krAGORA7R S.C�OOE,.ER .._ � tivith-uampty"aiTh veicU xoviasons ot thss jieTt'n`lt S3aa1l be,=o•' FURNAGE XAU.�----G£i p , a"vimv- i deemedrevoked:.. � � .�- � : ` F44tlfY.�.. fS u � .'- _ unri ,; _�' LIC#�:N`a'EDCO''Y'FAA(.TOA91U����RA'Pi6N ' ' SiTSPEJ3D�17 - - eserebY affum�.tHat i am]�ioenaed ufti!_er�tt�v�cconsni'ChaV�er. " _�� H`cAT�.FY WsaLL' �� . , . �a. � 1 eomaiencing rtd§cer.�oea'764f�3 0€DnaS�an 3„of.tk�Aus}- - //�� O� . ' s arid,FeoFcsvuns(=o'de;ancLmY itcettse 5 n fuil f6iee�na �- . ¢�/ I� , eEteea. �. s1 / , _ ., �-�{� ,..;,.e, . ' . '` , .,. ' ' - �/ 4 _. Lice7�sG.Nusnb.�,�°�.� L�c.Glass�{,t�� J� /9�.� ,-_-�'=i_-y._ -.� . . . . .,. ..... . �ry � �f ---- ( . (:ondraetorj��L�G�Y+w��'Ko-te�� �fd L��,; '. !- , .. _ _ . . ,- ,� �' fi . �, I am exap�pY�from Fhe 41ean§ing�reyu�xements is 1 em-Q ,, � _ �`-'�� , Plari Gh@Ck fiee 25/of aboue �. licen5ed 3rchiYecK ,or a te�SRqrgd}�roFe"s'sion3� ��id�p��'' „ . -,_,�- � acting iri..mY PrgfeSslr�nal capacrt} (3eS#ion 70Sf,�i�s " `, ���`�g�'k�S`�jj�.r,ti���v�� ... . . .. . . �. . - . . . . . . �y�,�,*-x- '.^="-"� �� inessand,PcqPessiaasCode) - - �. --- ��-. -,- � � y � „- , �. -TQ'�A����� � .. ..�.�� � Da[e 4 � . P ��- ..----- - .. i.ic,or Reg.7ia �. .. . ,.._..`-..- ,. - .s-� ��� .. . - NOME L>4tY£.R=BUiLDEN PFGL'#�0.�'IflAl PtliT*1 CHECK QPP�.CANT _ : _ %�f�J�'H���A .- ,:�:, . . - .: . -. .; .s _ 3.hereb} a€$1em tkca,C L-.et�n axempt fro,pl,the Cnflt actUT's NAME, � _-- } , f�_:a o �+�[�-�,� - - Liecnse Law,:for Lltz fafLoWtn6 reasbtt (Se iios�7ff31.S���u� AD6RF�3�` � � �� :o o� 9��� . . .ness an3 Yrofessigns Code"'' -� , .` . . �_.,-�.,-r---^`-� : - _ .. . ,. . .. . ,. . '�T�L �lb , r r . _ � L, as o�nyr,of the�,property,w 1M1 dD the�wuCK ant�t� CIF`� `�� � g���'� stxucture es no# EtcYenHed ar 2JPfex�'1 fnc„sale (Sa�6 un � � "' _`• !-� �}a�„�''�1+ 90a4,Busi7�essandY,ro£essuns...ade} " . nW��R �y�''-''-'� - . . .� � erYy nxn exNu4rvety c�yntr ct�n,.g �"GEl�./-`�`��...,.,:- ��_" . . ' . � . . . _ . . . i,as ozvner o�the piop . 'MFtIL . wsth, ticensed conttSCYors co_cqAafruct �•tl�e proect ppE5S �'� . � - �, � (S�ctiori 704'4 Bu.+ness anc�VraEess�Ons C6de} . �ry �� �E L � +/'�/� � G��i��-�.._._- ---��!J���y' . ... LOL�S'�RE3CTSOPI L}'�Uf1C AUI t�1f�Y ��cy = ' S hareby aff�ntt thaL there � a oh5tcuc ion iending�$S ��Cy�-�-�pC-[p�� �� - . - . fur the pe Sormaflce o4¢he zvaric�,'4or Wh�ah;Thas pBsmtiE.es _. � . � -iss ed(S�c 309� G v G..) '. ; ' ADDRE.%X!'� � cn%�'w�"�: �f ...:.�� .... . ,.. .. ..... . ..-__�...._. �Lrndcr s Naene � . t . Q�J!� /C�y"���"��''T, � ----'--- ,: " -/if � � v'"' ��� ..:LCnJar's A¢dxess �� � - � � .. . . ... - ., .�..v: ,.�, v� :«,z �. �,�.l L.iG � �7 cecrify tk��I ha e reae ttes ePVtnca[ion an�-steSe thaT;the g'YATE ��jy7-/� . CLAa4'"��� �-�-�� � L iC�M1K�` .td3��.,/ ' � � -above mfoin at oa As oxsect 1 aqre�Yo�amD�Y,�k�t���;�O°3nd ' �� ' � - � ��ardanances�yansl 5�te taWc reg4lating He tirtp,:� &� ��- �=A�s Oondit}�n��;and ktierekY AufFxiiri�e repr�5¢ntafsv s of,�is SHE REVb RSC F6R fCXYt,Abi.4TflRY LtfM�C.ttx���'- _ . .- ._ ,_: � . .„ : ��G�?�-t�--�.�a r*,���4"Y;cor � � , , ., : , _ ,__:. -�uuniy Yo� ntar UP��iHe`Lbo'�'e�Rzntsone,. ._ , ,�. _ _..,...._ . - r . �5 . . - . . .. . - � .,. . . _._T...,. .m,,. _ . � �y i�Urposes. •wr�,���(J�,j ��-/=y-=- �. .^�gnatuze��S i crmittze Date.��� � . . � � . . � � .� . . .. .. : .. . . '. .. . . __-.___...,�.,�:a,.,.�'"""""'"""` , . ... ". .. � . . . ..� . . ' . . � . a�s�scsoR�&�av�s � s ,. i}6YNuR-��IPL]'s�it J�ECY;,�RATI�IV � � � " T'heseby affiren�khat 7`am�exemptt'rom-t3ie�C;ontractoe'g ' � Y.icense Law.Fot ehe Yoilowing Teason jSection 7031.5;'� � �. . . Baesiness and Prcjessfuns Cade/: Any city or couRiy" ' � . - � . - � wksch require.e a permit ro ronrrnacr, atter, imprave, , . . �� . . . � deonaJlsh,or repuir ary stracture.nrior Po its issu�nre, LL�j .� . �- a;so rc�uires the ap.lrcana�for such permit ro fite a . � - �� . � � � . signed sz¢tement t4ar he is licettse+�pur.arant to.the ' .... 4 " ..�:� ^ � �.�- . ' °.� pruvisicns of rhe Coratraleor"s Jlcense ian�(CPraprer 4 3 , ' , � , . .. ... . , . . �lromrnencin;.with Section 70��JJ �f-l}ii•is<on 3 of the ..� . .. . .�.-- . ... . - -- �Eusi+iess and Professions f'odeJ or that he is exnm�t � . - - . � � . . � therejrnrta and the busis for dhe rtlf2ged exem.ptaai.An.y , � � , � , � �-v viclation aj Seaion 7031.5 hy any�epplicant fora per,nrt -_,.. . � �. � - � - � �� , . , � - ..subjecis�the.applicar,�to a cr�rl penalry oj not more than --�---- . ...,--..-..-..------.-�.--.-....-mm.,-.. five h.undred�oP[ar,s r$�06J_: � .. - � . . . .. ���� . ... ��.... �.-. ' .. .. . . ❑ T,as owne`x o�'�'tlxe property wil,do:tic work,anci �� � ,. ti�e saructacz is not inxznded or offemd Eoa dale. . jSec. 7P44, Bu.rines.a arid lrtifessiond Code: The Covr- � � _ . � rractor's Lirense Law�oes'nor apply to an owrrer oj � properry who buill,s nr imyrcves tt�ereon,and who does - � . � suck wor'k frrrzselj provided thcr azch lmpr�ve.nerrts � � are nor intended or ef(ered for sale, If, however, the � - . � buiidir,g.ar�impr�arernenr is sald withtr: or.e year of � campieeio•v. the owner�builder wil! have the burder: � of provfatg�tha;-��Ize did not bulld or improve for rhe � j::H - - . . . yurposeofsaae.l .,, , .. � ' ,`,� - � Q`1,�as oau�iei af the prope'ray,am eXeiusively con- � � . . ._ ., , .8:sctiag with IRee�ased contzacto�s to canstfuet the projec[ � � (Sectirira 70�4,Businessdnd'�Proy�es,cionsCod¢•The�Con- � � Yr¢ctar's Lieense i.crw does not apply to aen owner of � . � proper,*y wha burlds or imprrjves rherepn, and who . � - conrracts for sateSt pr�jects with a coratracanr(sJ licensed - � � ., . , - pursuag;l to t.he ConPractar's Lecense LawJ. - - d am exe;npi under 5ec. _ ---- . ��P.C.f�r this reason�_,_...:__,.�,.�. �� I3ate -- _ ._ , --�- .. -. �`. . . . . ,�' � ... -. . �'Jvrnex — �. . � � � tF7SFEC'Sf3R`51VUYE5� . ... .. �- - 'M .