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HomeMy WebLinkAbout15432 (23) � 1 • > _�__ CITY OF DIAMOND BAbi -� DEPARTMENT OF COMMUNITY dc DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)86a3195 Fax(909)861-3117 PRE$$'. ���'^ BUII.DING PERMIT APM.ICATION FIRMLY 0� JOBSITE �^J� � � i/� �/�� J f_� /1 f�, DA�CATION '`� O D NU B R � l�C ADDRESS_ _f !C7 r��h�...7 kJ!�. � APN LOT T�,cr 25lo y S �SSUE TYPE OCC DATE CONST. GROUP p OWNER �Clhl�rJ p ADDAESS �� R ZONING SETBACKS z CITY l A ZIP �/�, TEL. � REART RW p � APRLICANT_SB+�E TEL. SIDE/SIDESTREEf RW ❑ � CONTAACTOR SIDE � p AODRESS �-- � CITY ZIP TEL PROPOSED USE � ARCWENG! � DESIGNER NQ.DWEL. NO. 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PLUM8ING z I CERTIFVTUT M�}IE PERFaiMANCE OF TNE WURK FOR WHN]1 THIS oERMIT IS ISSUED,I MECNANICAL �,j'' SWLLLNOiEMPLOYANYPERSONINMIVMANNER50p5TOBECOAIESU&IECTTOTHE � N'ORKER5GOMPEHSATIONUWSOFCN.�FORNIA�O�OREETHATIFIS110U.�BEWME INSPECTIONFEE 1' SUBJECTTOTHE�NOIIKERS'COMVENSA710NP SIONSOFSECTqN31 OFTHEU80R S cooE.isFwi.coamwnmcou�n�rNnni swws. � ISSUANCE 1� �• � O �} p DATE: S^r'�6O qPPLICANT, � � � SMIP ��� '�. � ENERGY P!C WARNING:FA4URE TO SECURE MNRKEPS'COMPENSATION COVEMGE IS UNLAWFUL,�ND SHALL BE y� SUBJECTMlEA1PlOYEATOCRIMWhLPENALTIESANOCM�FINES4PTOONEHUNOREDTHOU5AN0 ENERGYPERMIT OOLIARS(i��.WO).W N7DRIOFI TO7HE COST OF�pENSATICN7.DAMACES AS PROVIDEO FOq IN ¢ SECTpN97oeOFMEUBOflCWE.IN1EREST.ANDATTORNEY'SFEES qE7ENT�ON FEE: n�.*ITY C�F nTA]�Q.���� OCONSTRUCTION LENDINGAGENCY PRE-ALTFEE: �yJ�, �.������'�'� QIHEflEBYAFFIRMUNOEPPENAITVOFVERJURYiHATTHEREI3ACONSTRUCTiONLEN01NdAGENCY FOR 7NE PERFORM�NCE OF iHE WOfiK FON WNICHTHIS PERNNT IS ISSUEO(SEC.3oaT,CIV.C.). Z W � LENDEF'6NAME t— lENOE/YS WORE55 ¢ ICERTIFYTMATIHAVEREADMISAPPL�CATIONANOSTATEiNATTHE/�B�YEINFORMA�pNISCORAfCT. TOTAL FEES � � I AOREE TO COMPLY WI7H N1 C�iV MIO COUNTY ORDINANCES AND SlATE UWS NEIATINfi TO 6UIIDWG CONSiPUCT10N,AND HEREBV AUTHORIZE PEPRESENTATIVES OF THIS COUNTV 70 ENTER UPON THE � AHOVE#IEHTYONE➢Pf10PE�iTVFOqfNSPECTIONPUAPO5E5. COMMENTS a �1��. ��1�� m PERM � �^�� Q � N � SIGRA F PERMfTTEE OATE � RECPT.NO. PAID BY VAL{OATiON WHITE—DepaRment Copy,YELLOW—Finence Copy,PINK—Assexsor Copy,GOLDENROD--Fi1e Copy,GfiEEN—ApplicenYs Copy �iYY C�F C39�a�t#C36d� ��,� � 6�������� ������ � <...�'i�sY�. y 1 �RO . � � � �• ,� �'� �,, �,.rs� 1 �. . .... ...t SET B�CK � ' i � FE�C7�F;JC7�ST __ � __ _° _.----.--__ � ......�...._ __.e._ A___. 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