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FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O ' p I HEREBY AFFlRM UNDER FENAL7Y OF PERJURV THAT 1 AM E%EMPT FHOM THE CONTMCTORS L4 Garage/Carport - ' W CENSEUWiOH7HEFOLLOWMIGPEA50N(SEC.70.97.68USINESSANDiPOFE5510N9000E:M1VCITVOR (n � �� CDUNTYNM1IIdIREOUtRESADERMITTOCONSTAUCT,ALTER,IlAPR01/E,DEAIOLISH,ORREPAIqANYSTRUG w TURE,ORqq TO ITS ISSUANCE,ALSO REWIRES THE APPLIGWT FOF SUp1 PERMIT TO FIIE A SIQNED W Pal10/DBCI( � . � � � STATEMENT THAT HE OR SHE IS LICENSEO FUiiSUANT TO THE PROVISIONS OF TME CONTMLTORS ll• � . , � CENSEUW(GIAPTERY(COMMENCINOWfTHSECTION7000�OFDIVI5qN70iTMEBUSINESSANDPRO- POOVSPB � iE5510NSCODE)ORTFIATHEORSMEISE%EMPTTHEREFROMAN�THEBASISFORTMEALLEGEUEXEMV• [� - V TION.ANYVIOUTqNOFSECTION7071.58YANYAPRICANTFONA7ERMITSU&1ECTSiHEAPPLICANTTO Z RB-ROOI ' � - � � ' - � � ACML PEN�LTY OF NOT MORE TIUN FNE HUNORED DOLURS�S5o01.1: � : � 04ASOwNEROFTHEPROPERTV.ORMYEGPL0YEE5WITNWAGESASiHEIRSOLEtOMPENSATpH, ❑ COmmefCiel � � � � ' g, WILL DO THE WOftlC ANO THE SiRUCTl1RE IS NOT INTENOED OR OFFERED FOF SALE(SEC.70��,BUSI- J � ' . . 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DI1TE �- �� - OWNER � �. . . ; N � � ' , � ` � , UCENSED COPlTRACTORS DECLARATION � . ' � w 'IHEREBYALFIRMUNDEROENALTYDFDE0.tt1RVT1uTIAMUCENSEOUNDERPROVI510N50FCHAPTER � . .d Y(COMMENCW6WRNSECTION7000JOFOIVISION30FMEBUSINESS/�N�PROFESSpNSCADE,ANP Z ' ' � "' X MY LICENSE IS IN FULL FORCE AND EFFECL �`�C ��\ �' m ' � � , � � � UCENSECLASS '���� �' ``. � 'RIC.NQ � ��t�� � . ' ,� � J . � . V �DATE �-1' '%/. . . �� -� . ..COMRACTOfi "� •• G� i u�i � p. � - � . W � WORKERS'COMPENSATIONDECLARATION� � Q ' NIHEREBYAFFIRMUNDERPENALTYOFiERJURYONEOFTNEfOLLOWINODECUMTIONS: � Z . ' � � _IHAVEANDWILIMAINTANACERTIFICATEOFCONSENTTOSELF�INSUREFORYlORKERS' a - � � � , LOMPENSAiqN,ASVRDNDE�BV5ECT70N77ooOFTHEU80RCO0E,FOFTMEPERFORMANCE w � Q ' OF iHE WORK iOR WHICH THIS PERMIT IS ISSUED. � � � � � _ � � �IHAVEANOWILLMAINTNNWORNERS'COMPENSATI�JINSURANCE,ASREOUIflEDBYSELTION � ' ' . . � • WOOOFTHELABORCODE,FORTHEPERFORMIWCEOFTHEWORNFORNMICHTHISPERMRIS . - " � � �. ISSUED.MVWORKERS'COMPENSATIONINSURANCECAtiR�ERANDPO�ICYM11A8ERARE: CONSTRUCTION ' j CARRIER � .�•�.!, �l^u� F � (�f (l� �f C7�! 1 1�.(' PLAN FIEVIEW - � . Z POLICYNUMBER � '`7�� .,���' f'! � /i`?f' ELECTRIC � . . .•JO � � � 6 � � . . � . .. �,� �ssEcrcNNFIDnoreEcnr.RErEnoFn�aEq.+rsraaar�ruor�o�R+oola��ESSF� PLUMBING . � � - � . '2 � ICERTIFYTMATWiHE7ERFORM/WCEOFTHENKIRKFORwHICHMISPERAtl7151S5UED.1 MECHANICAL� " .� � CJ .SMAILNOTEuvLOYANVGER50NWMJYMANNERSOA5TO8ECOMESU&IECTTOTNE . 'N � 'WORKEHS'CWAPENSATpNUWSOFCµIfORNIq,ANDAGHEETHATIF151qULOBECOME INSPECTIONFEE ' S � -� SU&IECTTOTMEWORNERS'COMPENSATIONPROVISIONSOFSECTpN37000FiHEUBOP � ]� ' . 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TOTALFEES � �� � � ���,�� 'Y'� - W IACREETOCAMP�YK7T/IALLCT'ANDCOUNTVORDINANCESANOSTATEUWSREUiIN6TOBULLDINO � � CON3TRUCTION,AND HEREBY AV7TIOHRE REPRESENTATIYES OF THiS COUNTY TO ENTER UPON TME � ZABOVEd.�EMqNEOPROVERTYFORINSPELTKKJPURPO5E5. � � , � ' , o COMMENTS --' <�� 'fG�� e� G� ,�� � .� - j � _ m GERM/ITj EENAIA/E�a flINT) f�0 ,�✓�J tp� J� .• 1 �\ ' 1 /� � � . ' VJ �!-,Tr.�..L�t-+�.�/.-+�..y.�!✓G. ��� 1•.l�-'�� i���J ..i . . . . y �SiGNATUREOFPEPMITiE . � DATE �` `} .� i , � � � /1' �� �RECP,T..NO.{�•-��' � PAID BY VALIDATION ! � �� �VJHI�DepaRmenC opy,YELLOW=Finence Copy,1PMIK—AssesSor Copy,GOLDENROD—File Copy,GREEN—Applicanfs Copy�. � - �, lU` l,� ��:., �; . �: � � n �,�:�°� . . .. . �' . '.. , .. .. . , ._ ._.. .. ..'. '_"_ . . ^ .:., i..r� ., . ..+. . .45� . ,. �_. ,^'r.. .... ,. .. . .. _,. "-. -.. "".. "z . 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DRYNIALL NAILING DEDICATIONS SEWER FIPJf�L ENG. • SEPTIC TANK } LANDSCAPE/IRRIG. SEEP PIT/L.L. � ON SITE It�1P5. GAS AIR TEST i FWAL ZONING FINAL CONST. � ' I �lRE DEPT. FINAL FINAL HEATIPdG HEAL7H DEPT. FIfJAL FiNAL ELECTRIC I DEV. FEES PAID � FINAL PLUMBING i ENERGY — � .¢i A�o���i:`.lc�c,,�_____�___� � COPJIMENTS SEPTIC TANK SIZE SEEP PITlU SIZE ,�� A�T� }'�� � � 'I