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HomeMy WebLinkAbout1793 (23) ''� CI�'Y O� �iAN10Na �AR �RESS �-,,., '- � � �����e�T o��aucu„N� s��sa���rv BUA�.�i�a��ER�i�- FIRMLY JOBSITE � � �m� DPP�CATIOI� , ""',(�� �M�R �t�3 CODE---- ; ADDRESS �� S �� � ��—._ tSSUE +^� `,-� TYPE OCC. � �'"...y. �,v j J� i ` APN _._ LOT_�TF�CT_.____ C.1ATE ��,._._.�_� CONST. GROUP-- � o CRc�SS STREF��,_� _..._ ___� SETBACFCS� � �a.E��„s °� OWNER__� rssic� �ONINCa FF��P1T ._._RW ❑� � ADDRESS ��M�'' � REAR ❑ _ I W CITY ����zip��T��.._.Q_/..._'� sia�isip�srw��r__...___��uv O i e APPLICANT _ _T�L. L�7'.�`r SfDE ,.�._,�,..,_� ❑ � � CONTRACTOR� ���'z s' SEIMAGE i o. AC�DRESS 'LI D 2.G" C�'__„�,� i� PUBLIC PMT� DI5P0�AL ❑ pRNATE SQ.FT/100 GAL-- � w CITY_ �04 �/�f�DA ZIP�..��7EL.�o7�:�'f ______a_,______......_._�r.--- - �.�.- � ac = STATE 3�/�1,75 0 GRADING U �;U.Y�a.FXC.____�.CU YDS FILL y:.. LIC.Ni1MBER_ __.� _ ' y ARCH/ENG/ --------.__ � j;/� IYP��� � .��P'S ADJ. AREANALWATION Iu'' DESIGNER '\_�"_""~•_--w�._. lii 1 � ....,�_._..__....._.__._— � o ADDRESS �, (,i 2 � Z� CITY-- -.--ZIP._._.-------.TEL._ (� � � e� PROPOSED USE_. � 'U�'t� - , -- � 4 •�--� �- —��--- _.. _ � !`� � GARAGE . a NO.DWEL. NO.� N�:��v� � pORCH � �� � Z' UNITS _STORIES_____�3EDRObMS_�.___ m _______�. ___ V'' VALUF�7iON. .__ _- __ _ ADJ.AREA s LOT DIMENSIONS-.__- _ _ __ ___ _ _.__ � NO.OF BLDGS hit71N �UA��fi'�Y (,�����l�'�Ijij ��� W. ON LOT USED � " W. _ —___-__ _'__ �.Y, � � �. IICENSEO CONtNaG1UR5 UECtANAiqN�1 N�eqr afhrm Ma�1�m kcens�C iWer Grpripar,s of GhWix 9lcommc^ncinp � -------�---------� �' wnh Secoon 1pp01 0l avisnn 3 al�he Business ard Prdnsmna Cade,a�d m�license it in tuY Iwa aM ekect � �, � -�` w "- - --• - - .�±-�� f7WNEN�AUROEN�ECIARpTION�1 hernEy Nlirm��t I am nampt I�wn Mc Contr�ttn's lcrose Law for tlx fdlae�ng —.— -"- --� x� ;eamn ISec.7031.5.Busines�ud Professwns Code:Airy ciry a canty wMch rtyurtes a permrt m comtruct. (�} O� �Iter imprave.demtlish.n repxr arry structure,pria tn its isvurce.Lsa rpuuex ilre appYnn�Mr such pdmit �- . �f-�� �o hk a srgned stakmem tAai AB i5 IKa19M pyfyWni b Ih!Ql0Vi4p1f a1 Mk CMtrK�oi S�RMiB IHW(�oP� :� . .�L�.��Z�,i" �' s: 9 Icanmennng wnh$etum 70001 al pvis�an 3 0l tM1e Busineu uq Proleuare Code)ur tlat Ae is e�mpt tlnrefrwn � — � . - y., a�ihe baas Inr the alkped eumpEon.A�ry vulanan al Sstion 7031.5 hy arry appliesnt la�perrt+n wbpetl � W; the aDMaant io a crvd penaltY of nol mor!tl�3n five huMrM MLvs If5�4!1. a ---- . a. ❑1.as awrcr af Ihe propenY.a rtry empbyees wr�h wagn as thev sda compnYtion.wik do the wMk.md --__ �:� ihe si�ucW�e�s nat iniended or aflered lu vk ISec 7004,Buvross anE Prolessons Cote�1'he ContruW�s L¢ense e( ��`�. law Aoes rot apply to en ovmer ol property wla hvilda ar�mprores therttm.ard wM dxs sucA wak hmueM. . (� ,� •.• a tNough nis Qwn emdaYees.O�wided ih�i sixh improvemmn are nat inten�A or alhnd fa saY.If,hoa�evet. m�� U�e hwlding a:mprovement is wld wiM�n ane Yex ol conpM7wn.the axwr-6ulEar wil hwe ihe 6vdm ol povuiq � ._._ .._..__.__„� � ���� ma�he Oia not OwdE a improve for tlk purpou ot saY.) 2. y: V + v��� ❑I.as murer of the propt�ry.m eeekmvay contracix�w�m Icaiued comrxtat W eo�nrue�the Wqett IStt. �j. .-'._`..... _._�_....�._._._..�.— �� 7044.Busness and Rolessuns Cada.Th¢Conuxim's Lr.mse ta�w dou no1 t�ply to an ovrtar ol propxty who �� �� bmlUs ar�nprwes Ihered�.and wM canlrxts Id such yopcts w�tli a cmtr�emrU)liun�d prswnl to rtr Cmvxta.s -- --.-_.._......_...-.._._._.e..,...._....�__ -.'e. 4cenu Law.l �+Q��T'��S�r+1'���'d O - �� ❑i am eeemQ�unGn Sc._._ .8.8 P.L IAnK�CemhuRl. �LAN R��IC�II�" o Oate �. Owner ELC���'. ^ ' NOqKFRS'COMPENSATION OECLARAIiOJ:I Aere6y dtirm tha�I haua a enaliub ef cmymn to sW�Nswo,a ' '���p���� ""^ ' � a�en�hcare vt RUrtaa'Canqanaauon Inmr�rce.or�caoled u�y�nwsu115ae.�00.lsE.C.1. �.�t��Y+++*r•�I �_�_.m,___.---._�� +�.�` re � a ❑crmKa��ov�:n.«er����e ,� MECHANIC9iL o ❑cwnika uov�s i�aa w�m me awu�ny m�oecnm oaerm,mi a _owrmxm. :`� GRAC?IfdG _'. LERi1FICATE Of EXEMPTpH FqpM NURKERS'C(M1P£0.'SATiQ1 IlVSUrUNCT:Tlua i nol ha cmmpe�ed � ~_�— � y; il tAe 7nmi1 is m��n�a��isiooi a��.i�mr aw��m�p.ro�� a� ia wnsn n.s ISSUARI� ____.� _ , pnm�t is issued.I shaN employ am/permn in my mrxw w u to f'Con�MnyMpn �Q..,'y�'� �' Laws ol Calrtomy f — p Date 6 " �� AppM1sant ,� PAR� F�� .._. "'_ � NOTICE TO APPLICANf:M,�Mn makmg tlus CerMicale a!E ,rvu ihoulf hemme tu6Nc1 m die N6rka's �-� SChlOQL FE�S _._.._._. _ -� Lompensaoon pw�uans al�he LaEm Cade.YW mun iatliwnh cm+ply wM�eh pwbiaa a tAis R�aht�A . �+�.. be dcemed ievakcd .. . -____�._._ � __ � ONISIOI Of INq15ffllAl SAFETI'PERMIT CEfliFGTlitl: �. � . � � ❑I henhy rondY that no ewveuon frve 15)a�ma�het m BpM nb wML y psiton n��wod m dufrd. �� .___ ,_ _ � w�w he mbe�n cannet�qn w�th wak�uthavetl W tlws D��mn.atl Met m dxilu�l tVutlun.uqfabwq.Irbaa�urh. n demotn�m a dismontli�q tMreoi.wal pe mae tlyn ihirry-se(381�wt In�.IChI10.1.1.Gry Y.M 2.S�c � ,�,. .W' 361.Title B.C.A.C.1. . .. .. '. _ .. `, • ,.. ..' . ;, . ..3 ❑As ownei�dudu.I wiN nol enOkv mWik'ta do work Wtich wdwY nMMn�0�1 hoe Ih Ornion d � ,%F Ind�stn91 S�Iny.�s roqd ahme.unkss suth Oeism�hq i plrmit b!0 weh wak Oram 11r/ivqi0x. ' ---- � ,�� .. . .' .. l � � �W ❑Gtism d InAisvul Stleri Pkrmn yo.......� ' '. _ � � . �. . .. .., YV��� ���� ( d � ��:� CdiSTBUCfION IENOMC AGEN6Y�I hnYtiy��Ni�ro�tlw tlun n a raiqEu�ea�Midrp epo+iey hr tlr qr�a l � Z M ih warY ta whc�tlris permn u iuiNd�l�c.3097�.Civ,C.1.� n ,� ) /� ( �/ � ���. lmtler's N�me ('i0 ME �. 5���:1�"��.•- 1�i�7'1 t.1��i'\ �� l ',,�40 L.��.. �m Lmde�'s Ad6exs ,. 1 K CERfIFICATE Of COMPL AND OF ENfNY:I rcely I hew nM tla emqicean m4 suY � . �'�'��'�"--- - --- . � vi rh7t[Ae u�tmiumn enne�.I o wiN ri sn!I�ws uf1 tifY m�w nYtwO ro d�p i•.. ____..____-_ __--_._________ � y wnstratm.�nC ��Nntm� d Opr�wwn d�rW�y n0 SaMv e W��P�N = ta wMch I Am this pwmit � d mkinp inWRtian � t��� � X [ � ���,��'? -z , ��. 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