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FACTOR PSF ADJ.AREAlVALUATION � OWNER•RUILDER OEClARA�IOid SFR/AOp(REM O q I HEflEBY AFFIRM UNDEN PENAL?V OF PcRJURY THA?I MA EAEMPT FR6M THE CONTRACtORS LI- G1f8gB/C2!p�rt W CENSELAW�-0RTHEFOLl06ViNGRE1S0��(SEC.70.31.5fiU51NESSANDPROFES510N5CADE:ANYqTVOR (n � � WUNTYWHICHREQUIflESAPERM�TTOCON3TRUCT,R,ITEN,IMPROVE,DEM.OLISH,OflREPAIRANYSTRUC- W Patio/Deck WiURE.PRIOR TO ITS ISSUAf�CE,ALSO REQUIFES iHE kPPLICANi FO�SUCH PERMIT TO PiIE A SIGNEO � STRTEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVI510NS OF THE CONTRACTORS LI- � CEfV5EUW(CFiAPTERei���ENCiNOYrITHSE�iDIi7W0)OFDIVISiON30FTNE8U51YES5ANDPRO- �' PooVSpa FESSIONSCODE)ORTHATHEORSHEISEXEMPTitiEREFRCFAlNDTHEBASISFOR7HEP,LLEGEDEXEM?- (� v TION.ANYVIOI.AT'ANOFSECTIONt031.58YANVAPPLiCANTFORAPEliMITSU&lEC7STHEAFFLICANTTO � R&RUOP - � � AGYILPEMALTY OF tiOT hiORE YH.4N FIVE HINPFlEO DOLihRS(3500).): � ❑I,ASOWNEflOFTHEPROPEftTY,OfltdVEMPLOYEESYJITHWAGESASTHEiR50LECAMPENSATION, C� CORIrt18�Ci2I _ ____ __ WILL DO THE WORK,AND THF STRUCTURE IS N43T INTEND60 OR OFFFRE�F(1R SALF(SfC.7d4d,Rt151- _J __ � NESS AND PflCFESSIONS CODE:THE CCNTRACTOR&�ICENSE UW DOES NOT APPLY TO AN O'NNER OF � PROPEqlY MiC1 BUIlD6 OR IMPROYES iHEfiEON,AN�WHO bOES SUGH:MORK NIMSELf OR HERSELF 09 � TFiROUGHHIS�RHFROIYNERiPLOYEES,PROVIDEOTFiA75UCH11APROVE�tENYSAREh'OTINTEN�EDQR � � OFFERE�FORSk1EIF,HOWEVEF�iHEBUILDIPJGORihAPROVEMIFMf550lDK'ITHINONEYEAROFCOMP4E- `� � TIOP7,YHE OWNEWBUIIDER k41LL NqVE THE GUi7�Ettl O'r PR�VItJG TNA7 YC OP SHE DiD ROT 8UIL0 OFl IMPRDYE WRYHE PUFPOSE OF SALE). %y�"'� q� ❑I,ASOVdNEROKTHEOiiCREV7�Y,A4IEXCLUSNELYCOYiRAC71�4Q4NITfi410ENS6DC0�'TRACTOFS ; -------^'— � 70 COkSTRUCT TME PROJECT(3EC.7oad,BU3INESE ARO PROF.S310NS CODE:THE CONTRRCTORS LI- p �dlUafiUfl __ ______A�J.AREA LL! 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