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HomeMy WebLinkAbout15730 _. i -�-- - .... .._ . ._ --- - - � -- �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �y 21660 E.Copley Drive Suite 190 � (909)86Q-3195 Faz(909)861-3117 PflE$S '��'�. BUQ.DING PERMiT APPLICATION FIRMLY } JOBSITE .., APPLICATION �I (I bO PERMfT �/��`�/C o ADDRESS Z�� %/�/U/`N77 �'fr'f� ���. DATE NUMBER_,�_�,�� 1 ✓"'M O� �� � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER ,A'UTbl�4�/LC C�LtlF3 E�_Y'.C�iL/F. �'"p ADDRESS 3��=� FlN�Zr�/r=W 1�[�. ZONING SEfBACKS Z CfTY l�T•Z ��.�5.4 ZIP�(�j TEL. � '�7 REAR Rw ❑ g APPUCANT TEL. SIDFJSIDE STREET RW O � CONTRACTOR_ImFr✓.C�s[- Lri�LSTJ�'liC�7GW SIDE ❑ g ADORESS - '- �^ PROPOSED U$E -" - - . ,'� � T -^ C {�/r�-a�a� N.�c ZIP 9/�CZ TEL " "' • � � . — � RCy�NG/ ��Jn Tu/,-, 'TT�4I�1lldlG e�SCt��-t� tSE�i�NeR f�L?r�l�uP NO.DWEL. NO. NO. '�_ � ADDRESS ' UNRS STORIES �� BEDROOMS CITY Dirr.�rin ZIP 9/7� TEL Q � - y� � DESCRIPTION SQ.Fi. 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O IAM OIEMPT UNDER 9EG B.L P.G FOR h115 REASON Q U LL7�' DATE OwNER � 1� W UCENSED COMTRACTORS DECLARATION W � IMEHEBYAFFIWAUNDERPENALTYOFVEIUURYi1WT1AMLICENSEDUNDEAVFiOVI510N50FCHAPTER � � �(COMMENGtKi VATM SECTION 7000)OF OMS�ON]OFT11E BUSINE55 AND PROFESS�ONS GOOE.AVD Z �� W LICENSE 6 M FNl FORCE AND FFFECT. �^ m r O '��� f/ � F LICENSE�0.A55,`' C�^n LIC.NO. �'' � �j UATE `'7� CONTRACTOII pJ, � � � �'��WORKERS'COMPENSATION DEC TIO `�I v� 4 � U � I HEREBVlJFlRM UNOER VEWLLTY OF PE0.M1IRY ONE OF T/E FOLLOW WG DECUMTbNS: �� y Z Q � _INAVEIWDWILLMANTAINACERTIFICA7EOFOONSENiTOSELFdNSUREFORYfORKERS' _ COYPENSATION,ASPRONDE�BYSECTION77000FiHELAB0fiC00EFORiNEPEi1FORAUNCE W OF 7NE NOfiK FOR WHIp17M5 FERMIT 6ISSUED. . � G �1 XAVE AND NALL MAR(T1UN WONKERS COM7ENSATION INSURANCE,AS REWIRED BY SECTION Q ]7m OFiNE LA80R COOE FOF THE GER�ORMMICE OF fHE WOR:<FOH MMICHTHIS VERAIR IS � ISSUED.W WORKEAS'COMPENSATqN INSURANCE CARRIER AND VOLICY NUYBER ARE: CONSTRUCTION - j cwweq��1L�'l��`/TNSGK:/L�_!�S/]>5 'CX.O PLANREVIEW 1� /� � roucrruueEa hlCiyDB i4 2 '7_—!�l 1 � ' ELECTRIC l"� � (iVBSEcm�rtmNoraEaobat�maFiVErEw.fisRxtoNEH_WREDDott�IStaofORLEu7. 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