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(.'} SHALL NOT EMPLOYANV PERSON IN ANV MANNER 50AS TO BECOME S'JBJECTTO THE ��� ..
(/) WOFKERS'COMPEMSATION LAWS OF CALIFORNIA,ANDAGREE THAT IF I SHOIILD BECOME INSPECTION FEE .
j SU&IECTTO THE W'JRNERS'COMGENSATION PROVISIONS OF SECTION 3]a00FTHE L400R ;����;' , .
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� LENDER'S NAME
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� I AGREE TO COMPLY WITH ALL CITY AN�CIXINTV ORDINANCES AND STATE LAWS RELATWG TO EUILDING (�
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CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNTI'Y&DEVELOPMENT SERVICES
21825 E.Copley Drive
(909)860-3195 Far(909)861-3117
BUILDING PERMIT APPLICATION
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PRESS
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APPLICATION PERMIT p/C
DATE v NUMBER� #
ISSUE TYPE OCC
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