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1010A (5)
,� WORKERYCOMPENSATIONDECLARATIpN � � � �pp��EATI:ON�FC71R PLUMBING RERMIT � ,, . . Ifica�e of wms�t ro�elf �ppby�� � � . . � 1 hereby offtrm tha�I hove o car� , msure,or a eemfaeqe of Wprke e1pO�50U6n(niYwnce, cE ai��aEv.ioi8t). � � o.o mn7fipd copy thmeoid$ee. - . lpb.C.) � ' . - ' � - . � . a CQU(�'4]R`�L0�11M�eE�.ES BUICDINGANd'5AFETY , Ory Nari?�C''—�-�--,.'7-1�Gmpdn -�R�1RilR�fr.t�c'5�,�lth�1 _ .-. ._�_- . - . � . Cortifted eopy ts Ivreby tnrtliahatl. � O l�RA�VP(K.61�4T1D�U1W(VRWf�ApTYFE) 6u1LD1. '�. . . Cert�had eopY 4a Rlad wirh tlie crninry Iwtlding tnapeo 1 �, non dePottmem. � NUMeER �F�..-. . �56�dYtiM �_. I�� FFe- -� . '� DWeL++�++.+..�„�..AP1ulSOn WA�CCL05El CRO53 ST. I f�RilFtCnTE�flP EXEJ1Ai71AN-��1�KEf25' satr,riva COh1PEN�TION INSURATJCE �A (ihfs�wctloA�•:n��rdnotba4ompl_ sd�tRtfitv�arklnYafVMby . ..� - - . th•p�rml�1►for oo«hundnd d�Cuts j;19Pko+���ti1 uvatpw ,�,pp�S�C" 1 cerny rl��in ehe�perforihcnea bi lhb wark f6r wMch thia � permi�is lasved.�shOn=MOtAmliloY OnY P�son lnur0'�mun�a� . SqJlt . . CITv m. s� ��• . ao a�oo bemme sub�sn�te�he Wxken'tompensaliori laws. ou9Nn5r�Ep - � . � CONIRACTO Oote ��—r_-. °,^.Pnco�t - ' - C�D41P WaSnER ADDitE53'"x' )_ - -� NOTICE i0 ADPUCqN7: I#, cfter�rraking�lht�CMufl[cta oi � - Ekempazsn, ycu shoutd bezans subien �e +he Warken' ����' � �Comp6nfOtlDe�SrOvll�OMf W�the LOFiOr EOda.NG�muf�fG11�' � fA'EINSPR1NClER SYSifN� - ER � .� TFL"NO. with�cOmply wilh sycl+.ppvislor�a.tF�L percU�shpll be . . , �E�O �. - tI�C� � deemed revoksd. waTEkHFwtfff�— " - tii:ENS�tONi�tt�pECtA&ai�N ' . asrRxr rro. sr IhersbMoHitmlhafl,yMlk�n3�p�d�uildNWWlsions�9bGkloPtv9 � GaS�SY4tEnn Ou1lETS � - (eommennnp w�t6 SaCtx zOpu1 af Divbtan�d�ri�s Busi+iesa ov�t � _ �' � ond Rofeulons Coda,and�my Ikenae+r�n tull Iortsond effad. FINAL �Q ,�a��� V/[UDATION �, Lieensa Numbeai��{��'�..�ic.Clasa�'.�..,_ DATE V . �{���r FINAL O '• Contracret3��L'�`i:H+.0 r=- pya �'j� . . . B � - � w � 1 am exemD�urKier Set. � ', O.SP.C.rn.thl.reoson PiCn cheek f�q � � . �OLUMBIN6 PERMIT ISSUINCs FEf S I O . . Slgnam� " . .. - � tOTAt-FEE � � . � '�1 �•F.0 A � . .. . Plon sheda appilednt ' ����� � ��j . . SINS'aL@ FqM(tY � , HOME OWNER-BUII.OER DECLARATION � Name � � . � •.�3 Q g O� , 1 here6y pRlrm thot F�m exempr from ehe Connatta'a License � � ' �. �mv for the foltaning reason(Sadlon 7031.5,Bus��ess and �ess -- . .. .3().5 Q�, iI Vrefessions Code): � - Ciry � Yal.NA. - ± ❑ �,as ow�er ol�he proverry,wtll d0 the wuk ard fhe �,''�2—8 4 sfruerure is net in�anded nr offered far wle(Secrion � � � � � � 70u,9uzineu pnd Professlens Cada). �. .. . CONSTRUC�ION ifN01MG AGENCY �� � � � � . - 1 hereby offirm ihatthere is o consRunion le�ding oy)enq for � : the performanro of the wak tor wMcA 4h1�petmit la istued � � . . � .(Sec.3097.Civ.C.�. � . , � � ���, lendar'�Name . . . � lende['�A�d�ess � - �� . � i certffy tbot f kwe recd thla appfiea�ion qM sLole iho!1hs � -� ubove infamouon ismrren.I apreeta camply,vithatl�punry � ordinances and5ia�a taw�regulc�ling PlumWnfl,C�d�hereby ' . � . aullwrize.rapresenwuvm of ihis Couny ro enfer upon�ke � � - � - � � . a6ovo-mentioned poperry(o.insper��oe�urposea. . 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