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HomeMy WebLinkAbout1752 (26) � � � . ���� �.� �{����� ��f� '� ��E '� �EP�FiTMENT'OF BIIIL.C�ING 8►Pl�SAFETY � eui�aiN���Rr�oY FIRNiLY JOBSITE j APPLIC/i'TlON �RMlT � USE ADDRESS��� � �� / DA�E IVUMBER CODE i APN - — t�OT TFiAC�_ �7�E !'� a�"=� .�C��' COtUST. GROUP � CROSS S?'REET { SETBAGIC� �"E'°'S °' OWNER ��1�3WC� �R�P�9"— - -- - � � o ADDRESS � RE�Fi ❑ � ciTY � 'P � _ � � ss��isir��s-r����_ �w ❑ o APPucan�T rE��"�� sin� ❑'; Z � ca�v-r�Acro� : sE�va��� � AooR�ss °'� .�`J��"�,�—�=:- ois�saL � ��uc Pnnr� - — W crrv � � ziP , f"` �. � CI �a�vnTE so.�.r io�c�nL a STATE � LIC.NUNtBER •�1 �� ��'� �"aRADIPdG � ��J.°d'C3�.EA"C. C9J YDS.FOLL � ARCH/El�G/ El3 T�P'� ��7" $�" �. �4€#El1t!Vd1LAJi4'rtIOP1 `-' DESIGNER_ �� � ' ' a ADDRESS l,�Ed. 2 � CITY ZIP TEL.� � 3 � PROP08ED USE Z � v �' '�ARAGE . o NO.DWEL. NO. R10. � PORCH y UNITS ST'ORIES�B�DROOMS � LOT DIMENSIONS � VALUA710PI `� ADJ.AREA_ o NO.OF BLDGS H�V1l t�t1,��tr�Y �� �F�' I'+1 ��E W ON LO � lJSEb ���� �. d � x , � li ~ UCENSEO CONTRACTDflS UECLAflAT10N:I heretrq afhrm th�t i��a 4zms�d��unda paouisiana of Cheptr 9 Icomma+amp }'��. . � ¢ w�Sxnon 1pp0�ot Oivis�on 3 of che Ausiness aek9 Prplessions Gade.aM my i'xenm i�n fuA krce and effw. .�. , �� �- � ❑ � G� � ' � � UNAEA-BUILOFA DECLARATqN:I here6y a44irm ih�t 1 am enrApt lroard tthee'�.Contrxmr's l.isense LTv for the fdfav�rq - reasan ISec.70315.Business and Proks=bns Code::,�Ariy tM or;iap�Yy wAith reQuirea a pCmn�w conMuct. 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I � thc�udOing or���mprW�rent+s Sdd wilhi9 onE YeN al ComdMldl.111!�YNie6�Melbr vrill PM iPk draM of provug �! �. . y tnat he did nat buiW w imDrove lor�he piryox of aik.l ��� � he j vs ❑i.as awrer ot tne prupe�tv.am eccNerveN�omrqc5ny.with�KereaP��,caiueemra m eacsvuct tfrx pmpct(Sce �,;. N ii O )OM14.Businss and Prolessians Cmda:The Contnewr,;,s li�anse L+w��;�a nm apqly ro an�oanw el propM4 wlm ?��;�. a 6uJds or impaoves thneon,and who eontraxts lar sueh pbpeta��ilh a eoneiactarlsl licenad pnumt m Me Cmveegoi s � ` � . . /�� �, Licenu Law.l . , �� CQ���R�CT��� �f�'� � ❑�am exen,a:u,aN sac a�Pe�Anse c�rn�rat��. ' PLAftI F?��B�W �. a oate Daenx �-.��..Et��i"fF�91�i � ��. � W9NNEA5'COMPFNSATION OELLAflATIQV:1 h¢reby aHirm that I hrue i CMIDPiCiifi 0$CaqtAl 90%N�•ql9lik a ; . a certdicam of Nhrkers'Compensatien Insswaotce or a cer" tmpy theree9 IStc.�,ttb C. � ��.���a�� _ � �i�i��%'�/ f�l. � i e capv�s nerebv r„misnem. ��rZ" ��� � � �EGliAli0iC�1L c cacaiea comr�s nea wix�me eui�i�g;nsrociion Uap�rmia��« a�utmmt �.G�AD9l��i` w � CERTiFICATE OF E)iEMPTMM!FRpAq W6fIKEFS'CWflPENSA710N INSUqA61ff:TAra seeeon ned rtot 6e csm�ktod ; ISS�A�IL�� ��� �' I y ii IAe pEimh is f0�ORt AWdil6 IS1O01 d k35.I�'[efMY 11lt in ME pClaPmi�C!ef IM wmt ho whitA IFis - - - - - permrt is issued.I sMp rot employ airy perwn in airy mennr w as m 5xm su6qet w tlr Workati f.w�emat� . ��� S`��� 3..���J o laws mf Cal'rfamu. _r � PpRK �EE 4 � >,, � p Da[e �= rA�p6uni�� ��s �'. 7re�"1������a� � NOTICE 70 APPIICANt:M,af7e�makiiq thr�Cer��tn�ai EiGmp4an.}sr:lmr�W�n¢,ubpU m Moe Workw's � Canpenunon provisions of ehe latior CaAa,�you mus[turqiwitli ironyi�v:ith sish pumiaiuu or this pMri1 ahal ��_ �+- 6e deemed auoYel. � � Q pYISION Of IkWSfWIAt$AFETY PEflM�ff�f��'�IFIGAJNW:- f "� . .., q''� � '� o ❑I here6y cenily that na eruwo�"n�F�d�y or�e'ket in d�th a�to wh¢h e Ceiam u rpuro4�dwcad. . � wiY 4e made m cm(recuan weh wark auNuved M Hui pwmd.end M�t no Mt�lding abutturs,t¢dfddng,f�[arork � ar amw�aion a aamantGnp,nereof,wa�ee more�Iwn n�ro•sue(38t h!t:ny�,,.Q(riav.3.a.Grv z.an 2.S� _� 361.Title 8.C 4.C.�. _ ` .,�:� q '�:r.':':, 3���QA�ow�er-builde�.I wiq nat a�4bY+�Y��o d4-rrw�;alxctu.YwWd�ry�m pnrm hom tlr Qiraian d � � . . � ,Ir�tlrul S�MY.as notld ahwl,-tinlbY-sucA'Dtr9pi�lu`s i ppmA m da wch umk 9aaa tlr diwibn. � o�.,s���,������Y�,��._ °TOTAL FEES ✓ � C� . � '.CUiSTIiIICfON tEN01NG AGEMCII:1 hoehY+tfirm Msil tlwe n�conrtuc&an MdrO+6�Y ka 9ie M� .Z��ol the worY la wAreh tliis pemil a isswd I�.�T.Ciio.GI. . . .. , � Lenln's Name —_ — -- CONAMENTS . m��Lnwn'e ndd;ett -- . �. CERfIFICATE�COMIPLIAACE AI�AUTI�IZATICI��.��ENIWY:I qr6ty 1 hve��ap�ltmm attl sla! . . . .. . , s m�nr in�«m+oon yuen is eornet, ... to eampW'wiM w sw reas sid r;ry aie��a�efey ro WJdiM . . --- °'� y ���onstrution,md wihaize� - al!Ae " 6mxt d BiWda9 rd Svk11P emr ym tl�pro8rty . � . = fm which 1 hm nil In �'d�nebgwqpelo� . H .� . - � � t_. y � . SJ s�,,,o�,d a�,,,,«n�,„, , RECPT NO. � PAOD BY VALIDATI WHITE—Depaatment Copy,YELLOW—Fin�race C,eapg,PBfd�f Aa�sssor Capy,GOIDENROD—Flle Capy,GREEN—AppficaMs Copy es�os-y vag . ... . ....:.,�-� : -..:!"n� -�-:: .T��.:'. :.,4 : Y � . . .. -...,1 ... ...n v, ,. ... ....,.�. . . ��M1�w��,:, � �SV , � , . . „y � gy ;9. �.�..srt� ��,g� �S�"�1��''.���m �'RF'� �o4E�:��^L����������� ��i���� �r.$�".�.a�.'s �a, ,k, �"',�i.� r'�r y . ?�"��,������ � ���� ����'��� ��` c���,�����%� ' ���,, ��� �"'{ � t� , �.�,� ,�, , � b x' �� y�� "''��' , .. � zC�3�(. fy3 . b '�*� ' �5' �^m. :x�. �y..... fi�. 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