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�`.; GITY t�F DIAMOND BAR PRE3S �� � - o�ra�nu���-r o�au��.oun�G nwo sa���Y FIRMLY �� :,:. BUILDING PEFiMiT � � �APPUCA ON � .- �'�+ PER � � USE JOBSITE /F} �"�,�r•S=�' DATE !1'.�.L1_,.NlJMBER �'s GODE ADDR�SS � ISSUE TYPE > APN lOT TRACT DATE CONST. GROUP : �' CROSS . . E SETBACKS .�aer.Erns ° dWNER ZOMNG FRtJNT � �—_--- � AO9� � ... REAR ❑�._._.. ,;; CiT1f-�` t�Q''�`-- 21P �-' L. SIDE/SIGE S7REET RW ❑ o, APPL{GANT � TEl. SiDE � z � CONTRACTO � � SEWAGE ❑ PUBUC PMT� Q, ADL? E S t �1 DISPOSAL ❑ PRNATE SQ.FT.1100 GA� W CIT ZI,��_�t TE� `�3c� W: STATE �� GRADINC ❑ CU.YDS.EXC. CU YDS fN.L �: LIG.NUMBER * � �rv�E sc�Fr �►c� �s Ac�. a a�.u�no� y ARGH/ENG/ W, � =. RESIGNER � Q; ADDRESS �- 2 . � o_ �. . . . �� . : �; GITY ZIP TEL. � 3 .W. .. � .. ... � . � � � � ��, PROPOSED USE �d: � ` � � � � �- - � ` ��r 6ARAGE x NO.DWEL. � N�� � Nt7. i� PQRGH UNITS STORiES BEDROQMS �; ', VAI.UATIQN ADJ.AREA ,'r� � � � LQT�DIMENSIfJNS � "'' NO:OF BLdGS HE3W ��` CIESCR FEE . ; �` ONLOT USED w"� �_ �� � " � ,m, r;� � ~.'�IICENSED COMflACTORS 6EGLMAtqN�I here6y alfi�m thyt 1 am�Censd udr pravuims af CMpt�r 9 icam�ric�ry .�� . . . . � . � " Y:�wdh Sacnon�7660i ot Oiv�swn 3 af rhe 8usmnss and Prohwans Cade and my�tcenu rs in�iuN:iorcc m!eifat . ,� ' o. .. . . . . . . i� . t � � . , �L'.� . .. . .� . . . , .. . . . . ,�„ �� ���.. 01YNffl�OUlL�Eft OEq.AfLRTtki:1 hairbY alfi3m tlaat t em e»rt4t imm ttx Conttxmr's l+�erot livr tar Ue ftliv�r�nC . . . . . . �. „�, . reasan lSec 70.91.5.�8w�nass and�:.Prukuana.Cuda:Afry.tisy a cwntY wfarli reqwia a qe�ma w unsn'uet: �{�.. . . . ' .� ar.a�te�.imp�ove..demaliSp.a teDMr anY s�ruttws..Mwr:t4 rts issuerce.ala0 rt9uws.tlrc e4P�����fa sucA O�4at :�: ... .. . . . � " �: �`� ta.61e a sgned na�ement�hat he is�licmwd purwmt w thu D�iaions uf the ConvuW s tceroe!aw ICh��a` ,:�;� � . .. .. . . .. . . ' : oe�,�. S raanma�cing wnh Secnpn TOIXi}�.of.pviawn 3 ot tlie''&umess.Nd�Proies��ans Caiei a�that M is e�mqt dwehom ��],��.� . ... .� �� � o. �md rtre eas�s ine.ihe�.zueged aumntion am.Ydaeon at Secam`�103iS�Cy am�PN�t ia n pmxt HfijKu ��.. . as s �. �;',�.it+e.ac9t�.a�c.roeciv�I��pma��Yotrot�m4re�t��tSirehnMraCdoWrs:if5tW{# ...�.` � - � . � � . t �� �����..ti.ae avrer ai.tlk Prapqrty af..nrv emPiayees�wfM Nrlges 8s'�IMrt sok canpnf�Mn w�do�.ihe wmk.md� � . . . . . . . . ik sfrcemre�s not imeMed o�ofiere8 frc saie ISee 10ad.Husn�pss ard Profasnns Cde.TM CmnKru s�drise � . �, �, law,�daes nat.appiy�m an ara+er af yrope�iy wMt�bidds a improvet therear�snd wM daUs�xueh wort kmseM. �.� . � . . . �� w�s a tMau9h au own emG�'�t0s.P+'ovided tM1�i such mrorwaeaents ue mN mtanded�x othnd tar�s�M..ii.homrei. ' : m, the 6uJd�g m impravament is uld wiMin a�w yar ol cq�qkt+an..d+e.aywrr-Oukw wiM lunt�e Subn at pra+µ+p � . � �' �hat he dd�rol 6tiiW a�mpfOVe fOr IhE qxpO3e�of LY.1 . . a, y ��i.�a:awrer ut�me vrc4eny.am ewhsnreW.wnux�w�m sice�ard wnvsmes.ro ccnmuet�ne c+oaM tSae � . . . . . � 7044.��Businesa aid Prntesswns Cade:�TRc Cunvac�a'x liunse Uw da�noi appiy�w an aww of y�op�ny wM �'���. . . . . � � .. oD � bwMs o�imprmes therean.and who canmcu la wch pmpn:wiAr a contracrorUl�K��9K���.m Me Contr�eln's: � . . . . ...,/) ,f) �.� . � t��ao��awr GONSTRUCTlQN l!.e/ � �:�j am g,�„�;�,s,�. � a.b P.c.�,��n c.ra�b�., Pi..AN AEVIEW � � �� o oa�e � � El�CTRIG �r., 1 - VAflI(ERS'C9MPENSATIflI pECtARATWl1:i fiera4Y�Hirm�tMt I bavf�catifiva e€aontnt m sel'f�msue.ar �� ' f`.. . � �� � �:�a cerntica�a ot.vhrkaa'�Cumpens�fan Inau7nce.a�oxtitied crov mral(S�e.]800.4b.C.1. ' P�.��M�B��Q� � . . . . �. �" (�c«ti��c�+wv�n�so-r��- � MECHANiCAI. ����"e d.. � � . ..e�; h . . .. p � � s o���.❑Cdfified.�wr is iiled wiM the 9uiNNn9 NSP�t�n�hpYrmant m � Uep+rmimc� �L'rM.:(�RA��NL7 �� �'_ -�� � �`'� - � � . �. . � y;,,. ,��T . a� <��a� ` . : ����GEATIFCAtE Of EXffNPT1�N F(iqA1 NQRKERS'COMPEMSA1pN IN$UMNfE�:7�it slttiar aeo6 mt 6e ca+4M� ,�„j;�cJ.���NC.rE '�..� . . . ,.� - � .if�Ae permit is lur one.huMred�5100!a kfs.1-ctlrufM�t�+t in Ihe prfarmmu af the�wa'k!er whch die . . � p"� �. r ,� ,�.permit is�iswed,l shaM ro�emvbn'an1'V�rwn ln am m�mw w as m 6icame suhpct ro�Ir Nbrlurs'Cpnpen�mon ��� �SMIP . ''s � ' ° ° vf� � ... . , � {.3W6 01�d�(�Of11Y. . � � .. ... . . _ .. .. `; .. .�1 �ytl' .. . � Ef t �A�����; y%,a. i`�' o .,,R � ,�' {k. .. �_Dau .. . .,. . . ......ApOkpnt 'i"'��'' . W ��.NOTIGE i4 APPLICAN7�M.afie�making uhis Gatificatr of fm�pca�+.yw siwif hetemt s�61�t tu tlte Mlakw's � SCH40l FEES . p a+ .. —�+ �Canpe�sahon povuims cf the labor Gbe:Y�must fadiwith emplY with weh praqe�u a shi�prnM sM1. . . .. . . W�:;he deemed revokd � �. �' �': OkVIS1�N Of INDUSit4Wi SAFETY PfRMtT CERIFCAittth S N q o,� �I eereby cen8y�hat no exuwuon�ive i51 a�e teet�n deplh nto wMth i OMf01�H rMNr�d b d1�d. f01 � ��. w�i ee made.m cmrwcim wim waM audbritetl M Eas P�it..aM.tMi no WiWip mu�tun.xdhMinY.i+i�wMk. ' . . . . : a demo�n�on a d�smen+qrg n�aaeof.w�v he mora iMn tMrN-sa i38i fue nq+.{pup.3.Z.G�p 2.An 7.See A' . . '' ���. 3a1.Ttle 8.C AC.l.. . . . . . . . . . . �_ . .. -�. �� 3��' ❑As.owrva�duiWm.I w�l nm empbY+nWn+to do waY wh+d+wai4 reqws a 9�liom d.{kepao�d � . . wa 4 om o � ��- I�ustriM Syhty.as mqd abuw.unMpa wd�Pe�hrs�ynml m tla Nch Mo11c hpa 9M 6vitim . � . ��° _ ❑�$�,d������en��,�. �TOTAL FEES '� �; sasrnu�rnH terrouwc u��cx a n..�-��,na+r«�.�.a�rw�+wr;��y.Rr sar er o.�n*«+� u� _� of dr�wrk la whieh Uri�Pemm u i�swd(�.3P97.Cn.G!. . � . . . . � ��:�. COMMENTS m' �•s rw� "�. CER(IFCATF OF COhNL hUT1qIYZATt�1 OF EN1RY:.�uitlly 1 hM Ipd Mi�+ppiaaian ad fMt . . . . .. . . . . . . u ��i Nui Hx�nform�tian 4� .�I io rnir�dY wdh,aM��t+M Ywt�d aly aBnMr.a drpn9 W 4ib�p . . . . . y tansteuctian. � a � ot Dyr d Buildilp aiE SM�tY b uylen . Sp t �� !a w�sch 1 Aaw u� ��4� ��: ^^� � Y H � � � �- �� RECPT NO. ��� PAIO BY VAiL1DATiON � `�� Spnitatr d app&cra x � � 41r � - �. . WHtTE-4epartm�t C;opy.YEll.(7YV—Financa Copy,FINK—Asseaor Capy,GQIaEMROD--FNs Cop�,�REEN—AppNcaMs Copy . 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