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HomeMy WebLinkAbout1280A (6) 7o.A364^ �9'-�"II.�t�.w-��5�i M ��� f����� 1 1� RKT.RS Cnti4t 1�'VS\Pf ti DFC L'�R.�T�DI� � " Gg � � � --� . CE-&18 12-03?� � I h rrb� 4fi�xn� iliat I }�a�x a e*dfi ate�U}'�o sent [6 salf � � � � � insure cr a ce t f a x n:worke s <omp nsat�on lnsu n i:e;or �.gE�`g^¢�jV-`"�/�9�-�ELATFR!,C.n-�?F$ �^Q{e�[)¢'��0�¢pr� a czif�{�e 1�opy �hereqf�Sec 3800 Lab )-� -, � ro-��y No. 3�E' ��Cumpaa> Gt te Cocnp Ins_�`und I %� Ceri�Yteu copy is heret�surnished. COUi4'sY€)F LOS APJL'��l.ES $EJILDi{Uf3 AN�SAFEY°9' „�� __._ Traet 35742 Lot 34 II]: r'ertifieif copy s�filei Sh-Eh�e�co nty b�ilpir�mspeciinn�� � � � - - � � ` partmene t ��Fi AFPL:CANS�'!3 rIs�41N acoR=ss 20I1 Lake Canyon �-i� oat.-8./.15/-£?3 •,uv;t�.�n. Sumn3t Sigeet P.,c�taZ Co` ��Fiur 6R TYPE O�1�Y, --.= _"_,"_"_-____'_ . . .' . . . � .�. ._'-_ -,- �.'-, '.� ....- � .�_y.. .� . . (.Lli iti�3CA"!�L CF�X11 Y'LICJt�i2014\tORK➢RS� � VO I�TYPE OF APPLIANC OR EC2UIP19 y `�E `LOCALiTV _-- �� COtitPFRSATIOL N.^xUf2Aht:' �� � '-- `-- � � .'�'�AFlESr .. . {'['h�c s�,ek�cm.r2eci��ot�t�e e>mp ated sf Pha work n�nived AeSORs� io�UN17 a7 U ^ �-' eaoSS ST �.. .., . a 3g.tfie pe=mlt .s For anc hu�dred do??qrs [Sf03)�or Hiss.) ----t�---- � --^. _-_'-- -=_•-�-�- cislR�crno �••�..�E, ' .aaocesseoer"� . - I U i c� L�fY hat in[h� purtorm� c uf he work fo -�i h t-is �AIR HA�DLI�IG UiVIT CFNi— -' , �T� �'>/ � � peirc� �s issaed I sl -i not e*+�pEov any 4erson in an n-ar�gr - � �� .� � � , t .� ,yC � 0 so a,to brcome s�b7ect:n_he 14o:kery Compan it nn 1 � , �_ �� =� � - � �S BOILER BT � . .---.- � � qF ROVAL.. I DATE - '�� . CT RSSiGNATUFE j V Dntc � ' 1VV ica i � � . � .COMPRESSOfi 3TU __._- RO Cti ..-- ����dyy . . _... a VOI.iCC TO AY� ICAtiT f �fier mxkmg chis�C riuua4e of VENT!LATION SY5 F '� � � --" Ifr---� - „� Z � J C�m ensa�rJ" n thvi5ioch��giro�Lr.s o Cthis p rm tushai��he �EVAPO�R.ATIVE COO:.E:R-'_ _ __-.- ��l...�Q ��L�� p.:��J�,.: � - Iixem unn svh�ct to ti� R'rerkeas' G_. _____ FINA � w�t3��com �, UALIDAI'IOn deemed�ree�oked. . ., � . . . . .�. _� —__.._ ...,.�__'____-�'__'_:—_ . . .�.. . . .. . . . . . ... . �FURNRf.6: �FAU GRAVi�Y ... L7f"._i?tiai.DCONT'RA�.TOR.Si)iCLAR.�TlON � � --�OOF'--._�OTI; .__ __.�_..��_ � _ . i heceny r.(firm tt at I am lic�.sed�nder h n uaons of C".hapier HEATER: - SUSPENDEq UNIT� ' ' � 9 {commencing w[h S��eon 70G�j of rJ i str,n 3 of the 3css � - WAL� : . � �:... . � �. . ncss e�nd Profess n�Coi.a,and mv!�cenS���s�n f�lt�fr,rce»nd �'-� �. - -- � �---.."--+ '-" ' � . effecL . . � . ��!_j�ensc Numb I95932 [.ic.Cia�s C-�F3 --- --...._-I- -- --— —� ,.---� —� �'�+�cractor • � G`�' ]a[K;ey�.i:e�rentc as I am a � � . _ .--�T.- _, _...-"-} . ' � '��" �am e eun i`lt=if �f�16 83 �� _.---- I I 'O�"1 �E IFC<RS 3] :�ccr,scd archttzet or o-� reg-stare8 proYxssio�at o�g�rt�uer �P�an Ch�Ck`CP.B?G'o�6'f-8bOV0. - � � � � � � actinn w i�� rofes onat _�pucitv (Section 7C�1,�73us- ----- -'— - �-- -- �u � � . . . c'� 2 QU(�.� inass and Y ok.s�ions Co3e1. . _ _ __ PERMiT dSS1.9lIdG�tE$ 1n'.50 [,ic.or Res.��o. _ ,^.—. nate _ -:�..�- . . .- TOTAL FE�..—..� 34�50� .. . � . . ${`u�e e o =8 -----�__— .--�_ ` . ' HO'vIF OVdN::ii-BU[LDF..IL..^,P,C'„AI2.4T70N . PLAti CHECK'A?PLICANT . ' . .. . .. � . :-:. . � ' � ... I ��b�.x�G.."rJ Q . _- ._- �..__—_ _-__-� I hereby- aFfir�n t:ai i.am exempt f om��t?ie Coitractor's � NAME � C � .� -�a h���.C�� t..icense :,a�r fe;tl:e follrn.vin€re:tson �Sectitin 70�t.5. $usi- - �� �UL�11'1'Cyfieet_r...etal C2._9 I�C.______.��i '__'___ �.t,.,,az>ror�.,s�onsco��,� A�oRess 2I811 ����YE�±3� Belshire St: V �� � ��.�v � ❑ !, ui Gxner of the arnp_r?y,wili do the ..�crk aed The - .'-- . .. .. --��---- �---����---�- � .. . � . .. . . . str.icture is not i�rtend 3 ex nffered for �Ie (�ection , ��rY ��a.waiian��Gardens TE� �N.�:527-8853 70Ai,hssiness an3 1'rofe iop�L;nd2j. -"` --'"_"'-'""- . .. —,-'�� � (`j [.,,:,o.�ntr e rte 'ovv�ea M J. Rrock & Sons In.c. pr perty a�z zxclu�ye}y c�ni a i:a - ._ . .� __�. ..___ . _._--a saj:h iicen ed�cnnCr c o-s tc, .on t��u th�- �oiecz� � MAI� . . . .. . � . . . a . .. . ...' . ' ... .. . . , � . rs��c��n ,ea4,c�t«�ti.,a,a���oe�s.4�oAs c,�a� Aanaess 3698 Greenbriar Lane 3f2�y . ----- •---.— --- - — --� ci,v �rea .t� tic� 529--817C , tiON57'i2L'C"[U'k t,i...NL"�IN('A(fNCY .. „'_ _'_ ..'__ .� � . __' , l I e b) affirm cnut there i � cori5 - !oi�I�nc��ig agency .. . - ..� . . . . .� :� -. . . '�.. . �... . . . . foc the pc��qr�nai:�e n( ,h_ �vork tnr ul+ici� {7�a >e:mix is ���RT9ACTOP c . , t Metal C�.,,__I.nc,.: �s�aer`�s ha nes^`c�u.c.� aaaRess 21811nBelsiiire �t -, b _, . .. .. " � ------- � .: -- ----- ----------•---«_—_n . L��a���s:�cas�ss � --- ccrv N�,=aiian Gardens T`! n6 527-8863 1 cer.'rf� tha; I have r¢au In s apf�l:caUur.and staw th��ihe -"-'---'-�— . .-�'-���-- ...�.���-----�T� � . W aboee rvormation is correci:,igree tn eompiv�.�tti�.i County �iC:s�no. 19593i i��S C rt3 _��. --� e�rdinn�ccs a�iG State laws regUlacirig�iea[ieb."ve3icit..t..^.g ar.d� . . . . . ... .. ....; . �.. .... . .. . ��i Con4et�o i�� a i�3 i�ereb-a�� re;resenteti��s c;ti�;ti. �� � S:ti liFi:VfIRSE:I�OR h.XPL�AN.4TORF��i;AP'JJ,.qGF, � � Cu i c. .•rte Po, th�� �..e-m.nRion�ad propeiiY �br . . . ��.pcc[c >>r � ' - �- ������� �!16/83 _ ure of Yerrmtiee i);�te � . . .. . .... . . .. . . . . . . �. _.. . . _._.�..._.-----------_.____________.__... ---.._____.._.....__.__..... 14V:i'�'sc`.T✓3Fi'�iUL'"F�S . . . . . . .. . _.___._.....__...'--. '-._-�---�----_..._._.____.�.�_�.----.._.�___......., .,:'e'.'+lr::?-b'JdiP,�3��t�.*.Zv�,�iA1'kva�l ��,..a____._... .._.�...._ _.._._.,___._._�________.___ ._.�,. . . . . . ;he:eo�a�,.;�u�..:.��.:ae. a.;.n,,[.r...i.��c�L-a;atravtne'� . .�-"._. .__._.�_._�.,._�.___.-__-.---_.._.. _.__..._.._-.. 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