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HomeMy WebLinkAbout1284A 1VOk,(L[LS Cf1�P}VSA'T'IOt�nLCLA2AifON .. . . . . 76R364G q, ��+j�g�,q � '�q�g ���,���&���� � I hereby �tf m t u[ � havz ti c rti� t• o�. consent [o setf ��E��878(2-8Gi, P� i- 9 !'4, O.;d�C 07/b �nsu:e.or a cer fx t �f�\4orkers Com�en;at�oa lr.surancx,oi }..{���"p'{�(�-i./�,'(y'�^'EB��l,YF�j�'�yf� �,���BTl�P+11R§e�,a, . . a certif:e3�apy.h,:reoF(Sec.3800.(nb.�(,.j P�,i�,;r�o. 306-&2.:,,�,�a„m�Gtate Comp. ins. Pund I I (�� Certi�ed co�y i;t r b. furnisne6 ' ' $�NCELES . $Uit.D1AiG AND SAFETY ,_�,r,� ,Tract 35742 Lot 38 d�va�tmen:. G � FO�RPNTEnR�Y•PE ONLY •�•*KT Ult�'TY(3F LG ...z�..�n.,.�.....:,;���_ >,,�.,�.,�,_ � Certif�ed copy vs iilzd with tFe cou��iv bu idaag mspectian � y� L y� 0UI IN,G . �. � � .... .. ' �. ADDFESS � �ObS Lake C3II Oil ..umr�it Sheet MeY,al C�. y �____ Y_-- r�ar<_$(16L8�:��:«:�,t._�.— .. , . .. .- .._ .. ��— �� t OCFlLITY ' rz. . . ' lVQ.- ;TYPE OF�APPLiANCE OR EOUIi'NiENT j GEE .. . . -... ... CGR'CII7CA7c;.OF 1��XF'�t'r'PIOV'I'R01t4VO..Kf:RS' � ` - � ���� � ��"�-` �:C311PbYS?.TiO\IMSu1t.4:YCF � � .�"— .�. . ... �_ �.:.., ..".: .: .,.:. IM1EAREST � } . � � -CROS55L �, _. . C (7hrs seci��m necd r.ot be cnmp�et�u if fle worx F�vnlvEd Iq�SOF!�7�0�UNiT o;;.�_,��^� . w� � �-� � � _ by' fhe germit is Cor� one hunde� dcl7s-s ($?O�J)or�c5s.} . � - - � � as.r+•,c1 rvo. ���'�T������aa,ocF;seo ev�� I� � 1 eer�i4'y tt 3t m the performane.oF Yn wo k or h:cn 'xh;s �'AiF HANC�CIN UNIT_CF0.7 __ � perrr[is�s ued,1 sl-�all np!empt>r a iy p�tson n any m nner � �' ... . . . �� . , � . Q �>as to be�ume suhjec[t��ihe Nurkerc �.oinpznsatinn Lau�s. ;B�ILER;67U � ___ �. _�:, y___ ' .. . ��� ' �f�� ��� 1- . . - . — � � �� . .4aFROVF,IS � OATE �I . .�o:�'s si�rvnTuaE W Uatc � _.Ap` anf__ _,,^ � --. ._._'... � _I�CC�LIPRESSGR RTU I —'- . G�h�j/� O. ___�F-:,—�r— �. FfiOI�� �i ����� �... -.._�-.._ VOTiC��.TU �PPS I(.Ah [f aii r �k tl 3 C. t�fi nt of � ��Gf • �,t`. � ]. em t on . x . . (� "'J=NTILATICN S1S EM �� � F�VA�. ��J � �� ,, � 2 n you 1 u J I eu re suoj .t tr ria 1�or4e s _ � . C m pensanor p t n� ni ti labor(.<d ou mu:�fo�h-. - I .. . . . . . ... . . .. with���an^.pp• wieh sucn proti:�rr.ns a: [his EVAPORATIv_Cbo�eR . �. �fR�IDA'1Q� . permrt shat uc i . ... .. . . :.. :.�. i �. �..� . dee��e�lre.�ol.td. IFUr�NACE: AU --.C4A�/i7Y_._„.._I . � . � � . 1�-CfKSL�)COVTIL��.f;TORStJFCLAR4TIC'h' � IF�GUR._ E�TU. . � � ' � � ;herebS�aff�erm thst I.�m��censed uad8r orp ,vr.,,s nf Cf apC¢r ;EATER�. SU.. f_�.DED ._ IJMt� .. . � 9 commen mg with S� r n-04Q)oi .ivi n_3 nf thz B«ni- ' � . WA�L � , � � � . - � , e�y and � >fess�ons�od and m� hcense��re� f il farce irtd - � � � � � � � �- ft ct � � �' cense�u,nhec 1�5432 �.�c t.,acs:_ G �+3 �__ .. ^i — `---t`—�--' 8/16/83 !_ --�— — ----- �—�--: �3��r Summit S[M r,cr�_ � �.,;.am xempt from �eelicensing re4u r m n[ as!xm x �._ .-_. .-.. .. �%� ��:I� �` licensed'arChi<ect i.�a regixtered prut s oncl engi»cer - �°i � ' .- �� � � . Plan check fPe 2.�,-c of aaove. � g o R� .�ciif�g �n my p�fpti�c� I crpacity ;Sec;ion 9051, &us- -=— . .. �. � . � �'' e � �necs�n�7�ofecsi.,nsCoae) � � PE'�469ST{SSl.43t1�G�FEE 'S'1� 1� ���l.___y L�c or N� �o Uata. J._—�TOYf�.I.FE�y_ �LF'S(} � J e x�Q �>�) i[ORIF OW'M1ER f3iJ3I.DFR DECT,At2P ION � � � �� . '� °J 4.:v� .. Pi_AN CHECI<FPPL�CAl�"f . . i hereryy .�fttrm tl'dt t am e -npt frtim the Coni'.ector'S NAME �'y7�m]t St12P.t :2t3.1 CO.�`IT1.C. C�� C g� L cense I.� .ur[b� Puil<�w!ng� a.on(Sertior+ �037.o Busi- necsanaPO s5��mtC.�cle� ADDPESS Z1�1.1 Delsha.re .St. - . ... . ' . .. � ❑ - 'T-.'' f, ac vner bf Ne p-uperty ��.ill do 4nc:�✓urk anA thc >truc rz �s not i„cen�lecl or�of�f'ered for sala.{Section L�TY`T'aF7 1].3P Ci9Ta@II$ 'E-'���' Jr2.7'-�� . �� . . -'�'�-�—=-=---� - . 7044 BuslnOss and Profess:o�x Ccde). ,f . . . owNFR ,7. Procic & Sons, Inc. a I,as own�r of tfie ,nroPer[Y �m�zc,us:elY 'cen'raetmg . __ .._. ___- �. � . . a�th Iwenr,tict cor.[-actors t� �on�tr�t YFe pru�ecl MAIL � j a . . � 1se«�o��oa�,a�s�n��s��»a x���:�5sro��.t��>ae�. aonPEss__'1698 Greenbriar T.zne, 6224 � , cotisr::�cru�N'r,Lnni-v< ac r�vcY c,rv Brea re� �vo. 529--�17G I hcrcLv af.'mm thx t'+ere is a cc�st u r .-`--` — .� ��.� .'. .� ��� . .�o e �1,ng ge^C?� �- �fu: tl:c�performance os� =n� .�o�!: ro� w�,� i, tn�s aerm�t ,� CQUTRFCTOR Sumc�it Sheet *Letal Co. In� - � � usued(Sec 309�,Civ (.;. -- . . '--�- � - --?� . . . . 21511 Belshire St. • - - Lende:'s�ame . faDt]aE55 ,r�,._____�.: . . . � � ,� .. � . Leadei's Addreas_._ . . . _ . . , T ..,. ,.-.,. .,.4�. ' � . �" c'T� Hacaaiian Garde.ns � rJO 527�5863 ,_� 1 �erci;y that I have iena �his app,i�arion ars. Sta'.e that the — � � � abu�e informarion is corraci i ag�ee to c�ms�lv�vi�ti al:Counly ucE'vse n�o. 19S}32 .. . rLASS ��'� x . . . ,, � . . . ,�-a,�.«.��-ss+,�.:r..� � ._ . ordin�rtces ani Si�t•law.,re�u�at;ng He;:nn�,Ventilatin:;and . . .. . .������x� ,.�. ,�#v Cond fi n ng.end her•b��auT�ho xe repr s it t v,cs uf th+.s � ;iL:t..ILL�'SRSE.'O.{F'XYI,ANA?'OR�Y L.A'ilGUP:GF � � Caunty u enter t i [hc xb�ue nention�3 ,�nire ty�for � ri Utcno�pu u. . , . . . ..._. _ _.. . . . . .. .... . . . , }��� 8/16/83 , ��{-�,�=✓.�i�-��� .�@natur r�l E mi.i�c Dztu _ . . . .... . . .. . .. 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