HomeMy WebLinkAbout13387 _J�rt� CITY OF DIAMOND BAR �
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
_ W 21660 E.Copley Drive Suite 190
(909)860.3195 F�(909)861-3117 PRESS
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Z TURE.PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICAHT FOR SUCH PERMIT TO FILE A SIGNED
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� CENSE UW(CHAVTER 0(COMMENCINO WITM SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO � PooVSpa
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1 HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER �
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Z 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.I MECHANICAL � �
(,�J SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SOAS TO BECAME SU&IECT TO THE
N WORKERS'CAMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHWLD BECOME INSPECTION FEE
S SUBJECTTO THE WORKERS'COMPENSATION PROVISIONS OF SEC710N J7oo OF THE UBOR L�
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DOIURS(i100.000).IN ADDITION TO hIE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN ,�. ^
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� I HEREBYAFFIRM UNDER PENALTV OF PERIURV THAT THERE IS A CONSTRUCTION IENDINO AGENCV 1(! �
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CONS7RUCTION,M1D HEREBY AUiFIORIZE REPRESENTATIVES OF THI COUN7V TO ENTER UPON THE
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