HomeMy WebLinkAbout13384 1� CITY OF DIAMOND BAR �-
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21660 E.Copley Drive Suite 190
(909)860-3195 Faz(909)861-3117 PRESS �
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� WOHKERS'CAMPENSATION LAMIS OF CALIFOfiNl0.NND AGREE THAT IF I SHOULD BECOME INSPECTION FEE
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� SECTION 37oB OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE: �C�
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� I HEREBV AFFIRM UNDER PENALTV OF PERIURY 7NA77HERE IS ACONSTRUCTION LENDING AGENCY
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