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1822A (11)
�-N�ORKI^:RS'_GOMYGNSATLOtd�"GCL74.I2ATIO�i: �.- e6A$f$1�'8�1 � ;P�'9..1"-B"`�L»f6.r�-,5 i��V f"�� . �`�,R �� 1 haieby aff'vm that f had�-a wertfficgye'of r.o�s���Y e� s,�ti�,,, � � � . �, .Q ,,,,, � r �, r,,,, inaure,or a qertifieateatWc�xkers Cvmpensatxon I+�us,ance or H�,�Yf�� ���,����.p,$����� �����,�,����:,�.� :.�., ,_,_� ce tetied co YIti e[r Sec:38Da L � � �� � Wl'�8�17�4�L�, �R�`t�oNT rot�c�No .____.:__Compa�iy Cfl€iNTY��I:OS:AItS��i.�$ ��iJPIzIDlM1lt'a"J.\NDSAFE:YY , _ ... �. .. .,�. _.. 'i ❑_,Cert f�e¢'eapL'15 hereb➢fUTm;hed. "` , .. � . . ... . . . . _ . . .. .. �.Cej�t"f£ed coAy��s filed wiCh th�coun�}�,'6ui1{�mg insyzc{ton, �"'"�'� �������-_ ' '" . ,. �- � departmenc. F�R APPLtCAItkT TQ Pi�i,i�l �3u� a}Na - trate._�24.-81.Ana�cnn�.� �� A�� � (ar�3sv or��vr.�ts�rtv-� Aao��ss` �0770_MISSIONARY RTDGE�ST,. -- � � - � �:acnY�+TY' C-P:.RT[1'ICAT�.OF EXE;fviPTIC}!V F`RC.'M'.1'�'C7RKF;RS' - �6: 't"YpE 4F APPLtANCE OR EQU)P�i,ENT �FEE� DTT�SMOND BAR � � � COMPF;V5r1TI,6N IN9URANCE;" , . -.r z=�--�—^--�c�. . yEARE6Y � � ` " (Th'ss seetian neeel not he ccimp7esed ti�:�he y�ioa&irtaokved .��BORPTip�r un��"e sTu � c�aoSs'st' �� TRACT 35741_„ LOT_4 -d � "„°'�-. � l]�IST91¢T�b � ` �. ' PRUCESSED QY ,� �lY C71C���UC[I[116�iS-�Ot OIIB�TUIlaF2CC�.dn'dT5 (��QQ�6T�L23fi.� � : ""- . � jJ - . . O - -T cerE3fY rhaf in t�e per£ptmsaCe of the..work�foS whieN§his 'i�IR€iANpLft3G IINIT`�GFRfi � �f - �;� '.� - ��._. �recmif��s issued,t'sfla!!not eriiplo3"artY Aerson 6n an�r.tnanaoa'" . °„` :„ yl� 0. so as:tn fieca�xte sub�ecT tp the.\NorAacs'Comgznsation Laws .Bp1LER,8":'U � � - � ` �- . U Udte- � A iiEaRC.- -� � " ` „ - ''�. ' APPA3 VAL',$ �� DATE ,.��N�ECTdR'$SIGNATURE . nn ,co�r�RessbR aTu�.�O b00 15 00 Rcucra �� ' � NO"PICE TO APPI,[CANT-�If,aftez mal:ing this Ce^'t,iFica z af- v�t�YILATlON SVSTEM � F,in,AL� ����' f�4 7 � ? k:xemption, you,5hould bcGd'me snb�ect to 8he �Workexe'� -�- - > �� C.ompei�jsation ptoeisions o€t7��Lzb�`r G'ade vou ciusF far'eh- �_��y�pd.��-:.�:�.���O�ER ��� � -,j/%�(,IDATI�N wzth com,g}1y with Szich provi&#ons at ifiis petittR shA11 he, , ,� �. _ _ . .deemed-reYnked. �: �-. . . -. ,`F1l�tf1ACE:-.:. FA:.U...._...,.GI?AUE,Y�,.. � - =i.ICENSED'�CO�TRAC`lC6I2SpECL.,:�24TIQ� FtOL/Ff: _ BTLi - � . I be[eby-a£Fi,�m th8t!xin ii4ensed fladex prQ Gsiorrs�flCTiapter :.-�!?�ER'CEF�: ��.StISPENiDE6 liW1T �• , .. .- ...�^. '� . _- 9 (cori3meqcing�ve`th Secfian��7d��6)�€�-17ii3's(on 3�o�#`kYiz Busi � _��rNb.LL - -- ness e#rd ProCessi.ons Cade,axd rr�y licens�is m f�lt f�orce a�d � �� - . - eft'eCE;..- , ' �. - , .�._ _ _ �ioeg�eNumber �5868$ � �,tc.Ctass C—��� � � � �F, � Conf�a�tor�KT�IE�'�C„ Date- 9-24-�8I � - � � � t�Rm ewampt�Yrom the CiCensing reqvvements qs 1 aTtt a . � " � , -_ '3ice.7sed areh4Yect ur a�rngsstered g oP ssnrna3��errginesr PIBq CheCk f2@ 2,�J"�o 6'�8�OV2; � � } ' xctin� in my.profe,sfonai capacitY�(Sectauu 745A, Bus� : - . � , - � � �� � � " � iness a�B�raFess�otes Code7- =. PEFfNiiT PSSU�1l1,Ci�7-EE�`g �_` tie.or7ceg No: � • , r>ate � �TUl"6t4.H`�E ��'3,.�.j„ , � �1�&�<A �� - � � . �_ � HObiG OWi�ER-SLILD�CR-SS�CL.ARAT[CJI1. � . , PLAPf CHECK APPLiCAN'7'_ . ,,._. .��, . . . ..�. , � . L},„i�m�e o a�i .. � . � ......,�,-_.,,•.--�-"--.- . . , . I herehY�a£f�rm.$hat 3.31n,:e�Ge�p4,fi{�m ths <Jort4rabfas's,- NRNtE ��� _ _ � . �_ - � - �, a-°��J�'J�' - -LAcettse S;dw.€or-,[hsi.Fol(otiviag reason.i$ec3ion 7(Y3;1.5, 9use '�'. . . �. '..' ', . •, .,.�. .-�•,k�-�-�—T" . �.:... :ness.anC Pcofessia+is Gode): � q1}f3ftES5 � n �+-�2��(,l�. , „..,. ,. _..:._.... ........:....:< <;... - .. . �., _ _... . , ,,. .��.�,., �I;_�.as aryner�of ihe prnperty,will da Y4ig�'orle'and Y91e CITY '1"EL:-NO. ,�'��,,.a r.. � � � . . �" 'nterzded ox o{§er'egd.foc Sale��(Sectipn . . . . �s .- . . �, structure [s �ndi � � � _ _"LL '.Oaa.gusiness and Propessipns Coda); �. .-�� . . � • �: , � .. �.—"` - .` ( u OWNER: . : . :. . . � i;��as owner 6�f trie pro�erfy.a�zr ezclusive7y�contracting� ',;= M J. BROCK & SOATS with ]icansed �onYractnrs Eo cottxtruCt "ihe-� projecc RQA3L � �� ��� - �- - (Section 7D4� Suaineas and,PFofessiii,as Cede).� A�DRBS° ],�g$,�'jZ'��j'$��R �� �,�,� � � � couSrRucTtaN,��Nn�Na;�cF[�cY -' crsu.gRLA. CA 92621-� �� �o. I hetehv u£firm„Ehet thare is a panstzyetzon Iendi.�x`g ageney � ����,������ _ "— ' ��' , � foe 4be �rerforrasnc of tBe'wark $oz wh fi 6Peis pa na�t is .�_�j�jNg,y AIR CO�NL7TTIONING � � issu¢d(S�c 3097,'CT�.�:}. '.� �. , _ :y�`IL) Lender's Flame ADDRESS ' ' ` Lesdee's Address 1441 S, ANAfiETT'I HLVD A �-�.._ .• : — --�-- - ciTv ANAHEIM; CA rc�.�q 77Z-I441 7 ceri�ifv that I;k�ave read this apAiicatiiYa�nQ stare`that Yfi� - gTp;�-�� -- . "t�T-L'i'�` • ' - _ abave�.inFprmotfpa�is crnrecd.1`-ao�ec to c2'mply with ali County ttCEl�FSE N6. �J,868b' G -ASS �-2� __ o�d{nattces tld SYetO lawn aegatat4¢e F3ea'ting.Vers#ilating and � �= ' '.'� " " ,."`"'„. "„ "''"` '"- - „ .. nv ConGiCronu�:;=xnd herebyiauchuri�es��reserif�-ives "YY�is _ � SE�R.�.Y�:KSF_4'pK EXI�-CA�vA`TaRY LAh(;UP.GE. CounCy to enjer uno i the above-tnenTxoned z(�' y fc�r . - . . . . � .� � '�..: . . -.. . . , ,. . icJ,'.ct i pur},�� � �� �� . . . . . �r < ._ __ _ _ —..._ ..S.gnafur2 ot Yermittee� Dat� . , .. ' � . . . .. . ... �. _ . . . ..� .. ....,. . . �,._�__. __ ___.... _ ._._.�_- ------������,���•s����r�s ---- -----___.�____----_ _...�_, _. � � i,c.., .:-.. p . ,-. :. . . . . '"_.f . : '-' - .: . . .m.,�...�..a..�e...,.m��..v�..e�._._._......... .m,...__�._..,_ _........».�_..._..,.�......P...... , . . ;.,., ,. .., .. � � . ... ' � � . '-itP.a�by d�e�*M$kt�t�R 6m er�m'ipi Fsram:he�i}4'kaCi01''s . � . . '--,.s _._.....__ ____.._�...__ __ «._.._.___ . '- a.icanse Law i�r qexe�:fc�liow.ano xeas�ra���,rett,ur._.JG3:.5, - . . . . :3[d.SftFESe (1Y1u-�xYl73C'SS:.O?dS�.C,..'Ga}.'.'f3?Py-Cliy fi^..,C43HWty.. � . ' , �____.��._'---�_.._.....,�,.__.,...�_�_M..,.� wi2¢C.t r'erauiYd�v.c rlt' ,,c,3�o a;rs�naM, aPasY, amnrovc„�. : . .... . ..,._. ...,. . . . . . . . .. . . .��;•. .:...�. . .._. .. . . . . Ge.1�U:t.FP[...Pt'..ren'R arJ,d n:,u r+.t�tt:.�r'W.W'S,rF"iiKaYlLu. .. _ .�._.._.___.__,�_�......._-,..� rflStD TC¢GtY'�v.'S tMt� UJfJ vCteP:d JfaP�SE1F7*.'{72Fri�Y �r.��-f s� fi �, �._ .... . . �... . . . . . .. ' ?'i$YPfB.�SXL'le:l2ziif fATtli.�pLe...t5 1PCNlY$'Ela,JftiFbPtQIEe-.:r2ti 1ri2 . . � ._,,.____� �� ._.�_...___...._.._._.______�..____ .yrcviseons RT�rne Ccn�xu.ce,or.a zi�e.hse,.taw /�inapter v . ;- �. . . . . ... . . .(ccrmrrxericir+g:wfzn 3ez��i�va-%f�UO/,oJ.19�vasl�n S.�.aJ the,,�. � .. .._...��...._..,..._._. ._.._..____. .....,..,_.,.,.... .IGUd'LYiY35 l!Y[2E:�..�SJ,/2 S1U;1'A-..i�fiLi�J DY...lN.!7Y i<' :&.�.CXG'FXtI�3 ... . . tl�erepYorn nriz..r) ��r�a�b�e�f_j��r,r0e.rePfegecF�.exe�t[rEi'�m.Anu : . .. . . � . � ....,._._.._.._._.�_,�.__.,.....__.._..M...___._.�__..._.�._._M._._.__. ve�tation¢aj 5'eraxon�ir.t?:.5 Ovar7y,aD�ticantJar.�.�ves',net . . . sui�/ecrs rsae-.aPX?e'ar.nr co.c-�:re:�er;r€u�t�>nuF.�r.us;ezrran ! ... .....s.-�..�v,_._..,.,_.,..w_,..._�,�_..,__.._.,..._,.,,.._.__.�_._..-_.�r....__�..............._.... 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JJ�/3f'puJY:g::SNRY�t!P QP.'�'s?ffi L'2l�.7�'f GY��;fFPtjJ€pYC�.�OY :qCP , .____—'_—___—__.__.—. ._""_...._. ..__......__..._.. ..:- ..,.__--_"_._'—__ �i[t57f.Q `�OiSGif',/ . . . .. . .. __ .� ._ YL airt�v�nCa�W1Yi'.t)'�4Ut1� _. 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