HomeMy WebLinkAbout11946 (5) � _ _. _
CTl'Y OF DIAMOND BAR C„� �
COMMUNITY DEVELOPMENT DEPARTMENT
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(909)560.3195 Fax(909)861-3117 PRESS
4"'"' BUILDING PERMITAPPLICATION FIRMLY
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� GENSE LAW(CHAGTER B(COMMENCING WITH SECTIqV 7ooD)OF�IVISION 3 OF THE BUSINE55 ANO PRO- POOUS(78
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Qw _I HAVE AND WILL MAINTAIN WORKER3'COMPENSATION INSURANCE,AS qEQUIRED BV SECTION r
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Z I CER7IFV THAT IN THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED.I MECHANICAL
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� SECTION 37oe OF THE IABOR CODE,INTEREST,AND ATTORNEY'S FEES. RETENTION FEE: I
OCONSTRUCTION LENDING AGENCY PRE-ALT FEE:
� I HEREBV AFFIRAI UNDER PENA�TV OF PERJURV THATTHERE IS A CONSTRUCTION LENDIN6 AGENCV
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� I qGREE T0 COMPLY WITN ALL CITY AND COUNTV ORDINANCESANO STATE IAWS RELATING TO BUILOINO
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