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HomeMy WebLinkAbout1191A ------�-> , - ��aaenc �}a ������'��j� �V� ��l�4�r�� �ORKF 2S C�JiP f NS�"CCSV DC 'S 1RR IC'"� � �er b tfi � �ha I a c ce nfl�ut o`.'c� cm[ •o,�clf CE-218•;?_-RQi .. . . in u e. � a ctr- ate o.4ic ��eri'ComPe�s,�c;or nc�-anc��,cr H�IiTIl�ICa V�'-YdT�,���`fli°dG-Ai$.{ GC?�IC3STIO�17a�"� �{ .. .f�ei • h..r./� �n 1 .h.C.1 . .. . . . . . . . . . . . . . .... �: .,�. ., . .. . . y9 �� bc�'s��l�'�d1e ' E t�yl� -�mu�rv v .� r �/�� �J✓✓d��/ I�� CL1�iRtTY G'F!`�'S R@1if�El.ES BUBL6JFRiG B�nl�S�FE�'`d , .Y Cer<<�ied op_ is iier UY�turaiYh.'q��l�l+'S�� _ .. .. .-. � .. .. .. ... �V �.� ca�nnea con��,=r�iac H�<<t n=-,.�nu.,tf - �nsuc�u�>n �--_ ._. ...�Q�{,RPPL€t�fil�IT TO FIL�.}(V �aui�oiNc l �J_(�.� � /S! � --- — .� ��71! k' S-�i��� .ieV��rrme••+. /�/ ADORESS L S/R�L" Uui�3.��KA;+piicant �' «L"'•.. 1PR:�lTGR';vPEOfvLY) -.-- /J ..._ --T--'- LOGA�IYY��7�+��/(��_'_' Ck.t2TlF'IC>\'IF OF F. ti 10�f�20h1 W'O[ihktS' NO �FE GF?.PPLIA:CE OR E(JUI'MENT � �E� :! ---- CQh1Yi:�.SAC�C7\I�S<<KA\C F . ..'."�----`— NEf FiE,;T //,�/ } . � CF26SSST�Ct`Ji-�J �IN�i-i"• c (7 hi sccuon n.eed :ioi o wmp3etaQ u�ii2 wor6. cnvr�Ned aesoRr-�.�o�l.N�'r_s i J�_, � �„_a . C by t e perm�t rs f�r orze nun�.ied u�Ilas (33601 �s ic�s� �� a�sra cr no. �aucess�.o av � f> I �P +21nt in th� �ert'Otmtnce Uf tll ^�of.c t( ' LI th1• �, ���1?NF:I�O_,INr'LN'T,C_F'vl — �� �-�` �/�/� � � penn�t�s_ss �d sb_�=.n^i rmpio} ��,��rso xn ny v ti n- / � /e _ so�s Yo he a���suN�ecS to th�.Woikets Con,Lils. �m t.,- . � t �H IL�R 8 U-- ����..�' —j��� iL I �_ L. •B�- , �� ��-- APPROVALS DATE i�:sPecToashicun`�NF ` � Late APPI ax�[� ..�_ � _ � 'GORnP LSaOR.9 U . _— ..-.__ l..—^_"-- -" . �.______-,-..—� _ --'--- - rOUGH �--- V) `OTIL}i';O 4YPi.IC<\\1 �f.ahet malcm�t,u C nfictte oJ' "p �VEP,T�LAT'ION SYS7EM , i i '..^� - ,6 ' �/�,� `� ExemDtior,, ��au shou � r �ome s.L�Je_t to ths lScrrtCr:' P �_a .___.. ..�_.._-_. —'"--. . � F�A�.. _�//�1�.�-ly��ri-..'s�.---� ComPensszion pcovisior.s u€tha},abor CntlF,yon muii fo;!h- � ! ' i wi�n cempl}• witl suck: nrovisinns or '.his Perm+1 5!�e.£I '+e �EVAPO?ATIVE CO(>L'=R i LJr1�EDATIGN deerned r:voked � t����r ^ + � UF'infACE. .�n � GHi\VVT'Y--I llG�NSL'L'CO'v�R�('9'ORS UECiAH s TtON: �F!_pOR .� 8 U_-.. ��` ?iiereb}'aifir�n ti:ai 1 ani Ii��nsed under�+�pv�'ic . nf,('}:apter ,i4-�IE:P, E? SUbPENDEL UP.IT � 9 (cemme�ar�g with 3ec�Fun�7GQ0)oi'Drv:sion 3 ot the Bu?S NJHLL � ness ssnd Yro£essiur.<,Code,xnd m}'I+cense i�in fa2t FVece and � � -�� —� .__..--�_.� � _ _�. eYfe[ � U �y _ ��� Li r setiumU r.7.��,ii� C.css�'S � ��� c„ r�,.�.,,�C��.�o1N�3 .N J�� �,?_ � - – — -- ---�;-- � I am ex mp- `rom t�e ice� nb reyuiresnerts.ati,I�m a �_� ._--..-- ------- { } l�censi�d =r_h�tecY .>r a regi�tered prof�,slu.�ae en�eeiaer �an.ChfGK�E:.���°'o Oi�bOv2. ��� a=ing in my p:oJcssio.�ct c3pact�� (Secciuu?Oil. Sus- - � ��t iness and vraeessions roda'. �---..-.-._-._...-?E�ShciT 6S3'JIN(`s�'EF.`Sr--�j F. --_�_'__""__ � �g—�"./ Lic.ar Re Nq. � . iisie�__.____— .-.-__� ^�-_._..'I•ifJTC.L.�'8E'.__..'.l��� :{OA7EOWNi-;R-BUi;.DER:)6'CL.4k�n;�10£:: PLANCNEC�fiFoLICAVT ; herei�} �aFfir�n (ha? � an� esempt .t',am-the.CCniraci��r's yla;J�e License Ca�v F'a[hc fo;!cn.�ir.K;eas;�n (Sactir,n.iU3t:5. };usi' ---.__.__.�__'---._"_._-___ --- ness and Yrciftssions Code): qeo:tEss z 1 1 9.1 A , � t. as oWrer uf the, pro�:�rtp.v.i:l do[hc work urd ehe "----_^-�--`.NO.��� �o o�.• a •� s{ruczura is ao: intended �ic cfPc:ad fb� s.ie iSec¢ion CITY � . . - ?035,Bu�inesz end Yrai(essions'Cvde). . �- —.. � e m 3 3 5 0 �- . . � ON'N Fl ___._ [,as ewr.ar of the Propertp,am es:c3usivehi contracP!ng � _.,_-._.____ -----' �vi[h liueised aueetrecFurs :o co�vetrucx ti�e projecf: MAi L ° m ��J J.J�Q o {Sec�=on 70G4,Business and Pro£essiexe Cude). AUDRESS ___;___-.-_-..------ CITY TEL.IVO. . C����"P�Z CC3N57'RCCI'FON LtiNiStTG BGfiF1(;Y _____'____ I here6}' a;fir�� .hut tnere is s ^bnstruc`rivn IenJing._�.i3en��Y ---_.____.-_._'.____._._.._ for thc perConnance n` the work-for�vi��ch [;ris germit is GONTRA�TO%i issueG(Sec.3/19^.Oic.C.j. . . -"---_-'-'�_- Lendcr"s Xame _ __ � ADUhEGS% Len�er'S.4ddress,_ .--^-!_ .__._ �I.rv _"•_'—__^ T'cL.NO.�^ ' ceriiC��that i rare reud tBie,app!ir Iiun and s?.tCe Ihee ti�r � gTq�7: -"'� �`� LiC �� � T above iitforma:ien is co:rect.1:igr�e to cumplS'«•ity��1f Com:�i �C..NSE ti0. 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