HomeMy WebLinkAbout13-765 CITY OF DIAMOND BAR /
`�"' `�-"- ��— DEPARTMENT OF CONIMUNTTY&DEVELOPMENT SERVICES �
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21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
��''"'. BULLDING PERMIT APPLICATLON FIRMLY
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, � DATE OYMER �
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� I HEREBV AFFIRM UNDER PENAITY Of vEiUUfiY oNE OF THE FOLLOW WG DECLARATqNS: U �
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� _I HAVE AND WILL MAINTAW A CERTIFlCATE OF CONSENT 70 SELFINSURE FOR NqPo(Ep$• T
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� IA6REE TO COMPLY N7T1�V.L CfTV AND COUNTY ORDWµCE3 AND STATE UWS RELATWO TO BUILDINO �
� CONSTHUCffON.AND HEA�Y AUTHORIZE REPqESENTATIVES OF 77115 COUMY 70 EMER UVON iHE �
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