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DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVIC�ES
� 21660 E.Copley Drive Suite 190
(909)860.3195 Faz(909)861-3117 PRESS
"'�^', BUII.DING PERMTT APPLICATION FIRMLY
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o ADDRESS DATE ��22�99 NUMBERV I '�#
o� 'ISSUE TYPE OC
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� STATE4ENT THAT HE OR SHE IS lJCENSED PURSUANT TO THE PqOVI510NS OF THE CONTRAC70R5 lb
� CENSE UW(p1APTER Y(COMMENCINO WIh1 SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PRO- � PooUSpa
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� I HEREBY AFFIRM UNDEH PENALTV OF PENURV hIAT 1 MI LICENSED UNDER PROVISIONS OF CHAPTER �
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� WORKERS'COMPENSATlON DECLARATION �(1—� �
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� I HEREBYAFFIfUI UNDER PENALTY OF VERIUAV ONE OF THE FOLLOWING DECURATIONS: Z �
L7 _I HAVE AND WILL MAIN7AIN A CERTIFICA7E OF CONSENT TO SELF-INSURE FOR WORKERS' _ ' ' ' ' ,
Q COIAPENSATION,AS PFOVIDEO BY SEC710N 370o OF THE LABOR COOE,FOR THE PERFORMANCE w
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QW L1_I HAVE AHD WILL MAIHTAIN WORKERS'COMPENSATION INSUfUNCE.AS REOl11RED BY SECTION ,
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Z �CERTIFy 7HAT IN THE PERFORMANCE OF THE WOHK fOR WHICH THIS PENMIT IS ISSUED,I F MECHANICAL �
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(q WORKERS'CAMPENSA710NUWSOPCNLIFORNIA,ANDAGREETHATIFISHOULDBECOME•�' - � � INSPECTIOMFEE ' " � '
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� I HEREBV AFFIRM UNDER PENALTV OF PERJURY THAT THERE IS A CONSTRUC7ION 1EN01NG AGENCY ` L �
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w 1 CERTIFV THAT 1 HAVE READ THIS APPLICATION AND STATE THAT iHE ABOYE INFORMATION IS CAqRECT, TOTA L F E E S
, � I AGREE TO COMPLV WITH ALL CITV AND COUNTY OqDINANCES AND STA7E LAWS REUTING 70 BUILDING
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Z ABOVE-MENTIONED PqOPERTY FOR NSPECTION PURPoSES. COMMENTS
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