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HomeMy WebLinkAbout0971A (5) WORKERS'COMVFNSATIONIX{IAlUT10N AP�LICATION FOR'.PLUMBING PERMIT ���,' I Aereby aHirm ihal I hpve cerilicole of con�enl ro mlf ���q o cevli/imle of Wbkeri CompeMGtion InauMMe, Q BIT(�.10/81) ���`j�`��n'1°6���� COUNTY OFLOSANGELES BUILCINGA USAFETY � comw�vJC��. (.erti(ied cqPY u hembY fumished. ���� 1 �MNtied wPY is Fled wHh rhe c b �M �Ort nvxifAHi io r�u w IVRMi cx tra) nnoRESt ! ', �COP011m nl. . � NUMBEN F1%TURE OR IIEM � FEE IOCl1NT' oma�appu,nn� w�na cwsEr ���5r i CEI[tfflCf�iE OF EXEMI f1ON FItQ1A ri0 enrH rue CkO�ST. . CONW[IVS/1TION INSURAIVQ ' �r�+Mlen�d iwiL�nm.p�NM O fh�werw in+el.d try �p � +hs�p�rmBn�k.e�nhnmlrod�delinn(f'IO�e.las.) wvnroar ``� I eqlilly thm in�he parformonee af ihe wak 4d wh��h thm � � per11111 nipued.I Shtlll�M emP�1'a^P P��in mry�mvnner � CITY �y. w m ro become ab�b�+ro me won�e�s compe^wno�ww,. py�,py�ER . . � . CON rH.re�,Y pplimm QorMFSw44MN ^ . lnSE�O APRlfRNI:1f.4�maki.g�M�Cemf�wle al ��� . '1 _ , �.1�. WV ihopld'ba[�e ble�'� b 1M Wohers' SWIMMMGIO�LREQVfOG �unpqn%tt�oe qm•oiom d Ihe 1a6a Cade,Yw�.us�forrh. orv RL ',f� itA Cpfl�plr iM y�rch parifqnw w Ihif pBrmil�Iqll be UWN�RINYIEASY5IFM �,Ah �. _ deepla(/tervke{R wAi(RMEwttc II�E�'�0� UA5.4 � 11��RS Q�7,ARAL1(8.V . OISTRKi NO. BY ' ��EUPP��U�Miam Iike�peQ u�n prmniom oi(]pptn 9 �W156�SRM r�rs /O Ic MM 6eieon i0401 of uryw�on a af ihn euYrroa ovnn5amt > a .qr�lb.�'�CpRe,pm1 np Ij�a u in lyll Ipcea��'�d{eBB�t. S aER 615fFM FINAI � . ER DAIE VAt��A��N V �� Licp�apNun Lfc.Clmt1.� l FI Q coNmc � ome� B� '" . � W t�e��� � e.av.c.�d�n��,,,o� Plan check f�e ► �e:-"` ftUN1BiNG VFitM1T ISSUINfi FEE S scp��.e �0 9 7.1 A rrnu r� . ��r�..j Non ehe�1 app�uanr . SINGIF FAMIIY ��.�v,��O NOME OWqER�BUNDEP OECLAFATION Noms � �eb1`affim U1o�I om eMemW('om Mw Co��w[b�'a 4i�O��e q�.las .�C,�.�I 1'J s .j 1p�ne b�lowing rp�fnn($pcnon 7671.3,ewineas and Rafeoioru Code): City Tel.No. O�.� �"H�! � i,N mmw af�hs poperh,will do�he woh e�d.ths sRunure o rwr mlmded w affarad for nle�Se9ion . 7041,Bu�ineas ord Rofm�ions Cade�. ' _ C70NS7RUR�ON IENDING AGENCY . , 1�`�4by plfirm Uqt lhere u o<nnnhuctiron lendi�p ogenq fw the pe�fwmvm.a af Ihe work la which Ihu permil i�inued (5ec.7b37.Eiv.E.). , laadm i Name _ _. '� ie�der,n�d.e,s i a+wry�n i ho.�e�ead iha.aimFcaro�o�d swro��e � abo�e formation is corcKt.I opiee b camP�Y with all'�rynty . ordinonces md Sla�e iaws.eg�la�ing Plumbing.and hereby ou�hv�ae�ep�exnmri.m of�h�s Ca�nh io e��er�pon�he obor�tiQned v J� ��on p�.pwes. SEBREVERSEFOREXPIANATORYtANGUAGE 1-10-&�f a+we of PNmin e Dwe "�- � �1d0� !lOJ..73dSNt � � � H� ¢ c0 � tn � � • [� l� [O } �j nl � I��' � . . 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