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�R�Rs•��^�N�,i�oN°K�T�� qppL.l`CATION FOR PLUMBING PERMIT
I heraby Offirm thoi i Vwre o�cerfificqle of comenl to sel! 7y�oyq �O Pp� �
inwro,or a certi4iwle o(Workeri Compemation I�suraMe, CF g� (REV.10i811 'fiR, � �
or o cenified copy thereuf(Sec.3800,lab.C.) �
�IP���.104� Fireman's Fund ��UNTY OF LOS ANGELES BUILDING AND SAFETY
���v � ._. 296/77BR/I.c�t 7,1 �
� Geriified topY is hereby furni3hed.
� Fpq AiVIICANT TO HtL IN(i1tlNi OR TYPE� °�p�Q0681 S. True e Court i
CeniBed copy is tiled wi�h the counN buildi�g inspac-
NUMBER FIXTURE OR I1FM � fEE i
(ian dlpo/1rheM. LOfAIfTV
8�4 83 3 wa�aosEr � Rowland Hei hta j
�q�4 � APP��Sant RCR bv:�lly�j� NEAREST
CERTIHC/\7E QF F,7(EMPTION FROM WORKERS' BATH TUB � �S���Ii.ma � Ra idview Dr. .
CAMPENSATION INSURANCE � �p � °iN�R Presle of So. Calif.
(ihb s�ctlon nNd not M rnmpl�hd it fhs worh inyoi»d bp �
fh�petmit Ia�m on�hundr�d do0en(1100)or Iy�.) is,vnTokr 3p on noa�ss 4600 C s Di�
I cQrtffy That in the performon�of the woA fo�wliich this �
Permjr i�is�ved.I shall nor amploy ony person in a�y mon�r 3 � � Gir tti.NO. � �
so u7 ro b�come wblx�io Nie Wwken'Compemation Laws. prYiWASHEA G � �
p� canrrcncroRR.C.R. FI.UMBNNG IRC. �
p� eppi�conr c��r�s w� p� i
rrpti��p npv�rc�tvr: it,atrm�„0�.9�h'n Cerrkoa�s af ^��12785 Ma nolia Ave. ;
. \ceoo�ro�, »v �hwdst 6emme subiece +e itre workxs' swu�n�un�roa a6cEvroa . . . .
h°' '�^' Riverside '��NO 371-5D00 :
. �R[QR4�m��1 ProvisiA�7 Ci�he lntlor�iPde.Y9u mus�foKh- IAWN 6PR��Mc1ER SYSTEM
wi��prplY Witk� sych prorisiOn4 w this permit ilwll 6e 6PR �� 1:
deempd+moked. wrAtEk�A�4 ut�a+sE No. 336428 C-36
UGtT15�aOnrtRAC�oRS DEf�aanpV � oisrian rro. vRp�Soo er '
I h�e6�oHirm 9iqt I am YrcOngqd unda�p�a�sipns at�++ePter 9 GAS SVSifA� WitFiS �
ko�.4�cing with Secnan 7!]00)o/0+rlsion�of the B�ainess � . . � ;
cnQpfpfefsiotpCqdp,m1d my Ihem9 K in(ull fOrce qnd eFiecl. � s�°U'�`a ssvs� - � Fnuni VALIDATION � ��
336428 oxrE r�� 4+
l�ceme rh,mbe� uc.c�oas C-36 m
Co�wac�a RCR 'Plumbi.Ag Oa�e $��+�83 ett�,nt ,��j
i ❑ . �t �,rn,^ W :
I am eaemPr unde�$ec. V�i �
� B.6p.C.for r4�is repson r. + •: � i
� Plon check fee � „ � ;;�-� �
�O1e� PLUMBiNG VERMIT i$SUING(fE S
��� 4 � ^ i c ',..-;0�
ipTAl.FEE a _ .
U���:' _..
- 9fun Ched appYtant . .
SINGIE f11MIlV ,
rronne owrffrt•auunEa o�ciwanimN ^� R.C.R. PLUMBING ENC.
'hersby aff"vm tlw�I am exempt hom the Conkacta's Licame �,e,s�2'78$ Magilolia Ave.
� �w�fQr Ihe foilowing�eoson(SecNon 7Wl.S.Bu�irreas and �
" '"O�?+iO'4�°> ��+r 8i.veraide T� � 371-5000
� 1,m owner a!the proper�y,will do�he wark ard the � . i
flnMure is ne�inlpnded or offered for wle(Section
IW4,8uainen end P.ofesa�o�x Coda).
CpNSTRIKTION lENDING AGENCY � - i
I hpeby off'vm rtwt�hx�ia a cm�shucrian lending opency for .
�he,pe�rmantp of�be wmk fp vthich this permit�s igued .
(Set.3��.Civ.C.).
i
Lendeta Name�„�_
�
lenders A�dro�s - �
1 c4tnly Ilqr I fiare re�xi thif apptication ard swte rtiW�he �
abwe irrfarmM.ion is cm*x�.I ogrea ro comply with dll Cwnty
i
ordMarney o�d Stote lawa�agulwinB Plumbing,pnd hereby
aVthprixp repreter+fi�ives o�Ihn co��ry ro enve.�pon 1hp
a6pve�mem�or�d property for inspec�ion p�rposef. �
SEE REVERSE FOR EXPLANATORY LANGUAGE
RCR bq:�1l....�i..✓�4/83 �
signaru.e of Ve.m�ee'e Da�e �
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