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HomeMy Public PortalAbout5514 ROBINHOOD AVE_Mechanical__ mt 'e IP>NS,T;oN 8�� . _ APPLICATION -fORPERM1T. r hsrp�y efflrm that.f have a o;nmoate of oonsbnt to aNf Insure, LIME' GREEN,. or a oer[Alcata of Hlodrer's'CompensAtlon Insurance, of a o"qd = HU�'I -V���A '-A)R CONpITIONING �9PY.thefeol-(Sro Lab.C�, i A POS No �1 COQT�"S' - 60VWrY OP LOS ANf:JELJr DEP`FOF PUBLIC WORKS 1BUILD1NGAND 8AFr=fY Drvr :F- cortt*OWy w hw eby hanYtibd. 0 oopyU fled wtth the oorartybiking irpeodon F0A'A"UCANT 1ft0 FILL IPC (PRrrT OR TYvI;OI&Y) riPdoent, LOCALITY DW --'�` -NO. TYPE ApPuANCE be EQk76nmf T NEAREST CER IFK.Ati lof�Ea 1, ofd FA0&UVK)R _ CFi06B efi. ,CQIAP048ATK)N•W8-UTAANCE A880RPTJON B7l) mkF ..olll n heed.il be comptaW tf tryi rQrk In"Ned try fhb MAP BOOL( P 1 ,. j»rmtt'fa for one hundr6d dglWm(bloc)os tsaa.) AlEt't1ANDFJIJC)uNtt At; Art u Prnaar uo. M'. t . I oartlfy that In thi pgrfofmanoe'of the µror)r_for whicK this petmlt Is Is*uedr I ahall not erhprgj_4py,person In 4hy manner so." t0 Ba BTU become subject to the Worke»'Cornpensptlon Laws, v/ r•'+. �. Date APpocent VENrtLATiON 8YVEi4.'. -NOTICE TO -APPLICANT: If;,after making thli,Certlftonte,q.f 'F)O(l(3H' Pxsrrrptfoo,you blhould j»oome aub)abt to d»Workers!Oompinaadon pfoVlalona of The labor' you muaf.}ortfJwtth oorrtpty'wtth such FrAL ` + provlsfons or ols p6nniih ehalJ be.baeth"revoked.. FJJ H&N - ,. Fwu GRA L)CP18M.O( FL4,M $DEUAFkATK)N c FLpoR TBTU �/AUDAT' N +` I hereby atflfm that I am �lcensa­ losnsedvnder provrslons'of Chapter 9 'HEATER BUgPq�ED UN1T� (co wftti Section 7¢00)of i)FvlNon 3-61 thq;Busrneaa.a)lp WALL Prbf6eekms Cody,an> my fs In full foroe and effo t. ; L09rw Number Lia.Cler , r . . .J•7 f: ", t Untructx ©! r emexempt under Seo. P{an Check fAe $� B.BP G,fort*reason PmNIT tnvlNG FgEl, Data: TOTAL'FE»= LU a. ( D.OYRiEFI BUILDERv` TN PLAN CHECK APPUCA T _ p I trerppy Afiln'n that L nm exempt}romth C }Owru ontraotof'a Lla T.#r Lam NAIAD f O for the fQllowlnp region (SeoNn 7031.-5,-15jrslnees,:nd Profaaaloni Ic e): AoQPESS I JV. $.v) d;.u'ownbr of the property, qr my srhployasa wkh wag". # 7 _ as their.voTe.'oompensetlorr, wll� .do the.work'and the, CfIY �NU J stryature Is not Intended or offered for sale-($ectton 7044, T' �r p C. dashes and Profssslons Code} y TVT 7 + - r, as,owner df the. rd _ _ P Pertyr and exoloalvely pontfapTlnp •�- r '(3-ECK . '' 7U■�. with llovn.W 66ntraot6rb'to oopittfuot the project (8ecr App y tiCQ ,� ��yyyy on 7044, BAee alnaand`Prbis",i C").bps C ). ■LRl '. CONSTANG•AG 4C1 (QTY I.hergyy eTflffn thtt there is•a oonatruotlon lending-■yenaytor - +y��7 the' perlotrilanoroi.the work Tor whlbh thle permit Ir IesuAd' __'__ ��•��-�yy��yy�-�yy� 4 ,JL7�}}i�' (Sao.309 ,•Ctv.C.). , ... ii �t,� �] 7 1 Lander a ryarrb ADOF�B _ - - - -, .•y"r _1 tL 1 ! CITY TE3_NO. Lenders Addra�e•� _ 1 oertl}y that I have recd alfa aPpJfcntlort add state that the ebmw STATEL NiO-. t Infonn-gOan b convolL f agave-td mn*Grfth all.County ucqu-ancbe: and State lave rofdting to end hw"authortre rep of thle to upon the entlorled -- propo InepecOpn 8t2 F �FdR E]]tPLIWATOFiY LAlIWAdE