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Home My Public Portal About6330 ROSEMEAD BLVD_Miscellaneous__ WORKERS'COMPENSATION DECLARATION CE 875(11-84) MISCELLANEOUS APPLICATION CE 875 f� I herebyo certificate affirm that I have a certificate of consent tself `mull insure, or a certt ificate of Workers'Compensation Insurance, e,or COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION a certified copy thereof(Sec. 3800,Lab.C.). IV Policy No. Company BUILDING FOR APPLICANT TO FILL IN ADDRESS 1p�3(r Certified copy is hereby furnished. BUILDING •j� 1' LOCALITY ADDRESS ❑ Certified copy is filed with the county building inspection LOCALITY NEAREST department. �/I�V �i CROSS ST. Date Applicant NEAREST 1 DISTRICT NO. G UP TYPE PR ESSED BY CROSS ST. CONST. CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL , e `� ,Z COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCK MAP HIGHWAY NO. F BLDGS. NO. (CIRCLE) STATE MAJOR SECOND LOCAL (This section need not be completed if the work involved TRACT NOWOON LOT USE ZONE SPECIAL CONDITIONS by the permit is for one hundred dollars ($100) or less.) USE OF SIZE OF LOT EXISTING BLDG. f� I certify that in the performance of the work for which this permit is issued, I shall not employ any person n any manner OWNER 0 f building: 9cV V i rA M"s 'Gi L�.�—, `-> so as to become subject to the Workers' Compensation Laws. OCCUPANCY GROUP 2 � MAIL Date Applicant ADDRESS �j ��•19(yV' a, If f� c~.s NOTICE TO APPLICANT: If, after makingthis Certificate of CITY TEL. LLI �y No. "��)' '� -pTjU{� OCCUPANT LOAD CI_ Exemption, you should become subject to the Workers' APPLICATION FOR EXIT HARDWARE: z Compensation provisions of the Labor Code, you must forth- with comply With such provisions or this permit shall be TRAILER USE ❑ GEOLOGY INSPECTION ❑ No Spec. Knowl, deemed revoked. Panic Devices LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION ❑ I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT ❑ (LIST ITEMS BELOW) 9 (commencing with Section 7000) of Division 3 of the Busi- NO. OF EXITS ness and Professions Code,and my license is in full force and �I effect. Name of business : a PARKING REq'D pROVID ED I I SPACES LL-- J License Number Lie. Class Lf1 w1&, LIMITED TIME USE Contractor Date DATE DATE I am exempt from the licensing requirements as I am a FROM: TO: licensed architect or a registered professional engineer SIZEOF ryO, OF INSPECTOR'S acting in my professional capacity (Section 7051, Bus- EXISTING BLDG. STORIES AA*REinessandProfessionsCode). FINAL APPROVAL ` \ PRESENT USE OF BUILDING Lie.or Reg.No. Date 1(0 i, V u lLdin GIM 11 33 HOME OWNER-BUILDER DECLARATION NO.OF EXISTING BUILDI Gs Cp�( N I—(-'3 gg FR ON LOT AND USE ! I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): ,?Ili? 1–lf1_I0 I _ NO. PARKING .. J(,• r a.f: v I, as owner of the property, will do the work and the SPACES PROVIDED _ ❑ 7 , 51`F i2' 3�~i`i 1 r7I i I ~-�� structure is not, intended or offered for sale (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY PROPOSED USE OF BUILDING I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(See. 3097,Civ.C.). Lender's Name PROPOSED MAX. OCC. Lender's Address I certify that I have read this application and state that the PERMIT FEE 25 . 00 above information is correct. I agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction, and hereby authorize represetatives of this County to enter TOTAL FEE , upon the bove-men ione pr perty for inspection p rpos s. SEE REVERSE FOR EXPLANATORY LANGUAGE 2 Signature of Permittee ate WORKERS'COMPENSATION DECLARATION CE 875 MISCELLANEOUS APPLICATION I' rCE 875 (11-84) I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure, or a certificate of Workers'Compensation I'nsurance,or a certified copy thereof(Sec. 3800,Lab.C.). Policy No. Company FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is hereby furnished. ILDINGZAI? G3 3O Qom._ �" � RESS LO GA LITY FICertified copy is filed with the county building inspection LITY , � NEAREST department. CROSS ST. Date Applicant AREST DISTRICT NO., G U TYPE / PROCES ED BY S ST. � (/ CONST. Y CERTIFICATE OF EXEMPTION FROM WORKERS' LEGALL YJ COMPENSATION INSURANCE DESCRIPTION Lor NO. BLOCK MAP HIGHWAY NOOF BLDGS. rvo. (CIRCLE) STATE MAJOR SECOND/OCAL (This section need not be completed if the work involved TRACT OW. ON LOT USE ZONE SPECIAL CONDITIONS by the permit is for one hundred dollars ($100) or less.) /// E OF]�//�(�{/�� S E OFrtI}i` /� 0 X TWIG BLDG7�� I certify that in the performance of the work for which this I o permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws. LER �OGCUPtiANCY GROUP Date Applicant XRESS NOTICE TO APPLICANT: If, after making this Certificate of TY NOL ~f)y, 7 73�./ OCCUPANT LOAD Exemption, you should become subject to the Workers' z Compensation provisions of the Labor Code,you must forth- APPLICATION FOR EXIT HARDWARE: _ with comply with such provisions or this permit shall be TRAILER USE ❑ GEOLOGY INSPECTION ❑ No Spec. Knowl. deemed revoked. LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION ❑ Panic Devices I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT ❑ (LIST ITEMS BELOW) 9 (commencing with Section 7000) of Division 3 of the Busi- No. OF EXITS ness and Professions Code, and my license is in full force and effect. A 411AZ PARKING SPACES REQ'D PROVIDED License Number Lie. Class LIMITED TIME USE Contractor Date i DATE DATE FROM: I am exempt from the licensing requirements as I am a .0 TO: licensed architect or a registered professional engineer OF ! NO. OF INSPE CTO RAS acting in my professional capacity (Section 7051, Bus- ISTING BLDG. 1 S O STORIES SI NATURE iness and Professions Code). FINAL APPROVAL PRESENT USE OF BUILDING (� Lie.or Reg.No. Date HOME OWNER-BUILDER DECLARATION NO. OF EXISTING BUILDINGS ' . . 8,a 5 0 ON LOT AND USE I hereby affirm that I am exempt from the Contractor's • o 0 8 Q 5 0,50 License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): NO. PARKING 0 6 2 0•-. 8 8 SPACES PROVIDED I, as owner of the property, will do the work and the `,t. : ' . �� ;--�:•� ` structure is not intended or offered for sale (Section fi• `• y F 'r �, 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY PROPOSED USE OF BUILDING I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is J issued(Sec. 3097,Civ.C.). Lender's Name PROPOSED MAX. OCC. Lender's Address PERMIT FEE I certify that I have read this application and state that the above information is correct.I agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction, reby authoriz repr sentatives of this County to enter TOTAL FEE on the above-me o perty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permit ee Date WORK:. S'COMPENSATION DECLARATION 76M444 MISCELLANEOUS A P P L I C A T I O N _.,t ' CE 875 (11-84) I hereoy,affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure, ora-certificate of Workers'Compensation Insurance,or a certifier'copy thereof(Sec. 3800,Lab.Q. Policy No. Company FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is hereby furnished. uILDIN ! _.7 ` w�, v_VJP SS 1(i7 ,,//�/ ,.�/j LOCALITY ❑ Certified copy is filed with the county building inspection LOCALITY'-'TJJ C(,.1 { NEAREST department. I�%GI� Y CROSS ST. Date Applicant AEARESTDISTRICT NO. GROUP TYPE PROCESSED BY CROSS ST. (0{/fJ6 Y V CONST. CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL COMPENSATION INSURANCE DESCRIPTION I LOT NO. BLOCK MAP HIGHWAY NOOF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND LOCAL . (This Section need not be completed if the work involved TRACT NOW ON LOT USE ZONESPEC IAL CONDITIONS by the permit is for one hundred dollars ($100) or less.) USE OF SIZE OF LOT EXISTING BLDG. I certify that in the performance of the work for which this I I o permit is issued, I shall not employ any person in any manner OWNER I lk Q y so as to become subject to the Workers' Compensation Laws. AIL n ,y+� OCCUPANCY GROUPOfA 'v o Ai" l S I IL hJ� Date Applicant _ I„ �rf�A' TEL. OCCUPANT LOAD NOTICE TO APPLICANT: If, after making this Certificate of CITY rU fw No. L7 —�Lj N Exemption, you should become subject to the Workers' z Compensation provisions of the Labor Code, you must forth- , APPLICATION FOR EXIT HARDWARE: _ with comply with such provisions or this permit shall be TRAILER USE GEOLOGY INSPECTION No Spec. Knowl. El deemed revoked. LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION Panic Devices 0 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BUST SAFETY PER MI (LIST ITEMS BELOW) NO. OF EXITS ness and Professions Code,and my license is in full force and effect. PARKING SPACES REQ'D D PROVIDED .� License Number Lie. Class LIMITED TIME USE Contractor Date DATE DATE I am exempt from the licensing requirements as I am a FROM: TO: licensed architect or a registered professional engineer SIZE OF NO. OF E INS EcroR's acting in my professional capacity (Section 7051, Bus- ISTING BLDG. STORIES 5 GNATURE iness and Professions Code). PRESENT USE OF BUILDINGFINAL APPROVAL � Lie.or Reg.No. Date • HOME OWNER-BUILDER DECLARATION NO. OF EXISTING BUILDINGS ON LOT AND USE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Busi- 9 9 9 2 8 R ness and Professions Code): NO. PARKING ElI, as owner of the property, will do the work and the SPACES PROVIDED #"0 • o • 8 8 structure is not intended or offered for sale (Section o 0 0 0 • 0 o z 7044,Business and Professions Code). 1 CONSTRUCTION LENDING AGENCY ROPOSED usE of BUILDING A i,� 0 0 6 2 0- 8 8 I hereby affirm that there is a construction lending agency (.G9- � EL 1}raF�C''1 for the performance of the work for which this permit is issued(See. 3097,Civ.Q. Lender's Name PROPOSED MAX. OCC. Lender's Address I certify that I have read this application and state that the PERMIT FEE above information is correct.I agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter TOTAL FEE up nthve mention operty for inspection purposes. ` N r SEE REVERSE FOR EXPLANATORY LANGUAGE I 3 1 Signature oTPerAA1. Date Y -- I \YORKERS'COMPENSATION DECLARATION CE 875(11-84) MI ISCELLANEOUS APPLICATION I hereby affirm that 1 have certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.). Policy No. CompanyFOR APPLICANT TO FILL IN BUILDING ADDRESS CO Certified copy is hereby furnished. ��//I BUILDING ,�cc, C.•+ADDREOCALITY Sr.S V -e . gl(i'J) IC Certified copy is filed with the county building inspection 6 LOCALITY y� NEAREST ! department. 'I e - (,/ CROSS ST. Date Applicant NEAREST H D.STRICTF. GR P TYPE P CESSED BY CROSS ST. CC77�//11-•--0 CONST. i CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL COMPENSATION INSURANCE DESCRI PTI ON LOT NO. BLOCK NOP (cGRCLE) STATE MAJOR SECOND LOCAL NO. OF BLDGS. (Tills section need not be completed if the work involved TRACT NOW ON LOT USE ZONE SPECIAL CONDITIONS by the permit is for one hundred dollars (S100) or less.) USE of SIZE OF LOT EXISTING BLDG. I certify that in the performance of the work For which ?his — so as the tis issued, I shall not employ any person n any manner g OWNER so I G as to become subject ?o the Workers' Compensation Laws. g OCCUPANCY GROUP — MAIL g X AO DR ESS O z '� r Date .applicant— a, – NOTICE TO APPLICANT: If, after making this Certificate of g CITYl?hj `p p vo� 10yaZ +c�"7 �® OCCUPANT LOAD Exemption, you should become subject to the Workers' I APPLI ATION FOR EXIT HARDWARE: Compensation provisions of the Labor Code, you must forth- ❑ f with comply with such provisions or -,his permit shall be TRAILER USE 17 GEOLOGY INSPECTION No Spec. Knowl. deemed revoked. Panic Devices LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION fX M I hereby affirm that I am licensed under provisions of Chapter { 9 (commencing with Section 7000) of Division 3 of [Ile Busi- SAFETY PERMIT LIST ITEMS BELOW) NO. OF EXITS ness and Professions Code, and my license is in full force and 7 -(�Vv f'(�.�-' PARKING REO�D PROVIDED I I effect. / LL�� L_-J y SPACES L�(w� License Number Lic. Class LIMITED TIME USE Contractor Date DATE DATE .y ❑ F90 M: TO: I am exempt from die !icensine requirements as I am a x 1 licensed architect or a re^__istered professional en,inze: SIZE OF uD. OF INSPECTORS ? acture In my professional C1p:1Clt'. (Je il tlOi'J I. BL15 EXISTING SLOG. I STORIES SIGNAT RE inessand Professions Code). FINAL APPROVAL �9�–qIV v Lic.or Ree. No. Date PRESENT USE OF 9UILDING ltJ G i I ` I-IO�ME- OWNER-BUILDER DECLARATION NO, OF EXISTING BUILDINGS QO ��/p� 01w,P –i p',irl1;AM! [ hereby affirm that i am ON LOT AND USE zxempt from the Contractor's �N License Law for the followin, reason ISection 7031.5, Busi- ness and Professions Code): No. PARKING [, as owner of the property, will do the work and the SPACES PROVIDED structure is not intended or offered for sale (Section 1044.Business and Professions Code). CONSTRICTION LENDING AGENCY X PROPOSED USE OF BUILDING I ilereb_v affirm that there is a construction lendins aeencv for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). Lender's Name PROPOSED MAX. OCC. Lender's Address 25.00 I certify that I have read this application and State that the PERMIT FEE above information is correct. I agree to comply Rltll all County ISSUANCE FEE ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter TOTAL FEE 25.00 1 upon the above-mentio d pro rty for inspection purposes. ` .I SEE REVERSE FOR EXPLANATORY LANGUAGE S c 01 -n;ttee Date WORKERS' COMPENSATION DECLARATION 200063DPW!2/90 MISCELLANI-OUS APPLICATION I, '� ,.41A I I hereby affirm that I have.a certificate of consent to self COUNTY OF L08`"ANGELES BUILDING: AND SAFETY DIVISION . c;insure,or a certificate of,Workers'Compensation Insurance,or a certified copy thereof (Sec. 3800, Lab.C.) Policy�No. Company FOR APPLICANT TO FILL IN BUILDING BUILDING ADD SS ADDRESS ❑ Certified copy.is hereby;furnished. $ O , V LOCALITY ❑ Certified copy is filed with the county building inspection TY ZIP department. NEAREST. f CROSS ST. Date - Applicant SIZE OF qOT NO.OF BLDGS.NOW ON LOT DISTRICT NO. GROUP TYPE I PROCESSED BY CONST. CERTIFICATE OF EXEMPTION FROM WORKERS' O COMPENSATION INSURANCE TRACT BLOCK LOT NO. . MAP HIGHWAY V NO. (CIRCLE) STATE MAJOR SECOND LOCAL.. (This section need not be completed if the work involved ASSESSOR MAP BOOK PAGE PARCEL by the permit is for one hundred dollars ($100) or less.) USE ZONE SPECIAL CONDITIONS I,certify that in the performance,of the work for which thisrtr>�y er TEL No. permit is issued. I'shall not employ any person in any manner [U so as to become subject to the Workers' Compensation Laws. Ess OCCUPANCY GROUP Z Date Applicant . CITY ZIP — NOTICE TO APPLICANT: If: after making this Certificate OCCUPANT LOAD of Exemption. you should become subject to the Workers' APPLICATION FOR Compensation provisions of the labor Code.you must forthwith EXIT HARDWARE: comply with such provisions OI this permit shall be deemed TRAILER USE❑ GEOLOGY INSPECTION❑ No Spec.Knowl. E]revoked. LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION[ Panic Devices ❑ I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT❑ (LIST ITEMS BELOW) a 9(commencing with Section 7000)of Division 3 of the Business Name o Business NO.OF EXITS and Professions Code.and my license is in full force and effect. PARKING• REO'D PROVIDED License Number Lie. ClassD SPACES a f� Contractor Date LIMITED TIME USE ElI am exempt from the licensing requirements as I am a DATE DATE FROM: TO: licensed architect or a registered professional engineerSIZE acting in my professional capacity (Section 7051, Business EXISTOING BLDG. O S OR ES F NO OF IN SIGNATURE. and Professions Code). Lie. or Reg. No. - Date PRESENT USE OF BUILDING FINAL APPROVAL S 20 O3 HOME OWNER-BUILDER DECLARATION NO.OF EXISTING BUILDINGS ON LOT AND USE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Code): NO.PARKING SPACES PROVIDED ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 70441 PROPOSED USE OF BUILDING Business and Professions Code). I CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for i the performance of the work for which this permit is issued (Sec. 3097, CIV. C.). PROPOSED MAX.OCC. Lender's Name A, LICANT(PRINT) TEL NO. OIL i � Lender's Address ADORES I certify that I have read this application and state that the above information is correct. I agree to comply with all County PERMIT FEE ordinances and State laws relating to building construction,and hereby authorize re presentatives.of this County to enter upon ISSUANCE FEE the above-mentioned property for inspection purposes. .' TOTAL FEE % .I /�/G SEE REVERSE FOR EXPLANATORY LANGUAGE SiN ure of Pennittee Date NMRKI:RS'COMPE:NSA"KION DECLARATION 76M444 MISCELLANEOUS APPLICATION i" Iaffirm that I have certificate of consent to insure, , o or a certiEicale of Workers' rs'Compensation Insurance,,or CE 875 (11-84)or COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION a e•ertifi'M cilpy thereof(Sec_3800;Lab.C.). Policy No. __-___- _-Company--__ FOR APPLICANT TO FILL IN BU AUDDRESS ILDIN &92 y.AJC� ❑ (,ert if ll'(1 copy is hereby furnished. XX BUILDING ADDRESS 6,520 L^ 2O \ OL / LOCALITY L /1 Certified L'OpV Is filed 1l'11I1 the county building inspection LOCALITY J NEAREST department. gy, !� /t �L !j! CROSS ST. Applicant. NEAREST DISTRICT NO. GROUP TYPE �• P OCESSED BY CROSS ST. CONSTy� r� ('1'.R I'II I('A'1"E OP EXEMPTION FROM WORKERS' LEGAL G' C()NI PENS ATI ON INSURANCE D E SCRIPT ION LOT NO. BLOCK MAP HIGHWAY NO. (CIRCLE) STATE MAJOR SECOND LOCAL NO. OF BLDGS. (Ellis section need not be _completed If the work involved - TRACT NOW ON LOT USE ZONE SPECIAL CONDITIONS by the permit is for one hundred dollars ($100) or less.) USE of I certify that in the performance of the work for which this SIZE of LOT exlsnlvG BLDG. O_ permit is issued, I shall not employ any person in any mannerKX OWNER p f buil din � v (] E/27-1 uI as to become subject to file Workers' Compensation Laws OCCUPANCY GROUP C3 ADDRESS l 0 . i3oP L U Date_-------_-- Applicant— -- — n uI NO IICI{ 10APPLICANT: If, after making this Certificate of cITY �u�C E l2TON Cr ND�"1)�( `j 7• l S66 OCCUPANT LOAD C, Exemption, you should become subject to the Workers' — Compensation provisions of the Labor Code, you must forth- Z>P APPLICATION FOR EXIT HARDWARE: with comply with Such provisions or this permit shall be TRAILER USE E] GEOLOGY INSPECTION ❑ No Spec. Knowl. deemed revoked. LI('I::NSI':U CON]RAC I ORS DECLARATION OCCUPANCY INSPECTION ❑ Panic Devices I hereby afflrin that I ani licensed under provisions of Ch ap ter SAFETY PERMIT � (LIST ITEMS BELOW) 9 (conlnlencing with Section 7000) of Division 3 of the Busi- NO. OF EXITS ness and Professions ('ode, and my license is in full force ancL effect. XX Name of business PARKING •- SPACES REq•D PROVIDED License Number__._ --_. Lic. Class Tt -IAfZT>{E JQ/N /LANP O ,4L CE/v?E2 LIMITED TIME USE 11�� Contractor- --- DATE__-- Date--- -- DATE DATE FROM: TO: I am exempt from the licensing requirements as 1 am a licensed architect or a registered professional engineer INSPECTOR'S g p g SIZE OF NO. OF SIGNATURE acting In my professional capacity (Section 7051, Bus- EXISTING BLDG. STORIES iness and Professions Code). PRESENT USE OF BUILDING FINAL APPROVAL [15(�(o N Lie.or Reg. No.—___—.____�._ _ Date-- — _ _ p0j HOME OWNER-BUILDER DECLARATION NO. OF EXISTING BUILDINGS ON LOT AND USE :^-I hereby affirn that I am exempt from the Contractor's ii�l 4fE^i,)1ti" .i. ,' License Law for the followin` reason (Section 7031.5, Busi _�}r} t A ❑ess 81111 Pr(lfes$loms(.ode): NO. PARKING -I- SPACES PROVIDED F] 1, ;Is owner of the property, will do the work and the structure is not intended or offered for sale (Section 7044,Business and Professions Code). CONS]RUC"KION LENDING AGENCY PROPOSED USE OF BUILDING I hereby affirm that (here is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). Lender's -- PROPOSED MAX.-OCC. Lender's Address__.'------._---_--_---____-- _-- 25 .00 certify that 1 have read this application and state that the PERMIT FEE above information is correct. I agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction, and hereby authorize representJeohis County to enter TOTAL FEE 25 .00 upon the above-mentioned property pection purposes. SEE REVERSE EOR EXPLANATORY LANGUAGE XX XX .3-al- ��--