02090164 OF
CI BUILDI c m ERTON PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
21897 SHATTUCK DR ALL VALLEY PLUMBING 020901�E64
� SL"AAPPLICATION
MLLIAM R AND LAWANDA J 170 BRANNON DR 09/2A4j2002
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PHONE:
(510) 376-4816 SANRARY NO. CONTROL NO.
wN O ARCHmiC(ENGINEER: ' BUILDING PERMIT INFO
E BLDG ELECT PLUMB MECH
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h i LICENSED CONTRACTOR'S DECLARATION
C a lS 1 hereby affirm that 1 am licensed under provisions f Chapter 9(commencing J ,Description
0 o REPLurP�.C�'NWATiER(�HE9PTER
Fm Ito t `Ith Section 7000)of Division 3 of the Business and PmI219A.o mY license uVvy, �®
h in full fort<nn f em 99
s rc 6 License Cla Lie.M
tor
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Data ARCHITECT'SDECLARATION SEP 2 7 2002
h s3 1 understood my plans shall be used as public records
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Licensed Professional OWNER-BUILDER DECLARATION
9-2, 1 hereby affirm that 1 am1. exempt from the Contractor Licenu law for comity
he a following reason.omoiot ]onstr Busircssand ProfessionsCodc:Anycloyorcounty ILDIfV� $650
P F C which requires a permit m construct,alms improve,demolish,or repair any swcwre
i Care
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