26486 (2) APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
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26486
BUILDING ADDRESS: SANITARY NO. APPLICA'TON SSUUBMH I'AL DAIIi
6 UNIT. LO]It 1�
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LICENSED CONTRACTOR'S DECLARATION APPLIANCES-RESIDENTIAL JOB DESCRIPTION
CCZ l herebyaffimt that l am licensed underprovisions of Chaper9(commenciagwith
VJ00 Smdon 180(pot Division 3ol'the Buainex,mal professions Code,and my liecrae is in PANELS
wJ Fj, fon force and effeet.
.cense Claes Lich UPT0200AMPS -�
yQy Mir Contractor 201.1000 AMPS
F'yZ ARCHITECTS DECLARATION OVIiR I"AMPS SQ.FT.FLOOR AREA b/SQ.FT.
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OG—❑ I understand my plan%shall be usedse.public records.
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'ac=< - OWNER-BUILDER DECLARATION SPECIAL CIRCUIT/MISC. f _ 11 (� to Lw
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