P15358 y
APPLICANT 9-U FILL IN INFORMATION Wl'(P)IN TtLINES..e USE HALL1NJ PEW t
IItlILDlltitllts t t IfPi�i.ICAaT1 N-rl $I PERMIT `
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BUILDING--IELSMICAL--PLUMB#NG1-«MEt;#IAN41;J►L
S•iWITCHss•flor p, I0Jw)0lt.ff0
�"" itAssS I014TINO 9-Ix1URIS
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��i'oa4 fYI.IANCE$•flI$#t3$NT'IAuL A.At#
,_. ....»........_.. r
,noire nNel s
ANE4g(OVER 2W AMP) 7A.00
sioNacaa NI N4' RSIGNSTRANis
...,.. _3.GSt
Atw� SPECIAL GSIICU#T_
EM!•METLiR f3R PC)Lf IN Will)
arta MOT4ii$ see leer BCH.
20 OL)
Bf.RVICE CHA#VCiE
W� LIUM9p;UCON!KA(T07RS DEC LARAT" ..,.. ..••
' I hereby ufAtas ON,I un wonted uakvr pwovhilom of('hapter 9r y ....�.... M
(eootmem'ins with fenawFi 7000)of Uivt►lurt 3 of t+e ItiK{Fiaaia,Fid �"""""'"" � 7 1
Professions Cole,-d a7y L.is+n W fwee grid dtttct. � •..••+-T�
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l.fakrt9a.CfgSs_....,:
rR...r Lk.Numilke
a
Q d "p
r Y Z OWMEwsUILI)ER DECLARATION -.._ L1�F�If+IF�RMATItMI
misc.- #'itlSn To ORD w�
x wq I hareht affirm that i am exempt frtxtt tbcCunkuctor s License PERMIT ISS±UAAIClx S40f5 Q
Law for ilia(04owmirrrowo.il4ee.1031,:9 tpuN1lessanJ Prufessronr �.
('o&:MY 911Y Orcalnty'01"ttgwreaaprrmdlowuttrli�4,Hirt, L 6 r.. t RLEC.
o improve,,'emwlw%of«pais any arusi+rro,Prior to{tY axuatxt,+fw T7�YAt
nauires Ills upplic•ald for web 1'o+mn to frit a vgritJ Ytatc++fediibaf ye���� S.
X V kt h li-crWO pnf6WAl to the pmvlw)K of t1hitcontracfor's Lit our �6 frit 1 {04 I-fD�L'
71` Law(Ch+ptat4teomtaaac+nawithSreticn7()(!t1)oSt3IvfsWrIA!fled QTY, j(�Pr1t
sumage and proteaoorn castle)or that he is gwop Ihercfrwn roof t11Y„
z e
that' r♦s foNtW alkCadvxsmptfon Aiiy Vkilaialn+tf'arciiun'1a31,3 •--
by asfy pplicarr(for s pettnit s'��s�it iHa apppflesnl tog clvSpv+tally AL'f Eli•DRAIN V$NT- A'�01 tfA,1 8.00
of not more than fm ttundtod dollars i ssoo,7' .---�- -- -- UN
0 1,as owner of the property,or my'naPh)yass Willi waaeYas _ACK R LCfW Pt;f}Tt C.DEVICE 4,00
their wk compir"wi ar+,will Qo the work and the struclutV is FUJI ^-•-^«^""- �""""" "
intended or offered for tale(Sec. 79441 Buliriess and Nofewions f RAINS•FI R�r ANBA+t*NP, 5-00
Code'.The COntrfv W's Likenic Uw Does ort apply to as Owner of � Atl,sAag
pprroperiy who bas or Wprovesahetuoo,And'A recti work FIXTURES•lf�A CI4f►P 0�
bawds RX r A
Itl{tstuff OF ihrcWli lir,awnempbY�a pruw+ItJ(liar vurh Improve- GASpM T)P1G A OtiTLE C8 8.d4
mruls'sr$:tm nllende i or of(ortd for smk'-If,ilowever,(lie bulk11rg1 --»�w U .,,..-•--a
w imptuvrmenr is ww wahio oik your of compkilm.the uwtir. GAS EA•$Y$FEM OVER A iEA) 2-w Ot
bumdot will hsvc the 6utJrn rf pruritep:(har Ive did,not bufW w hn• --�»*
prove for Purpow of snk.t. INDUSTRIAL WASTE INTFR. 30.00
43 1,a ownsr of the POA ttY. exclwlvu{y amteractbgt Willi LA1lVTI SPRINKLERS 1 'NG 8-4-8—
. . 6.00 L
mcrFifeJ axltr aides Lo cvristrwt the prt*Ct(gee,7M.19usitwtu
wtif profeaions Cade:Tk Contractors Lkvnu Ldw dads 110-1 the
owner of propew
to out ny who rinikla or improves raoti.and who LAWN SPRINKLERS QV$ft${EA.I 1.OfJ t "
"mew"tot stmt i r41lec4a wAh a ocmrw(s.'actlicensed purwanl to 5E4(fER.8^NITAAY.8T0RWl$A OOtt11FrO
theConiractvr` Carne Law. --- .-•» ���
cl I am rrdar H dP.C. or this WATER#'#EAT ER 114_ 8.00
Ow*rwirer """"""- _Bale WATIER SYSTEM •.��•-»M• 6.fl0 ACS ttAV t tv
"�W K3 WATER TF#C11T9bVG EQUIP,��
WORKI& CO ENIATION UhCLARAT
I hereby a(firt11
It the I have a ce"Iftcate of consent to lel[•nsure iitvG.ObTE CLO.
w a cerfifnate a Workers'CaaprpauWn{asufenre,OF a s!iflflcr�
m y thereof is".38W,Lab.c.1.
Pocky 14m. .........Compiu+y ^^.- .. Iucf alpitWt EAEI�t3Y f t4
d Ceniikd copy 3 hereby fwaiidtmid. ---... r-t
6 cartifred copy is dk4 .+eh the city in"ctlon 41vkiiW4 MISE.• FtBfER TO QiiC7. Y p pip
Appiicant�, 10.00 Pt k►t #c U.0
}:. � --" �••. PERMIT t5$UANGE
CIATIFiCATEOF(XF1011MONFROM WORKURS`
ILI > (1"Vtit M Y Nf^�
V.NSA'IWNINSUKhNVt P44, tr .+1t7. P1A.
CL d earn( 0 []
tT11is sacrum oral Fiat be c4r,iipkteJ U flee-pemut ill for ul+c
Hundred(dollars($100)or 6111144 FSK FEE St�Il11MMY
(,�g I comfy that IF;five Nflafmanot of 71ru Worfr fru wbrcit This t{er "Y j1119c" KAL 11001MIT
rmi Is issued,i diem a74 omwloy any person in any m fitter so sa to IxU1t.GINII
itla .
ry ? become suat to Ox WorkeIs*Conatwomiion Laws of California,
V Uaic_ At/plican4 — ALTER OR ADD TO MFCH. $00
NOTK 7 TO A?PLICMO If,after making flits Certuicate a1 k.K- APPLIANCE
B.dD PlJI�It t:HE�`K
emption you Ktaubf become subkcl to the Warkc Coinperisalui11 _ FE$
prgvis{ons of flee LAW Gale•you Must lottlswith cnt(lply+nib ��(T�11 �p 4.00
ydsfl,provwuos"thispermit shell lis deellWd revoke!. A1FiHANDLING -6666
glgliAll[MN$ KWER1Qji7gQCP.l+816.W soisAICFiSL
CC}NSTR(N.'fiW11 LI:Nt)IN(iAf;ENCY ' ,,....,,........6666-,-.-•--»-�.,'--•--"-`*"`"' `�i..--.,.�`"---y I
1 hereby storm thin Otero a a e0"mrnwtkm"Jing agency for i.,AHAUST H001111 N#T 1 f]U 1 6,00 4tICiiDFtLk4
ehr performadce of the Walk fur whk•1t this petrnll is issocJ(Sae HEAT#NG UMI ':YIS'1d0.00t)B.T.U•# $•Oi7
300,7.civ.C.). �+
Ltodet'sName; , - HEATiNGUNIT'iL1VEfi►000!)0$T U.t8.6t1 t£CTfRiC N
Lontlur'Y Address e _ ._ . ,.
!tectffy,that I have teed this appt alion and state thal%be above V ENTI LAI ION FAN(SINGLE) 4� PLUMBING
_-J
Inv;.kt(ort is:comet.t agree tri-,,amply with 4111 city and county liolL -CrAV(3H.P.es 100,000EI.T.U.) 8A)G
orJare Fin
iinn d start Paws tenors 10 buililinr contraction,and
... (herabr lfalhorift rep(esm ittivaC11M
s of.this city to abler upon Ilia BOILER-CP i0ow 100,00!0 4'.'U)SFE Ff.E SCk. IY1ERO.IiA14{CAL
aGure it,
!*011 pisrpr$ty-for to 4wOua PurPattpa
fw- .im to save, indVOWY And keep hmrmfoss tho city of MISC.- REFER TO Afit?. CANT,TAX
upr+7alo agar liabWbcY,judtawtnis,lusts and axlrenmi which PERMIT ISISUANCE,Lw ,10.00 �....�,.......,
y in a y accrwe mq►siast wid Oly wow ueFiCY of 411e �1C;M0. MIC
Filing 'TOYIA /+ o
' tuna ppPuptrt,Wltrsetol to _
OFFICE G00V