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6542 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDING APPLICATION & PERMIT 6542 A ^ woo Ess `J L�,G O BUILDING—ELECTRICAL—PLUMBING—MECHANICAL , 0 NER'S PLAN CHECK VALIDATION "AIds Y. - ELECTRIC PERMIT FEE c3 HGNas3 ACT R'S N - OUTLETS-SWITCHES-RECEP 5.00/1.00 '— / IC.No Q LIGHTING FIXTURES 5.00/1.00 c NTRACTOR5 PPLIANCES-RESIDENTIAL ' 4.00 AOD E55 �f/ 'PHONy� j`w•J(p PANELS - 5.00 DATE OF APPLICATION AARRCHITECT SIGNS -6.00 PLAN CHECK FEE P.C.NO. ENGINEER - Llc.rvo. SIGNS TRANS. 3.00 ADDREOR SS ENG SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP EMP.METER OR POLE INS. 15.00 wPPucwrvrs ADDRESS MOTORS - SEE FEE - SERVICE CHANGE 10.000.00 D Ix"i FDO LICENSED CON'TRACT'ORS DECLARATION' < z w d hereby affirm But I am licensed under provisions of Chapter 9 ISSUANCE DATE y Q (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. LG. MECH. H y z Professions Cod eAhA enx is in full for z O m — Lice Clss �� Lic.Number El ❑ „Zs H w I Contractor a m E BUILDINQi RMIT.;`- w a OWNER-BUILDER DECLARATION, ,5"MT,'�, wi,a r 1 hereby affirm that I am exempt from the Contractor's License MISC.— REFER TO ORD INFOR Tv-„ u D law for the following reason.(Sec.7031.5,Business and Professions VALUATION S/FT. 1- _ g PERMIT ISSUANCE 6,00 - ey Code Any city or county which requiress permit toconstrucl.alter. ELEC.CONTR. LIC.NO. as ac a_o improve,demolish,or repair any structure,prior to its issuance,also ELEG. i w m n requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO he is licensed pursuant to the provisions of the Conlmclor s License Lii APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDING APPLICATION & PERMIT 6542 A ^ woo Ess `J L�,G O BUILDING—ELECTRICAL—PLUMBING—MECHANICAL , 0 NER'S PLAN CHECK VALIDATION "AIds Y. - ELECTRIC PERMIT FEE c3 HGNas3 ACT R'S N - OUTLETS-SWITCHES-RECEP 5.00/1.00 '— / IC.No Q LIGHTING FIXTURES 5.00/1.00 c NTRACTOR5 PPLIANCES-RESIDENTIAL ' 4.00 AOD E55 �f/ 'PHONy� j`w•J(p PANELS - 5.00 DATE OF APPLICATION AARRCHITECT SIGNS -6.00 PLAN CHECK FEE P.C.NO. ENGINEER - Llc.rvo. SIGNS TRANS. 3.00 ADDREOR SS ENG SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP EMP.METER OR POLE INS. 15.00 wPPucwrvrs ADDRESS MOTORS - SEE FEE - SERVICE CHANGE 10.000.00 D Ix"i FDO LICENSED CON'TRACT'ORS DECLARATION' < z w d hereby affirm But I am licensed under provisions of Chapter 9 ISSUANCE DATE y Q (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. LG. MECH. H y z Professions Cod eAhA enx is in full for z O m — Lice Clss �� Lic.Number El ❑ „Zs H w I Contractor a m E BUILDINQi RMIT.;`- w a OWNER-BUILDER DECLARATION, ,5"MT,'�, wi,a r 1 hereby affirm that I am exempt from the Contractor's License MISC.— REFER TO ORD INFOR Tv-„ u D law for the following reason.(Sec.7031.5,Business and Professions VALUATION S/FT. 1- _ g PERMIT ISSUANCE 6,00 - ey Code Any city or county which requiress permit toconstrucl.alter. ELEC.CONTR. LIC.NO. as ac a_o improve,demolish,or repair any structure,prior to its issuance,also ELEG. i w m n requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO he is licensed pursuant to the provisions of the Conlmclor s License Lii