Laserfiche WebLink
k I certify that in the perfortmsnce of the wor17 for which this permit <br /> is issued, Z shall not emplo; any person in any manner so as to become <br /> subject to the worlmen°s com;',,tnsation larss of California," <br /> If, after rtal-ing such cr:tificate, the applicant for the permit should <br /> became subject to the workenr 's compensation Provisions of this code, he <br /> shall forthwith comply with :he provisions of Section :1700 or his permit <br />�. <br /> shall be dcemed revoked. <br /> i <br /> Subcontractors must ei.s file or have on file a certificate of insurance <br /> as provided for in Sectio,, "-CO above <br /> c �j <br /> Company Tate '� 7 Za <br /> Signature .� Title <br />