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<br /> Joe AlwaEeex.a .oi0.Mda,.wM..4 NxNf PERam E:
<br /> ucexaeocOxTRAcraRBDECLaRATrox
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<br /> LICENSED CONTRACTORS DECLARATION Uev.oi� xow,a n Eapbalbn do •e°/'"'
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<br /> Pldealme ComyWllcen�gMNvl raa end.v epar9(mmMrrJnq wind Seabn 7OD0)d ONe1dR3db SU*—sm Dab smv saau. ConN.ctor anKeawwexw
<br /> U.-Ine0 ""s Expiration Data +tel OWNER-BUILDER DECLARATION
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<br /> OWNER-BUILDER DECLARATION Iwmem wa m.m,n u lN.axepm..«nP•un a d.r mTsMwN apu.d w.pwml rexm u..alaennl
<br /> (rano,MameIM tem a pC hvm Me Conti Wel Llw.e Lew for Me M "m.m(e Ion 701.5.Bu.aw.em Prdaam
<br /> afbbedapm.ry«.en�.m«,n.e wmmw mth(ssaaiilm
<br /> Ce:Any city a cvumy sMKn seauilea a penin'b cornetKt.Auer.I—,Memalen,a tepee any aMwM.,poor b N imrmr, D Ia�eerw,rcin�ww'wH..,•n•mlxeseef viol wages a uwx sao rmgw>�I.�m A.want.meen�e,+„udue w roI
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<br /> LKsen.Lew(Crop.9(-,ng wlh Seawn 7000)a DAs 3 a IM Buei,nsa and Pr reuCode)a MM M«eeemw oar a uo ml amem a I Irwe..r e,e Wmdnp wax.M vw�as .s�o�+sw awl
<br /> twmnem and Me Mab la Me aeon e.emplbn.My vlaebm of SeCxal 7031.5 by Mr,epplranl for a pemat suopCb lna.IrollrarR veumwMaen.Me wane-anti„Iwalw OrauMdon•np lnal ne as ml WlevlmPMabbe PurPne+nlule.l a,s Ya
<br /> b a aW odralty d not more then f WnCmd m1ler.(260))): Dl,r orrawwnweN.wne.q,IM+ymna.dxw..In'.:�a,u uml,suo,f wo«abnew yded ryeWm sore,Basin>,W
<br /> 0 I.el—1 d the Pw”.a my employe...ea90e Be Mee aab CanPdloetbn,wix m the woe,and Ma atrlsmie b Ivd P,ar•vam (a�rC Tna CaNeaY.IMn L..ores m.pW n.n err aPaparywa IxJa•«m«wes n•nm.
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<br /> Owner a pmpeny vee Wide de ImPnn,es Mason.and wM does aud,work Nmela a M=91 nn oem empbyeea pr.wod MM D I.m eemNrwa s.dlon SVC trfwr..em _
<br /> dual Im eovamenu am not mUmdm a oNeeed belle. x.Mwever,elle p d1l Or--m-If aab YnMn ono year d
<br /> oomplelion.Me o,n buJdar wix MYe Me Wbden al P IMI he dU not or
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<br /> 01,.owner of Me property,em e.tluadvety Coneel.,w1M evnaed wnlractas b mrawa Me Poles(S—an TON,Sulme.a end
<br /> WORKERS'COMPENSATION DECLARATION
<br /> Probafianf Code(B6C)
<br /> P '.TM Contra— Lew does not apply b.n caner a plapatY ww0 Wal.a L'nOrw.hereon,
<br /> and etlo w'suruW fo,suOr,protects wSI,00med q,)Iie:u�O our, to Me Cio.aatile Li:a sa Law.) I Mm�neullNwerndMvdcm.Hb.f.bue«ecrlb4 d Nbene Cm.we.Ilm balance
<br /> I$1e sffm«q•
<br /> xempl under Seabn�— B&PCIorinwmeean (sedan boo'L.-CCmk .1Cfi.WERIC.W IN5U0.WCECOMPANY(WIA Cm0.tB6131
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<br /> Dads Oweer «waMe
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<br /> WORKERS'COMPENSATION DECLARATION CERTIFICATE OF EXEMPTION FROM WORKERS'CO1aPENSATION INSURANCE
<br /> 1 n_,.Rum Mnr I heva a—rxe.a-0 b...swum a a cedixua or Whore Compeneabn In.--,Ora ceNfed cagy
<br /> Monlef(SOcxon 3600.Labs Cade). I ewinbe P«I«mrwzdewwa.naalxrn . wIw iw.Imw ml enply;ayprea,xe,Onn.w aaa
<br /> CE.4M
<br /> AERICnN INSURANCE COMPANY(WLR-96 11 wgeda Me wanmfc um NNaa CeNomu.na
<br /> Expiration Cowann Date Y «ro«m APPxrar
<br /> 0 CeN6ed coPy w MreteY nareefsed NOTICE TO APKI-NT.It.ele,Ivao xJ.C.nylab el Eampbl tau cab Male.:=1 V7 Caryewmm
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<br /> 0 Cen Aad o oy N Med lAM Me E—max HWM D.Parrearl
<br /> CONSTRUCTION LENDING AGENCY
<br /> CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE Ionµ Mone
<br /> Me Mew be anWudle WmNexena bM Fe dMe—braNtl,ays PosnN if Muld1——1,
<br /> (TWin se tion nop�L2I PpfgIltap101JLMe oerm I Ie bad a entire dope.fS1001 a bssl e e s a __
<br /> I sexy Mal n Um pedanbnCa o11M wpA la whM Mle permit b bsued.l Mex rot employ BnY person b airy rramer se.to «cave Ase
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<br /> Dp Appll t WMONOFINMS MLSAFETYPERMRCERTRC MN
<br /> NOTICE TO APPMCANT:N,ager makbx MIs C-411 is or E..P on,you Mould Mom_aubjed b Me Wolken'ComPeraatlm an Ni11.IC
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<br /> CONSTRUCTION LENDING AGENCY OA.erww:a«,Ica ea.�.a«wamum wAYauN newe.P«mll r�«n m.Den,_dlnmmn seaN..•newe
<br /> In.n.r.b.INm Wluwa l.am.VuelmT l.m MM.demonnl.nea 0 Me worAbwTeell Ma Penni w M IS—.n 5097. •PemnbmeW nark tan ale Osnsan.
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<br /> APaeew David
<br /> Lenora Aedr... r ,Ywrya _ '—'
<br /> _. Sullivan-
<br /> DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION
<br /> 0 1 M.oy_mxl Mad no_elbn Bve(6)a more ba in dePM Info Mikis a--Ie mAuMd In mmdrul.wB M made In j ssa s m® p,wpm�y,
<br /> oonnemon wlln worn mxrdrleed M Me oormR.and MM no Mlldlno Mdure.a IIIIIINM falaewalk.a demWxbn or dlAmendm0
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<br /> CONTRACTORS C"i STATE UCENSESOARD
<br /> –�'�^ ACTIVE LICENSE
<br /> 764878 _CORP
<br /> CORRPRO COMPANIES INC
<br /> CTC C57
<br /> .--,–C63=021 uww alio:e = 37979562.121.488577
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<br /> PROPOSED
<br /> WELL _
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