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911 <br /> U <br /> v/� t <br /> � � 1 <br /> ('ode). <br /> ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as <br /> noted above,unless such person has a permit to do such work from the division. <br /> ❑Division of Industrial Safety Permit#_ <br /> 1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county <br /> ordinances and state laws relating to well construction and or sewage system construction,and hereby authorize representatives of this <br /> county to enter upon the above-mentioned property for inspection purposes. <br /> Date Applicant <br /> EHD 43-02.007 LICENSED CONTRACTORS DECLARATION <br /> 12/1112002 <br />