Laserfiche WebLink
.103/03/2004 13:12 2094671118 AGE STOCKTON PAGE 02/E <br /> MAR- 3-04 THU 12:03 PM PAIL H0. 916 8ssoi558 2 <br /> �. M. Md W +.�.�.r ...� <br /> Vf <br /> 83/8312084 08:52 298d6711x8 AQE STONTaN pair W92 <br /> t 8rn.foeau8f count Emn�onm rtRrsi Mesw,D Unit Perm*AIRY24m loll 8aaplmmam <br /> 1 JOIB ADURM: -gyp W► QO! z Ve PiERMiT $R►t:_ _-- <br /> ' LICENSED CONTRACTORS DECLARATION LC <br /> i <br /> ' 1 heM t}y Affirm that i am rrMmw under the prwWo v O ChWw 9(=nrtlw4n8 wMR 9W *n 76001 d Dlm- <br /> 3 <br /> —3 of the liuMnew and Prtrleaaims Cede and-7 AMIa is in f m lmL eflbeL <br /> ! v"u 0, I ��.,_,.�soft m Gale: � 3- 0 S- ' <br /> >, tilbpiUr Cor <br /> at9nat+ l; 77}fa s i <br /> PAawd oaMC <br /> WORKEW COMP&Mn ONDEGU ATiON <br /> I rrereby o m under pewty or pet}n erre ome roxv%ft dadamftw (CHECK 011(7 <br /> I w%and w91 vkWAMM a dWoole of wvw%t to aa#drrwm for yw7 ors' allon,as PMA;I ld for i <br /> 5v Spon 3700 of tris Lebon Code,lot ft 061WMAO Of t**Pm*for wNch ffft PoiM is issued. � <br /> I have end vd)Mokft n werkaW eanooreatbo hraunrrtaa,is raq&,Bd by SoMon 3760 of tha Ukw Coda <br /> W ttra Ogr bmrar=Of 70 Werk tibriNA"ft Ream i!�Mre My woiiesrs OWMPansallOn irra nft <br /> ! +:4111 dtf QrKf pORGy numb arm <br /> f GArTtM �Cf.4I �F11Ey, "tl38ber: V -�) Q <br /> } ff <br /> I owy ft o in ft owmw x or tilEr wot for otoA"primp rs bom.i aw mm erlrploy wv pe-=.,jn , <br /> MOMW$p®s to 4e4Dftle SVJ) et to the warltefs'conoern2tim ialw<B of C00vrr,Ir,end agree that if I <br /> oho*bowma suoJecJ;to rhe mammos'cpmpWIs Mn prarl*m o{3edlon 3700 of th i}*Wl Cad%,1 shall <br /> iO"hwfth cORrpltr Alth ox"PMVWO o. <br /> VON —Signmm; <br /> Prtrtbw Hanna: <br /> WAMHC-.I•AILURe TO 3EC4MlE tAf ROW C�TMM O NMOR M UNEAINlFLq,AND SMALL AMWECT <br /> AN ic'rbpWYF.II TO C"04"PEMAL7"AM CWL MM UP t0 W*HUNOM TFR=ANo tyG1IARs <br /> �#1 tr%�QD�, <br /> IN AJ9t1(ffOM TO THE CM?0/CC A'f4K MUER63T.A?TMN'8 m FM,ANb DA1ifl�GES AS <br /> PR0 101 FGR IN tiCMN Vft OP TM EARN COW, <br /> AUTHOR ATTON FOR 9 THAN C-S?81(3N1im PERMT, P13UCATFON <br /> r pp fy�� <br /> J" d �lfG� �•n,..—.. (sfpomt 0047 �aflleuialA r�rl w wfivr), <br /> jtlpf!)1Y stooftm(pem runs 1 ! I 1 f <br /> r �io algrl fhb am n � <br /> 1 ��4r'�PeraaL 11pp1lgrtbn on behalf, r+rrrder�tfanq qhs a�aelmlton is+�54!ar <br /> jane{1 iysrrAnd ss ttYnitsd!q trYe worts rPbin awe Ort trM <br /> "tale of go sOPRO eeL l <br /> I <br /> 1 <br />