Laserfiche WebLink
r t <br />.\YYi.i Gc :ON :'C�2 Cat,-)SR�tO-Jr.9 ';wt[ R.:T.20FIT. Ut. PS FCa+G LYA.SR ✓e.TnrT <br />-r:a...lTPROv DO ;:OZ l;:T I'>a A7:" SkiAD.=D %.R <AS. IXJ: GTE PERMIT -.'Pf S LOQ: <br />-_.—ANN.'2._.:.o� rz P: PI: C RITArR <br />E?Js r -- 3 — -- �Y ?RO ECT �CONTACT i TES£a?SrW. Y 2 --- . �U9 461-ba37 —� <br />� j -��� <br />r <br />:- 1 CROSS STKL� <br />1 <br />3 : <br />.T 1 CWNf:R�OP'-RA."17.2�y/ 1 <br />1 ELITE IV CONTRACTORS INC. <br />209 462-6337--"---i <br />I: 1 CONTRACTOR -, DRESS 2535 WIGWAM DRIVE G LIC : 6 6 0 01 6 <br />T I — A, C, 10 , HA t <br />R 1 L3LSURFl2 I� f!' 1 a+ORX_CCY7P_3 <br />f CUY 046-008761 i <br />C L^.'t{ER ItTr O:t A'i30N I <br />O1 <br />R 1 PHONE 9 1 <br />I <br />+[a•lrtttt+rrr+•er+a.tl[aa PHONE 3 I <br />L(1[ <br />SIZE Ch'FjSZC�ILS SIT)RfD CURREH•IyY/PQE�/IOUSLZ DATE Ur 23LSTALLFD t <br />I 1 <br />j 39- <br />I-- i <br />I I <br />--{fill Y(11IIIIIIIIII(IIfIillil(IIfI(3I1(lllltlllllti (If1tI[1lIIIIII(1IIl1I((111111II1(llilllil(I111I!(iii11{1liflilitr(liItl� <br />A"PROVEDNr7}; (MDT'rJ� .$ .....-._ DIf1A1-'R?v� p <br />Ai <br />1A o <br />�v DATE ^_ i <br />v nAx arvlr+Ezti .,AxE <br />�(12fiIII fill III fill Tilifii iif II ti ililtl(iI(llil{ii(llffi(IIIIIIIiillf(Iitiillifttlff 1(III1f1111 1 If3illii <br />a2�WC]uJrHU-- 2£RFORH ALL VORX _R ACCCRDAv<= ::I =sx SAN JpAO+1iK CrnrPZ 02DL<ATTI' s: STATE LF.vS. lAD .2UEzS at0 2£GZ7CJt]ZOtiS 0; tl <br />i <br />:,>_V JO.,,OarX 1=x7tTX-Y PUBLIC MAL_ S.:LVICs_ C=1=Y oR LI@05r3J ACIX"S S;:'S JRE C�XrXFTES THE FOL:OVING- 'I Mtr-fY 'r}aAT <br />".� . ;jEQE=pRtiAr['.=: OF "1TrF CORK FO�t :r}CZQi THIS ?_ =12T TS LSI7ED. I s.aU_ NGT cZmpLo7 ANY P5RSOK rt STia; A. --Awam AS TO a£COn£ t <br />_;:P_t IEC7 TO uO,:;��'S CO"IfEXSAIZO; LAWS OF CAL=-ONrIA_1 COKSRACTOrs HIR: `aG OR S0Bc0N'rQAGTSMG SIGxA=URE CESIZFzFS TZE FOLLouTi:C_1 <br />-I ':!jzIIEY T`;^- Iii TTi!. YERFOPPT;-ICE OF ITiE VGL': 709 uHxcjj THIS PE21a IS ISSUED„ r SHALL ErJPIAY <br />OF. CFS SVdJEC2 vOR]�R•S 1 <br />':SCi.ATZON .AVS II ` <br />U <br />-- a <br />13 iLLDrG INF 0 --`t-LAT'I0'4: <br />:Y:nd.ic-te thee responsib? e party to be billed for additional PHS-E13D staff time expended beyond <br />r;>E:Tnit payTnemt coverage per tan3c_ If the party designated below is different than the pe--n'.t <br />Katnpjicant, e _ g_ property owner, tze party must acknowledge this responsibility for the billing <br />i SjgrtatU:: e and date below. <br />36,3j- 4"quuu�)Dto <br />Nail ph <br />address f e <br />_ /%' ' onnumber � _ <br />dv <br />-S —gnature <br />1 <br />mi <br />23--o036C� <br />3� y1 <br />�� <br />