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San Joaquin County Environmental Health Department <br />WELL & BORING PERMIT APPLICATION SUPPLEMENTAL <br />JOB ADDRESS: r7 YI Cl 1�1� I L I I� ��, PERMIT SR # <br />LICENSED CONTRACTORS DECLARATION (LCD) <br />I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of <br />Division 3 of the California Business and Professions Code and my license is in full force and effect. <br />License #: 720504 <br />Date: fllzT:h nth, 2015 <br />Signature: <br />Print Name: <br />Exp Date: 4/302016 <br />contractor: K- v Dr l mg <br />J �p <br />V Title: <br />r"l� i�-"ZI <br />1A1n0llC0Q5 rnnn0I=PJC 1TInAl r1Crl ADATIn Al <br />I hereby affirm under penalty of perjury one of the following declarations: (check one) <br />I have and will maintain a certificate of consent to self -insure for workers' compensation, as <br />provided for by Section 3700 of the Labor Code, for the performance of the work for which this <br />permit is issued. <br />f\ I have and will maintain workers' compensation insurance, as required by Section 3700 of the <br />Labor Code, for the performance of the work for which this permit is issued. My workers' <br />compensation insur ce carrier and policy numbers are: <br />Carrier: I( \ I i Policy Number: <br />I certify that in the performance of the work for which this permit is issued, i shall not employ any <br />person in any manner so as to become subject to the workers' compensation law of California, <br />and agree that if I should become subject to workers' compensation provisions of Section;377 of <br />the Labor Code, I shall forthwith comply with those provisions. I <br />Exp. Date: ��7 Signature: <br />Print Name:i�l.� <br />WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO <br />CRIMINAL PENALTIES AND CIVIL FINES UP TO $100,000, IN ADDITION TO THE COST OF COMPENSATION, INTEREST, <br />ATTORNEY'S FEES, AND DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. <br />ATOF IZATION FO OTHER THAN C-57 SIGNING PERMIT APPLICATION <br />ti <br />�T l i i 11V -k (signature of C-57 licensed authorized representative), <br />hereby authorize print name) 11 ugHeara to sign this San Joaquin County Well & Boring Permit <br />Application on my behalf. I understand this authorization is valid for one year and is limited to the work <br />plan dated on the front page of this application. <br />EHD 29-01 05/09/12 WELL PERMIT APP <br />