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77-1690
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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77-1690
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Last modified
5/21/2019 10:08:24 PM
Creation date
12/1/2017 2:20:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
77-1690
STREET_NUMBER
4866
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
SITE_LOCATION
4866 E WOODBRIDGE RD
RECEIVED_DATE
12/14/1977
P_LOCATION
PAUL BAUMBACH
Supplemental fields
FilePath
\MIGRATIONS\W\WOODBRIDGE\4866\77-1690.PDF
QuestysFileName
77-1690
QuestysRecordID
1992080
QuestysRecordType
12
Tags
EHD - Public
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" I certify that in the performance of the wort- for which this permit <br /> is issued, I shat) not emplol any person in any memner so as to become <br /> subject to the worlmen's comp, msation lags of California." <br /> If, after making suoh cmificate, the applicant for the permit should <br /> become subject to the workerr.'s compenmVion pro isions of this code, he <br /> shall forthwith comply with :fie provisions of Section 3700 or his permit <br /> shall be deemed,revoked. " <br /> Subcontractors must AS, file or have on file a certificate of insurance <br /> as provided .for in Sectio "100 above. n <br /> Company ��� L.. �J Tate <br /> Signature _.��?` .-- Title <br /> t <br />
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