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STATE OF CALIFORNIA <br /> DEPARTMENT OF INDUSTRIAL RELATIONS <br /> DIVISION OF OCCUPATIONAL SAFETY AND HEALTH NO: 2005-900287 <br /> PERMIT <br /> Permit Issued To <br /> (Insert Employer's Name, Address and Telephone No.) No. <br /> Date 12/10/2004 <br /> Paradiso Mechanical Inc Region 1 <br /> 2600 Williams St <br /> District 4 <br /> San Leandro CA 94577-3153 <br /> Tel. (510) 622-2916 <br /> (510)614-8390 <br /> Type of Permit T1-ANNUAL TRENCH/EXCAVATION ____—__---------------- <br /> Pursuant to Labor Code Sections 6500 and 6502,this Permit is issued to the above-named employer for the projects described below. <br /> Permit Valid through December 31, 2005 <br /> State Contractor's License Number 677909 <br /> Anticipated Dates <br /> Description of Project Location Address City and County Startin Com letion <br /> Statewide 1/1/2005 12/31/2005 <br /> Various or issue date <br /> whichever is <br /> later. <br /> This Permit is issued upon the following conditions: <br /> 1. That the work is performed by the same employer. if this is an annual permit the appropriate District Office shall <br /> be notified, in writing, of dates and location of job site prior to commencement. <br /> 2. The employer will comply <br /> under of occupational <br /> 3. <br /> and health standards or orders applicable to the above <br /> projects, and any he <br /> 3. That if any unforeseen condition causes deviation from the plans or statements contained in the Permit Application <br /> Form the employer will notify the Division immediately. <br /> 4. Any variation from the specification and assertions of the Permit Application Form or violation of safety orders may <br /> be cause to revoke the permit. <br /> 5. This permit shall be posted at or near each place of employment as provided in 8 CCR 341.4 <br /> ;Eric <br /> eived From Received By Investigated by <br /> Permit Unit 44317 <br /> ine Date <br /> V Montesano 2/13/2004 <br /> Cash Amount Date Approved by <br /> ® Check 44937 <br /> �(tl <br /> 00.00 <br /> 12/10/04 District Manager/Permit Unit Date <br />