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VLAI rir —14 WO'-Lvrl'I W—LU.UUMMUNIIT—DEV, <br />P.2/2 <br />SAN JOAQUIN CC <br />DEPARTMENT OF MNINO AND BUILDING INSPECTION <br />�+ ' :, 416 E. HAMTON AVE. STOCKTON. CA 93203 CHET DAV1390N <br />PLAN"1140 PHONE: 20914<A•3120 W44W <br />9UILOING PHONE: 2091 R-4123 JERRY HBHRICx <br />N60HBORHOOO AAESeAVATION PHONE: 290146a-3021 E.lak DY"w <br />CERTIFICATION OF CONTRACTOR REGZ$TRATION .IACx34rr <br />oafmy tlkwor <br />TOM WALKE4 <br />Doom" 101chr <br />Ramcon Engineering & Environmental Contracting, Inc. <br />Name of L c$a$ee; (As Reg stere <br />With State) <br />3751 Commerce Drive <br />West Sacramento, Ca 95691 <br />CE1ty-7StM72jp Code <br />INFORMATION IS <br />St4te Lioense Not 510034 <br />Also Doinq Business; As ( ODA) <br />(As Registered with the State) <br />A dress ity/State/zip co a (2? <br />(916) 372-7535_ <br />Te ephone Number - -- <br />YOUR COUNTY CONTRA <br />Expiration: 9-30-95 �. <br />Contractor Class: primary A Supplemental: Haz <br />XXX I have Workers' Compensation insurance coverage in compliance <br />with CaliforniA Labor Code, Section 3800. (Your agent must <br />furnish annually.) <br />I do not hire employees, so no Workers' Compensation coverage is <br />required. <br />In accordance with Section 3800, California Labor Code, no permit will, be <br />issued unless there is in our files proof of current Contractor's License <br />And Workers' Compensatign Cc-verag$ The insured on the Certificate must be <br />identical to ycgr business name as registered with the State, <br />' Jury 29, 1994 <br />0wner Re3apcns%bie Managing plI S gnature pate -- - <br />Michael S. Ramos / president <br />Name I yped or Printed) <br />PERSONS AUTHORIZOp TO SIGN PERMIT APPLICATIONS: <br />/� A / c c <br />/`4l �L�__. Julie L Ramos/Secretary-Treasurer <br />Sz—Tall tura print Name and --Title <br />Signature <br />signature — <br />gns, ure <br />Tr—int Nome and Titla <br />Print Names! andT).t. e <br />Print am aA idle <br />