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STATE OF C"MCWM <br /> 00%"&Wft OF WCUnIEW MILATUDM N?— 557809 <br /> otvMC" CW oocu PATKMM SNWff AM IWAL t <br /> PERMIT <br /> Permit hamd To <br /> (Heart bnOwcr's Name, Addrma and Tolephane No.) Nio. <br />' [—IT Corporation paw 12/23/93 <br /> 2355 Main Street Ste. 100 Region 3 <br /> L:Irvine. CA 92714 <br /> (714) 660-5363 District_ 5 <br /> Tel.3pl 5I6.373Q,-....- <br /> 1) <br /> Type of permit AJVRDAL SCAFFOLDING <br /> Pursuant to labor <br /> Code Sections 6500 and 650 , oris Psrnnit is issued to fire - <br /> employer for the projects descn'bed below. <br />' saw c.O.e.r. .4 dw <br />' 137422 December 31. 1994 <br /> Scaffolding Various Statewide 1/1/96 12/31/96 <br /> 'IEE IIP PRQQVTI'!'BD F01R S PERlIIT IS J3Y FniR P <br /> Y rT <br /> PURPLES ONLY. ALTBOUC U IT AD TDB P POIJIR'S IRED, FAI <br /> ?t7 IJ�IPLtD1P.lIR' T1' OR ASQ7RE ITS , MA RESMT IJV CITA77(W. ' <br /> THE APPROPRIATZr DISTRICT OFFICE BE 1VD1'IFI IJV i►RTlIJV OF LCCA77ON <br /> t1F JOB SITE PRIOR TD <br />' Fisk Pm--mr is irwd up-of dw fW%W g dkti@-m <br /> Z. That the work is periorned by the sane employer. if tial is an annwl permit the <br /> appropriate <br /> District Offim shall be notified, in wrIM9, of dates and location of job silo prior to <br /> commencemmL <br /> 2. That empioy+sr vAl comply with all OCCUF U safety heath <br /> standards or orders <br /> piicable b the aboere projects, and any other lawful ordes of the Division, up- <br />' 3. That if a y umforeseen condition cases d"O"On frarn the pian or Wakw mh contained in <br /> Om Permit Application Form the employer vw'll notify the Division imn , <br /> 4. Any variation frann the speafiootion and assertion of the permit Application Foran or violation <br />' of safety orders nay be cause to rwvoke tine perm <br /> ft 14F A 11 AC S. This it:#roll be p at or near each piaci ofFrrnpioymerrt as provided in 8 G[ 34 .4. <br /> B <br /> rM+or <br /> *AUMM Daft <br /> ' Cho* 100.00 12 23 "W as <br /> -.�*�a...,�.....,., .. Appy by c <br /> �.. aw <br />