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01 / 12/ 2005 15 : 05 20946587 SPECTRUM EXPLAR ION PAGE 02
<br /> Jvn Anuurss• T ' ..`LSJ � 1 "', ' l 'P�. � anoani;:
<br /> LIOWSED CONTI(AC£ORS Durr ARATION
<br /> T hereby aJiltm that I am licensed ,utdor fhcpiavl5loea oYClnhptcr p (eanrylloneinr with Secd❑n 70170) eYAlvlal17„ 9 ofihr. 73aainens
<br /> and M. ttssloaa Code and my license in in ,Full force need tninat.
<br /> Liccnan l3 . SI 2: 24F Y Expirntlor. bore 1V&L26T rj
<br /> Dote _J-JJAJ 0 5 Contractor��}�
<br /> OVNNLR-13U11LA�R DECI,AIe.ATIpN
<br /> I hctcby effirm tlmt t em ox&trept from the Corstreetor's Liccnge Low for the fohohving Mellen (Geeue❑ 71391 ,5, gRaines's wind
<br /> Pt01moom Code; Any aity or county which mqulret a pomdt to cons Wet, alae, imprwe, dr %Iohah, ❑r mpnir any strun vo, priorte
<br /> its L•;aunnce, alpn xoquirea tiw applidant •for such permit to file a sigh¢d ntmcmene that he 1 licensed purwutt to the piuvjsions of tho
<br /> Cool.hrtor'S Liccnso Law (Clhaptar 9 ( ororrmneing Kith Secdan 70D0) of Divinioa 3 of thr 40skinmss; and.Peniletions I;.bilc) or that ho
<br /> i+; exempt het^`hom and the bath for tha alleged oxetaption. Any vlolatlon of 5==uon 1031.5 by any nppllennt for n ;pnnnit sub)ects
<br /> der. upllumilt to a aR•il penalty ornot mora thin five hundred dollhta (3sn0));
<br /> d t. is owner of them property, or my employees wird wages ns their into compensation, will do Jhc worlt, uud Illy .al uclum to oar
<br /> In'rndod or offered Tor polo (Section 7044, tualness and pro£oaeians Codc. Tim C❑nhach)r`I t..icense Law dean not apply io no owntcpr
<br /> Of prnperiy *1117 builds m improves thoreole, Will who does such yolk himaulf M 1hropgh Ilia ow•n elnployeoq, provided that such
<br /> I+nprovr,ncnts me nut intended or offered or tulc It, however, the buitthi a or cnptovrhrnnt i3 sold whicin one. year of uor itaoinn,
<br /> lilt bw'ht"llilder Will have the berddn ofptoving that tie did not build arimprovc for the Pdrpaso of 13210.)
<br /> ❑ it as owner or the proper•, am exclusively controlling vwidh licensed contractors to cotimruct. the prolor,t (Section "041, aul;amzi
<br /> and l'lr OSS1aaa Code (ftFC): Thu Colnncgmr's Uecnselmy docs not upptylo rmowpar errprcpadywho bulldn of iropmvrs hereon,
<br /> cold who conci.arts Jbr Mich prolemb with n eontrnetnr(s) licodsed pnrauyft to dip ContxcteNa License I-;tu•.)
<br /> Cllam exampthnder 5ecdnn _, , }IgcPC tarth(a orogen
<br /> W0ltJ S' COMF$rf9ATION DWLAR,AVON
<br /> I hitshy ,F(;ern that I have a nertlf1eatd ofcvnsent fo srJf-insure, ora cruti£ic ive of Workers' Colapr-ngarimt insunmce, or n ne t;Aed
<br /> ropy thoteef(Section -3800, Lubar Code) r7T � �� �
<br /> F%pJrnttod DatBA�=5L ComwmS' }�trbE-Ids l.1t11 (JYI��'11�. M%W.. maw
<br /> T3 CoCJSad copy Is hereby flhmislrod
<br /> yi cartlficd copy k liked with t6c8uv,lroetnenttd I•IedNh Department
<br /> CERTf.FTCATE OF EX7AOWTSON FROM WOAKERS' COn:IPPA5ATION TV511FRiLVCE
<br /> allir. n_cyylg-need t c cnlsLpl if the In { e tat ellen 00 r Ir.),
<br /> I &oddly tbat it the poriermance crtha wailt ibrwhicB Lisa pchtlit h lasacd, i shod not emple-V nm• petaan to any manner .bl os t❑
<br /> becaran aabjectfo the roYorknra• compensation .LnWs crUlfobi
<br /> Appilrnrnt
<br /> 11+n'1XE 10 APFLICANT: If, after toale:ng this Certificate of Exemption, YOU aitould hrc+wc aahject to iiia: Worlcors'
<br /> Cnrrrpan.nitMr provislvas afth¢ .Lehor Codq yaurriugl lSrthwith comply with mtchlemVia(ons of mit parma shall br dearrse d tavohcrh
<br /> CONSTRL CTJON LFo mmi; A.S:.ICN'CY
<br /> I hctaby uf(innthnt there +0 a Conattucdon Jendiog agency forth& perroonnnee ❑£the .,erk tar rvtt3clxthis pcmnit is issued (5acdan
<br /> 3007, CIA Code),
<br /> J•❑ndpr'h Namo _
<br /> LtndeC A¢ddroail _—
<br /> OTVISION OF MU44TRIAL SAUTY F6FWAT CERTICA.TIQN
<br /> 13 I hereby certily tint no ex+xivntion Live (5) or maty fiat in depth into wldelr ,x launch is icgaired to dcscand, will bo made in
<br /> nor ruclirgn with wdtk aathrni; -d by the perbllt, and that no bidldiog struehvo. Setdfalding, fnlgnwork, or dcmnlithm or dismantling
<br /> ihorcof, toil l he more than thirty-six (30 :feat high. (Choler 3.2, C;mv p 2, "CIO ), Scclion 3RIlr Title a, 4 iibmia Adr, dnlrmrauve
<br /> Code)
<br /> ❑ As vwncrvbuilder•, I will net employ anyone to d0 work which would M110iro u permit &am the. Division oTladolirial Snfary. as
<br /> noted above, obJrna cuchpbraenhm u permitto do auchworkfrom the dlvidiou.
<br /> EJ Divlcsoa ufIliduandat Su" Fomuto
<br /> I caul ry tint l have me() I:hia application and store that the nbwb mei Son is ten-cat. T agtec m comply 09th tut city and county
<br /> mlluty Owe),
<br /> prate lowaralttt;dg fo wall conatnycdfo anspetolep ayS ca,rslructlon, and Jen by ouhrurlce mpmsdnmtivesnfuda
<br /> ccuaty to cuter upon t e above-mctjtjonet prapq•ry for lriapcctloh purposes.
<br /> Drain l eZ
<br /> SFI❑ d3.aylm7
<br /> 3RCFt� $grR
<br /> .vurZao:
<br /> OPERATIONS MRNr;GER uten;se❑ cprlr,:nconsn;rxnn,�r,or+ ,
<br /> w ' d SZ9 . ON O��OY - ET ' Nur
<br /> '3 '1 31"IQy�a1 Idol^f=. : �. S00c', '
<br />
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