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.a�FLPC.aT:.aa :�Mi crz.7sRLTco•.n.� :;.deK R<-IR®B aT, ce PYY;a+G zsPAzsc Pe:r„xT <br /> '3YS ?L;zm: X=:F£S 90 DAYS F::" Tlr:s�' APPROV;,'_ JA—_ DO -Oo;r -?Z v AN suxA;-D ARzAS_ Y.�TJ:G:f PERY.IT„Pf 1=iA�: <br /> P:P2:C REPAIR <br /> �RO,TECT CON'IAC" <br /> 20_� -.--- 9 461 -6337 <br /> PHONE <br /> -71 <br /> 1 <br /> 2 <br /> ? 1 OdrPzER/oPOa �1 <br /> PHOT 9 <br /> a r ITE NTRACTORS, INC. <br /> - - <br /> 209 462-6337 1 <br /> V CCarrRAC-MR ADDRESS 2 3 5 W GWAM DRIVE J CA LIC x 6 6 0 01 6 <br /> � <br /> -r I — A,C, 10,HAZ t <br /> YNSORFR "ORK-comp-' 046-008761 <br /> C OrKER X:M,�ATZOX <br /> J i <br /> of <br /> R � PHONE $ i <br /> [[[[[s aR[ida•it4f•i[[[[[it Teaa�i PHONE' - 2 <br /> 1lEii►t EA[tl tEaRatt aEAEll lilEi <br /> LD & a� T�\; SZZE Ch"fxZCaLS SIbRED CyJRR.Ei+rLr/P2Ev1ouSLr DATE Us: iKs-rAi r rn ; <br /> --�1110 Y fIIfill II(IIIIIli iflilfit11311EfillitftlEEIfIIlfittilEEIINiEf111 11111111111111111111111111111111EtlflbfllIlltltllIttf <br /> -- <br /> APPROVED A.PPROVM� _ "Mcn•mr,'-nm csP DssAPaRoVED '- <br /> ";.. <br /> I <br /> DATE t <br /> iiJIEIIII fill 1111[if IiTIIIIfIIEtliilliftllEtltEfEfitlEEItlltlfIiiltlElEtEIEIIIIIIfEit(illtt((1flIE1IEEEEIIiillil;t(i(IlEitttEtl <br /> 1 <br /> A.7?4.ICANI' riV. ?ERFORtf ALL i[ORX .N ACCORDAvcz: wZ:'T{SAN.BOAQcIZx r rz 02D'LNAXCES STATL Labs. A2�T ROY.�S axD 2FC.3rJ1TZOifiS d>c i <br /> 1 <br /> SA?P.�AC)OYN CD[3'ial'Y ?t78LZC HF1L.3 ScZLVYGT.S_ C-\=R OR LYCEXSFD ACYM'S SZG..NAT, E C�'dZYFiES THE Fp:::AvING= 'z C`Rg-Y,F'g THAT <br /> TSS rr-ZFOPUI7 C72= OF TYE UORK FO? .nacH THIS 2=z:1TT is =fA; . I SPOIL NCT zmmor ANY P_R$ox rx ST.CS A-MANNER AS 70 BECOec£ <br /> TO O�C LAWS OF ULI-ORtrl a,_' CONTRACTOR'S NZR_VG OR S1MCOKI_¢AGTZ7aG SZGva=UR£C<XiI FIFS TZE FOLIIWZI<"_ <br /> t:tzYIFY T•..;::. Lv 711 'fR -ICE OIF THE "GR=: FOR U=CE:'XZs P{Fr7IIs :.»IPED- I HALLEPSP Nd3ECI.O StORTOZi•S I <br /> f <br /> a <br /> Xr2dicate .therespo'asib?e party to be billed" for additional PHS-Em staff time e.Tended beyond <br /> E=mit payment-- coverage per to ok- If the party designated below is diffezent than the permit <br /> .y,ppli,c.aat, e_g_ property owner, z.e party must acknowledge this responsibility for the billing <br /> by si lat=e d date below, <br /> /- <br /> ame <br /> C snature_ JL <br /> 5E�i:fi 23-0038 <br />