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doc12710 3de1ebee-8446-4444-afd8-56bde30044c5_Building_Permit_Application_August_2026-artifacted.pdf

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Page 1

92 item(s) JSON
figure (1) footer (4) form_field (49) header (4) heading (6) list (1) list_item (2) table (2) table_cell (16) text (7)
Page 1
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89 · FOOTER
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1 · FIGURE
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68 · HEADING
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75 · FOOTER
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            "text": "I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect."
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            "text": "I hereby affirm under penalty of perjury, one of the following declarations (SELECT ONE):"
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            "text": "WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES."
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            "text": "I certify that I have read this application and state that the above information is correct. I agree to comply with all City and State laws relating to the building construction and hereby authorize representatives of the City to enter upon the above-mentioned property for inspection purposes. I also understand that utilities will not be released until such times as all laws, codes and special conditions are completed and accepted by the City. By signing this application, I attest that the property owner has granted consent to apply for the permit and that the associated plans can be released to the property owner at any time."
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