HomeMy WebLinkAbout29135 RIVERSIDE DR_ 95-00001186 (2)29135 RIVERSIDE DR 95- 00001189
29135 RI 11)19 DA
95-
00001186
c tV of Lake Elsinoje]
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130 south n &Abl Scram
PEIRAU
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IF'`IO,q OF WME pIAl1€r pRRJ IT
cowazm MRr
5F 4w BR'Y I 212 V GRAHAM AVF-
3% VW KAkVAX SU 240 lA? .E ELSIAME CA 92530
BEV BEACH# CA 92660
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90TT9- 674 -I #46
E%p 0100/00
Lic
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377 -•050 -067 5
OAIRA= SQ FT 0
ASH . . . FARE SPRMR .
claffis,150=1cm . - = Z;m . . . . . . PIA
FAWAMOR _
T UNIT C-
BAiISE FEE
1.00 x 22-0000 BUILDIM
Em SUNIARY (A S
PTINK ff FEE'S
1w"
52 00
SOTS. 52.09
S"pw YA][. UfYMS & CONDITIONS
commEcy TO SIC 'S pjm
IFILLING TAM)
ITM CHARGE
30yC0
22.00
00 52.00
00 52-00
k eAeltoL: ODM
moo
City of Lake MsInom
Building Safety Division
PCrt in amVialoLls pl,aoL.
021 the jcb
You must fufnisl, PERMIT NUMBER
and the JOB ADDRESS for each
respective Inspection:
Ar,proved plans must be on job
at ail tifries:
Stssi
Slab I
Via._ -
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s._,,,,•y+r - ?•- - - .-- -.o.'^`;?
Please Plead and IntUaE
I. b am U--d under the proNstarrs od8ttstrtess and b'toksataital
Code Socth n 7000 rl seq. and " ti fs iiii tied faro.
2. i. a owner o( the pmparry, or my ettfpipya syr /who er their so*
Coaspeuatl n wi/ do the work and 'the nUudute is not vltesded or
offered far sals,
8. 1. as owner or the pruperty. an mdt wftl;, cesufactinftwith licenmd
ecrttrsetors to construct the pnMaLy
1 haveace" cateofconsentto8drinsuteorscert0cstoofWo *crs
Compen"Iton insurance or a certified Copp thereof,
5. 1 dudi not employ any person in any manner so as to become subjectr
to Workers Coompensation laws in the performart v of die work for
which this permit is Issued.
NOW If you should become subject to Workers Compensation after
making this cer"mcs on, you must forthwith comply with such pro-
vtslons or this permit shall be deenxd revoked
PM Final rlumbirtr tr -- - -- —
EUS, F-oral EisevW
W" Fnsi Macltanita
Pool & Spa AMovals Data tnapecux
P06t I Pool fhun, rar
a , P*+-Gunds
ELLS I Aomo feat FIKInc
Deftartrn. r l Approval required prior w Cie
leading being released by the City
dw
ROLL -LIN
ROOTER SERVICE
674 -3373
2712
KEEP THIS SLIP
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KEEP THIS SLIP
ER 1 HTB.Y pU dtwM w M01g waF •blfi b GR+CM !10b
Etsino tie nra.
dwaW V016 cnb a aawW IV* "0 a7o+ dbs:1 urd.s _ -
tsov+r'tkb.YfanlO l.gk
x'346457 .rites:.
Ro. Box 859 + 113980 Lakeshore Drive _
Lak Binore, Califomla 92531 -0959 CUMwaowuc
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WATER ON JOB AT :USTOMER'S RECIUESi (SAL CONDITIONS OF DELIVERY
dal: cos sm when ttucic eir fves at ja>aaEte. Om0-
I
iNATF.i ADDED TO THIS LOAD BY AUTHORITY nF— - -- 5 minutes per- yard.will be
ADDMNAL WATER ADDED TO THIS t;ONCRETE, WILL
IS
TImO In excess )f ailoweble
at prmv8Mng.r0f-
j+ D fCsr IT'S STRENGTH. ANY, WATER -ADDED AT
i;U3TE?AutER'8 RISK.
a:d coraaa
REA%W FOR DELAY nME
Slow r19Bitt c> CAUMa: oWl MbW onnint, n- ow. wow or May couw aadn r• -
YO WM patois and wuh Wn W*N aoor *in w*W. if V Mmt ("no'"'
a.im.nr
0 ,fob not ready 0 Adding water plad ,
Tacit btdoi IC iAVrF G Ar&W Jots earlyr .lob broke sow
Irrrl sy .na +ssM whh wstur aa+0 oK D vl medicw i
PLmr TiCI i prt a Taxtcic • Lom SL2E
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APPLICATION FOR
VIA_ AL
PERMIT
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City of Lake Elsinore
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