3070 E CEENA CT (10) Permit Types
BLD l ELE MEC PLM
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Ppxrnit Number: BLD2013-04553 ,1 ;!,
Issued: 02/03/2014 CITY s�rJ JMNAHEIM
INSPECTION REQUEST LINE. B
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(714)765-4626 200 S:�idaffEIMBLVD.
Quarter Section:139 (714)765-5153
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Permit Number: BLD2013-04553
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued
(Sec.3097.Civ.C):
Lender's Name:
Lender's Address:
LICENSED CONTRACTORS DECLARATION:
I hereby affirm under the penalty of perjury that I am licensed under provisions of chapter 9(commencing with Section 7000)of Division 3 of the
Business an,, Professions Code,and my license is in full force and effect. 22
2 - 3 — /
Co , . or Signature Date
NUMBER EXPIRATION DATE LICENSE TYPE(S)
876765 4/30/2014 B
The permit shall expire by limitation and become null and void if the building or work has not passed final inspection 365 days from the date of
permit issuance. A new permit Is required to commence or continue work.
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