HomeMy WebLinkAbout030-200-034ice^
- 30-20-34-
_ 'EDWARDS,_.Dale °
1147 -Wonder Lane, Oroville
'Permi #932=76P' (bld sew. inst
030-200-034 011-1765
EDWARDS, DALE ,F f\c,& -
i
1147 WONDER LN. OROVILLE
CONT: TMI INC
RE ROOF
I
FA-
i {, ..TG-. .,
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_ \. ` �+,� ria=.Jw"
ffr � ,
ENCROACHMENT PERMIT
COUNTY Of BUTTE DEPARTMENT Of PUBLIC WORKS
7 County Center Drive Oroville, CA 95965 Phone: (530) 538-7264 Fax: (530) 5384356"'
Download Forms: www.buitecountv.net/Dublicworks
NOTIFY COUNTY 24 HOURS BEFORE WORK IS70 BE DONE Permit Number Disk 6
Phone: (530) 538-7264
APPLICATION
I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and
highways, all in accordance with County ordinanR2§4nd general laws. All information except signature must b2 typed or legibly rinted.
1. Applicant's Name: 1 1 a. Company Name:
2. Address: ' �4 7 L O /-U l! i / J e ?-S'9 e-::,�
3. Phone:3 — �� �. 4. Assessor's Parcel Number.�'�
Y l f�.3
5. Location of Work to be Done:Oom �!
6. Applicant's Signature: / 7. Dale
y �-G
CONTRACTORS INFORMATION
8. Contractor's Name:
9. Address:
10. Phone: 11. Fax:
12. Contractor's Number. 13. Certificate of Insurance: Yes t Not
14. Contractor's Signature:
15. Authorized Agent:
TYP F WORK TO 13E DONE
16. Please Check: Curb: eS Gutter: Jol Sidewalk: e
17. Driveway (List Type): �l ce e l r
8. Other:
PERMIT GRANTED
In compliance with the above request, and subject to all terms, conditions (including those printed on the back of this form) and special conditions written
below, permission1s hereby ranted.
19. Conditions C Pe11'72Q G A e
i
r
Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600
20. • k All work shall conform to accompanying: Detail X Plans es Special Conditions .es
21. Date Issued:. fie O 22. Expiration Date: -7//z v 23Surety: Yes No ff
Mike Crump, Director of Public Works By:
"Note: If.permits are faxed to any number besides (530)5384356, they can be delayed up V one week.
Page I of 2 General Conditions— See Page 2
Jp;jg34- - I
'030-200-034 .01-1765
EDWARDS, DALE
1147 WONDER LN. OROVILLE
CONT: TMI INC
RE ROOF,
I (; - LIA
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT ilk 1 • 116 5
/ASSSSE/S�S�ORR PARCEL NUMBER
030��-�3b
ZONING
-
BUILDING PERMIT
�OW�N�ER�+ y��,* �{�
DAU EDWA YAl7
T�EELryEEP•yHH�O��N��E��++���
SO. Ff. OCC. BUILDING VALUATION
.d1.7.7'�3545
EW Malo t1�i. OROiT= CA 95%5
.I 11020.W
i
/C�ONNTRRACTTOR SSNAME
ira'ii M
TELEPHONE
I�
589"1567
CONTRACTORS MAILING ADDRESS
29" HUM UIEIF CA 954656 —
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 1.020
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $1J 20.00
Permit Fee $ 27,0Q
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
sygDf,$ADDOIRESU4! � RUVI=
11114//
Energy Plan Checking Fee $
- \
$
PERMIT FEE $ 4?.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF o1 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as -water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work:
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W Q20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
1*11 LESS
Main Service 2o.00R R LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury 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.POWEPUS
License Class R Lic. No. _!{ /�
OWNER-BUILDER DECLARATION
I hereby affirm -under penalty of perjury that I am exempt from the Contractors License I
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
x7 I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' comQensafi, insurance carrier and policy number are:
Carrier 5 7A' Jj" ��s !
Policy Number / ,� -7 ,2.
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that 0 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X .yr �� / r ,. Date ( _
C,�/�
Sig"nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
4n'OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. so
OR ADDNS. ( 6 ACC. BLDCS 3.5¢Fr,
OUTLETCIR97,50
NON•EW R61D. T.
8 SINGLER A.MTC..OtlTPA
Ex. Occup. OUTLET OR FIXTURES BA2L �' 00
L ® .SO
Ex. Occup..OSS (RRES D,oEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring , 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ 14 q. 00
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
in 'cated ove for w ich fees have been paid.
% alot
ey/ Date f (1
PERMIT EXPIRES ON
Date' C
ReceiptNo. I
WHITE-D.D.S.-B.D. CANARY- SSESSC PM -INSPECTOR GOLDENROD -APPLICANT
' ` , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT D z - 1196 —05
ASSESSOR PARCEL NUMBER
030-200-034
ZONING
-
BUILDING PERMIT
OWNER
DALE EDWA,RDS
TELEPHONE
533-3545
SQ. FT. OCC. BUILDING VALUATION
17 1,020.00
OWNERS MMUNG ADDRESS
1147 WONDER LN. OROVILLE CA 95965
CONTRACTOR'S NAME
'IMI INC.
TELEPHONE
589-1529
CONTRACTORS MAILING ADDRESS
29
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 1 020. QQ
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$V 20.00
Permit Fee
$ 27.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
1147 WONDER LN. OROVILLE
Energy Plan Checking Fee
$
PERMIT FEE
$ 47.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 11 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR
Describe Work: RE -ROOF W/ QMF_
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
Q20.00
PERMIT FEE
t
ELECTRICAL PERMIT
Fling Fee 20.00
LE
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury 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.
License Class A Lic. No. 2, � !��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING ffUP.
OR ADDNS. ( a ACC. stns.
SO
3.5QFT;
No Es MULTI -OUTLET
97.50
PowER APPARATUS
8 SINGLE OUTLET CIR.
Occup.OUTLET OR FIXTURES
@ 1 00
BAL @ •50
Ex. Occup.DPUTLEEDTS RESIp.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' com ensation insuranceyarrier and policy number are:
Carrier � %jf' a deaf %
Policy Number /7 -4"2 �;Z !V
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comty with those visi r
X Date % �� ^ p L
ature of Applicant - ❑ wrier ❑ Contractor ❑ Agent
A OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FET= S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ "17100
�HZ-
D. FEES IMP
I FLOOD
I CDF
PARCEL
I pD
I HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
in 'cated ve for w ich fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
%
Date t (�
D a
Receipt No. % —
WHITE-D.D.S.-B.D. CANARY -ASS OR P K -INSPECTOR GOLDENROD -APPLICANT
a.vvn I T vr esu I 111-- - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev. 125#6)
APPLICATION-AND`PERMIT PERMIT NO.
AtlE!lORPARCEL NUMBER
C/ — 5 mNNO BUILDING PERMIT
DWNER
/,JA -72- S rl:� SO. FT. I OCC. BUILDING vel 1 uT...
*PERMIT FEE PAID
SRA
SHERIFF
OTHER
AMOVNT RECEIVED
s
- 4�7 ----
*RECEIPT NUMBER 5LW-791-
* TO k PVT INTO COMPUTER
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
6.50
PERMIT FEP S
Mobile Home Installation Fee S
Energy Inspection Fee S
1 occ corer. irPQ TOTAL FEE _
I►Q• O. FEES IMP FLOOD COP PARCEL I PO ND I ISSUE
This permit is hereby Issued under the applicable provisions
Of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
Date
Fireplace
COMTRUCTION LENDER
LENDER'S MAILING ADORES! ,
Total Valuation E
Filing Fee
Permit Fee
Plan CheckingFee
Energy Plan Checking Fee
S
S
S
$
$
20.00
.�
ARCHITECT OR ENOINEER
LxENse No.
ARCHITECT OR ENOSNIEER'S ""AR'NO AD
a„ILONG„mRmy //
1( 7 �/ �2
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAM
PARCEL NAP
PLUMBING PERMIT
Fling ee 20.00
USEOFSTRUCTURE
SFO Duplex O Mobllehome ❑ Other
SPECIFY
Each Trap7.00
Solar or hent um water heater
23.00
Water piping
15.00
TYPE OF WORK
New ❑ Addition O Remodel O udows O Insta9ation O
Describe Work: Kms- /LQO
Other ❑
Each gas water heater or vent
15.00
Gas I fn stem 1 - 5 outlets
15.00Building
sewer
15.00
Mobile Home I S G W
Q20.00
PERMIT FEE
t
ELECTRICAL PERMIT
Fee 20.00
- — — -----
'
• •
1
i
1
•
-Filing
Main Service "oR LEss
200A OR LESS
Main Service 200A TO 1000A
23.00
48.00
NEW CONST.
OR ADONS. O a ACC, OLDS. s P.
3.52'0.
kEW CONST.
NON-RESID. MULTI -OUTLET
07.50
POWER APPARATLJ!
A s*#QLE OunEr dR.
EX. Occup. ovn r OR FTRTURm
200 1.00
SAL 0 W
EX. OCCU FUZO APPLNs' oR
ovrtETs ESID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
*PERMIT FEE PAID
SRA
SHERIFF
OTHER
AMOVNT RECEIVED
s
- 4�7 ----
*RECEIPT NUMBER 5LW-791-
* TO k PVT INTO COMPUTER
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
6.50
PERMIT FEP S
Mobile Home Installation Fee S
Energy Inspection Fee S
1 occ corer. irPQ TOTAL FEE _
I►Q• O. FEES IMP FLOOD COP PARCEL I PO ND I ISSUE
This permit is hereby Issued under the applicable provisions
Of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
Date
s
r
i• ARMIT NO. 932-76P
r
PERMIT EXPIRES 3
OWNER EDWARDS, Dale
t
`owner
CONTR.
LOCATION (A.P. 30-20-34
s 1147 Wonder Lane, Oroville
a
Temp. Power Pole
Called PG&E _
Temp. Elec. Ser"..
Calle G&.E _
Temp. as Serv. _
alled PG&E _
JOB
FINALED
(Date) '
(Signature)
THERMALITO IRRfGATJON DISTRICT F
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
1 M�
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: � t %-A 7 A)o N) s) e P— L-A, roE�
Owner's Name: )A. I-- E, E5P LOA 14-0 S
t
Date: 1 " -/
Address: N1114-7 Q ) 0W Qr---''--�»�
Acct. No: �- ?7-n
0P -E QA `"r1�599(nEi~
A.P.No.:
Phone: -63-3 " 25=1-�1
No. Units:
Applicant/Agent: �/
Agents Proof: t��A
Address:
Fees: f
Phone:
Application $
(,,./7 J�;
Arrearage
Preliminary Review By: i * l��_ 11n�t Date: "'� "�
CSA 26
Remarks:
SC -OR
r
1st mo. S.C.
Other !
Total Fees
Collected I
Date:
Field Review By: Date:
Remarks:
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
Date of TID approval of completed building sewer (early connection).
❑ 30 days after date above, or on date of D.P.W. approval of completed building
sewer, which ever comes
first ("existing construction", prior to Mar. 5, 1974).
❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION' RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1'st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of•ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footin s
Footing
ELECTRICAL
Masonry Walls
Throat
Reinf. Steel
Final
Bond Beam
FIRE SPRINKLERS
Framing
Test
Stucco
Final
Mesh
MECHANICAL
Scratch
Heating
Brown
Cooling
Finish
Ducts
Interior Lath
Ventilation
Door Closer
Final
DATE
REMARKS OR CORRECTIONS_
Motors
Water Htr.
Subpanels
Grd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
+
Telephone: 534-4541
APPLICATION AND PERMIT
93a�7
au u or—e rep eseniauves UI tiie uuuniy oT Butte to enter upon the
above-mentioned property for inspection purposes. -
�� r, �_ Date -3b/;7 `�'
Signature of Permltee or Agent { �
Receipt No. Z -1/: /17
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRE TOR OF PUBLIC WORKS
By —�- Date�`''�"
9' permit expires Date —RL 7 `%
BUILDING
Owner 0.4 445
SQ. FT. OCC.
BUILDING VALUATION
Mailing Address
Telephone No.
35 4S5
Fireplace
.-
Contractor W to
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE r $3.00 jr, p
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
t ` I
2a v l
Each gas water heater or vent 1.50
A. P. No. 3® "- a o " 3
Zoning a Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fiber'
1AW
"Ai-te'L11Qp
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $ , 6O
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
r
_
'll 01 SLESS 5.00
Main service 10000 AMP OR
Main service EA. ADD—L-200 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.0(]
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ACC. BLDGS. ) 2 ¢sq ft
NEW CONSTR. (MULTI -OUTLET
NON•REIID. % BRANCH CIRCUITS) 2.50ea
NEW CON ITR. POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) 50@�
BAL@ICOS
Ex. Occup.FIXED APPLNS. OR
(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 25
F-6.
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
d
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I'have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE Is
9 0E
au u or—e rep eseniauves UI tiie uuuniy oT Butte to enter upon the
above-mentioned property for inspection purposes. -
�� r, �_ Date -3b/;7 `�'
Signature of Permltee or Agent { �
Receipt No. Z -1/: /17
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRE TOR OF PUBLIC WORKS
By —�- Date�`''�"
9' permit expires Date —RL 7 `%