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062-760-015
elf --' � -J '�".. ^ ... Jif ... � ...,_. � Y!) � � - ♦ v' •` 7 i r fa — t CHARLES FUSARO NIS pri rd, just before Boys Ranch ;Rd , - app 1000'S Bald Rock Rd , --Ber Creek; Permit#1967-80E(power pole for we & future --sons tru ion� 1.. 0 /:1 J4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 • ' APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 11 Date// �� �' 9-v Signature of Permitee or Agent Receipt No. .374 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 which fees have been paid. jILC_T F PU-14 B IC WORKS / 14 Z"Zy Date ` Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address �j Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Adress JJ/ MOW Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE (f PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. .r.� /.r r� Q �� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 �P. "No. Fees Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration rel p 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Parcel A rove_ Plans Approval Lawn sprinkler system 2.00 NEW J4 ADDITION UTILITIESZ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 d© 0 Main service 600V OR LESS 100 AMP OR LESS 5.00 9� Single Family Duplex F] Mobil Home Others Main service EA. ADD•L loo AMP 2.50 , f� (/� J OVER Main service ER s 25.00 OV AMP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. Y) 20sgft 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 le of: NEW .CONST BRANCH CRESID. BRANCH CI T NONRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES) g L2; Ex. OCCU FIXED APPLNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 �® 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. 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 the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 11 Date// �� �' 9-v Signature of Permitee or Agent Receipt No. .374 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 which fees have been paid. jILC_T F PU-14 B IC WORKS / 14 Z"Zy Date ` Building permit expires Date