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Home My WebLink About069-470-068AP EDWARD HEMSLEY 6Q- 47-68 219 Skyline Blvd., Oroville -con tr-;,--North-S-ierra_Cons t., -,Oro,. 16 .! Permit# f .'i611-7dDir,1; 1-iz�i M (new singles family) G4-47 -'(18 pq ` Permit#609-81P;E (so ar t tr heater) SF Jr !0' 069-470-068 PERMIT#95-38-- r HENSLEY, Ed 21 Hill Dr., Oroville Cont; .George Roofing Reroof./SF ((( ao E s r r i i 1 f s a 069-470-068" PERMIT#95-1538 HENSLEY, Ed 21 Hill Dr., Oroville Cont; George Roofing Reroof/SF 7/fo/rf'� r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5PERMIT NO. 38-75 APPLICATION AND PERMIT X ASSESSORPARCEL NUMB ZONING BUI ING PERMIT OWNER � TELEPHONE SO. FT. OCC. BUILDING VALUATION 2 OWNER'S MAILINGADDRESS1Z7A 9115-966 CONTRACTOR'S NAMETELEPHONE QrJ T n � 7-b� CONTRACTORI)MAILING ADDRESS + Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 23 aIt OR ENGINEER LICENSE NO. ti Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS r.. �_� r H InC PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 // USEOFSTRUCTURE SF C�Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other p/ ( j Describe Work: r f( i�f")'C Y t �.r t r L Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 i Main Service ( zoon OR mss ) 23.00 Main Service ( ;200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I 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 _. Lic. No. �C 2'Z (� OWNER -BUILDER DARATION� �L 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, p 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 NEW CONST. DWELLING OCCUR OR ( d ACC. BLDS. ) SO. 3.5¢ Fr. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( d POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.50 BAL so Ex. Occup. ( OUTLETSFIXED ( RES.) D EA) 5.00 Temporary Service 23.00 Mobile Home ,Facilities 20.00 Misc.-Wiring T— 23.00 ° PERMITFEE $ Contractor 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. ❑ 1 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' compensation insurance carrier and policy number are: Carrier' -f q Ftinh d MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 14q-- S`'-+!) 9 (The above sections need`not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I 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 comply with those provisions. X _Date �� Signatur f fop Ic-nf d�O ner Contactor 0. nt An OSHA permit is required for excavations 4 r 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ D HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been f P.r—L—.0 Date PERMITEXPIRESON G ( provisions to do work paid. '-7 y i �,'' - e) Receipt No. ��i WHITE-D.D.S. 6 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 11Y3 z PERMIT NO. APPLICATIORAND PERMIT _ ASSESSORPARCELNU BER _ �., • ZONING BUI NG PERMIT OWNERt fed TELEPHIC/ONE_ ps7 BX166 SO, FT, OCC. BUILDING LUATION Ts E�, �'o I r ASS lA.• Z 2 Cp rvL 2 C RACTOR'S NAME esu t P,c�o ��►I TELEPHONE L§3 -- (03193 CO TOR 1 NG ADDRESS d i( artc�o k A%1*- Y (j V 1 Z, 4 Fireplace CONSTRUCTION LENDER I I UNKNOWN Total Valuation I $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ gaoc ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BuZr GADDRE r , CYoulflUL PERMITFEE $ 5" , pD PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 / USEOFSTRUCTURE SF � Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ,-(( Describe Work: r t rod rR S / CIJ�n If t, ' Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Servicea OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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. fujfo ce and effect. Y� �,� � / License Class Lic. No. b OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUR \ OR ADDNS. ( 8 ACC. BLDS. / so. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL .SO Ex. Occup. oun�is RESID.�EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I 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. ❑ 1 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' yQr�pen ation rsurange carrier and policy number are: Carrier J r9t rLlr'ld MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number Z $'— 5' (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 shallTOTAL not employ any person in any manner so as to become subject to workers' 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 comply with those Wrovis X _ _ _ DateIII— Signature of Applicant Owner ❑ C rector gent An OSHA permit is requir d for excavations ver 60" deep and demolition or construction of structures over 3 stories in height.mdv-Date Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE FEE $ 3, p Q HA2. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated a ove for which fees have PERMITEXPIRESON applicable provisions Resolutions to do work been paid. fp e) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J Edward Hemsley 219 Skyline Blvd ., Oroville A.P. 34-46-68 Permit##609-81P,E (solar hot wtr ht COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center�Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING ,PERMIT OWNER / l' TELEPHONE SQ. FT. OCC. - BUILDING VALUATION OWNER'S MAILING ARES/„ � � � � I f✓ . CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER p LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 /p u' H 7 �� TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation El Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main Service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST'( DWELLING OCCUP.51) OR ADDNS. \ ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I- NON.RESID BRANCH CIRC TS NEW CONSTR / POWER APPARATUS S� NON-RESID, %SINGLE OUTLET CIR. 50 2s¢ Ex. Occup OUTLETS OR FIXTURES BAL�1 FIXED AP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring , 7.50 - �'� Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, casts, and .expenses which may in any way accrue against pia County in consequence of the granting of this permit. X-�•�',/�,vf/-,��7 Date ! �� /,�� Signature of Applicant — Ownerlg�Contractor ElAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �rc� , I OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS l `'1i JuiA� - ^� By Date PERMIT EXPfRES Date .-��-� - Receipt No. L1`7k WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPE IT P. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 O. -- r APPLICATION AND PERMIT ASSESSOR PARCEL NU BER , f*ZONING —� BUILDING PERMIT OWNER Hclfts 1W TELEPHONE -� SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING A D ES CONTRA( OR'S NAME TELEPHONE _ CONTRACTOR'S MAILING ADDRESS • Fireplace CONSTRUCTION LENDER V� UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS I �4j PLUMBING PERMIT Filing Fee 1000 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY:!:g� Building sewer Lawn sprinkler system 5.00 iA 1 1 1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.D11 OR ADDNS. ACC. BLDGS. / 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OU LET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS &) NON-RESID, %SINGLE OUTLET CIR, 6O@25¢ Ex. Occup OUTLETS OR FIXTURES gqL@t Ex. Occup. (FIXED APLN5 OUTLETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemn' Zkeearmless the Countyof Butte against all liabiliti s, judgments, ost ,nses which may in any way accrue against f County i se egranting of this permit. Daty/g/ es [=ja Signature of Applican -1 Owner ntractor ❑ Agent ❑ An OSHA permit is required for excav ti ns over 5'0" deep and demolition or construct- ion of structures over 33 stories in heig Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD ND ISSL•E This permit is hereby issued under of the Butte County Code and/or work indicated above for which RECT R OF PUBLIC By ry� �Dateg PERMIT EXPIRES gate the applicable provi- resolutions to do sions fees have been paid WORKS _.aq_7& / Receipt No. `-Y' l M6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .T .y . it .. 'PERMITANO. 3611-74E,P F. P E M MH.,UTIL. PERMIT NO. PERMIT EXPIRES �— -7 !OWNER Edward Hemsley 'CON TR. North Sierra Const., oroville LOCATION (A.P. 34-46-68 219 Skyline Blvd., oroville D I Temp. Power Pole Called PG&E eTemp. Elec. Serv.�l� Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings 44 Garage Vents Water Htr. VV& 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 Footings Footing ELECTRICAL Masonry Walls Throat Z Reinf. Steel O " Final -Rough Fixtures Bond Beam FIRE SPRINKLERS Motors Framing 30 Test Water Htr. Stucco. Final Subpanels Mesh MECHANICAL. Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE RE ARKS OR COR ECTION y��-jam �� r Y I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center' Drive — OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WO dutnorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X Date ga a of Per/° tee or Agent p p. Rec pt No. 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. DIRECTOR OF UBLIC WORKS By Date 7� Its 7 B King'perrrlit expires Date ................ 7/.(' 7�✓ BUILDING Owner S�E SQ. FT. OCC. BUILDING VALUATION YO S Mailing Address V oe Telephone No. Fi repl ace Contractor e2 E A( Total Valuation Q 0 Mailing Address �8s = Permit Fee Plan Checking Fee &/or Penalty Tel iphone No. Permit Fee $ t D $ o Building Address S/�� s` PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 .06 ele0 Each Trap 1.50 200 Repair drainage or vent piping 1.50 Water piping 1.50 /,5-0 Each gas water heater or vent 1.50 A. P. No. G — Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es SdDiWJn Fire Dept. Fire Zone Use Permit Building sewer 5.00 (� EQA Parking E.Ians ParcelParcel Declaration Ma 60' R/W p Im rovem nts P Lawn sprinkler system 2.00 B dg. Plons Recd Parcel pproval Plans Xpprovoi Permit Fee NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,} C)0 Main service incl. 1 meter 5- 00 Additional meters, each 1.00 Sub -panel (12 or less) (more an 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Ra Cook -top or Oven 1.00 Water er or Spa Heater 1.00 Light fixtures 21 :25 3. Q R p, sw CP t 010 i 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: ��%tZtlt�lS �/.Yfi�� /�%L'✓ 1-104!E or F.A. Furn. Motor Z 1.00 2a Evap. oler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Zp License No. Classification Misc. wiring JRrI am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I 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 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 f=ee $ $ 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 „2 f dutnorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X Date ga a of Per/° tee or Agent p p. Rec pt No. 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. DIRECTOR OF UBLIC WORKS By Date 7� Its 7 B King'perrrlit expires Date ................ 7/.(' 7�✓ li� �,,�,;,il,�l,iql''l��,,,,;�l,�,11 .",; I , "I — I �. A 11 "I — i — . a ��.,,��;-�.��,l�;�,�"'�"."', ., " i:, 1, I, , �,�, 1, I I, �� , , �.gmov�,, I Bill"NIVIliM M "I'l �I� ,;�7, P I ilAT-if — . -11,11, ,, -- . I ... .. .. _...", I -1, I _ . , , _., _ W, , , , , , , I " I .". 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