BPLB2015-007278-495 CALLE T,AMPICO
LA QUINTA, CALIFORNIA92253
Application'Number: BPLB2015-0072
Property Address: 48520 CASITA DR
APN: •602112042
Application Description: JOLLEY / REPLACE (1)
Property Zoning:
Application Valuation: $1;355.00
Applicant:
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD#C3
INDIO, CA 92201
""Z "Y
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760)'777-7153
Date: 5/8/2015
AOwner:
PO
JUNE JOLLEY
48574 VISTA PALOMINO
WAT�72015
LA QUINTA, CA 92253
M
CITY OF LA QUINTA Contractor:
V DEVE DPMEW DEPARTMENT TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #C3
INDIO, CA.92201
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that l am,llcensed under provisions of Chapter
9 (commencing WiWSection,7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.-
License
ffect:License Class: C36 License No.: 930133 , ,�
Date!5—A ^ I —E5 ContractoN C (/1i 'I V \ `\
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031:5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, Improve, demolish, or repair
any structure, priorto its issuance, also requires the :applicant for the permit to file a
signed statement that herorshe is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
ofthe Business and'Professlons Code) or that he or she Is exempt therefrom and the
basis for the alleged exemption. Any violatlon.of Section7031.5.by any applicantfora
permit subjects the applicant to a civil penalty of not more than, five hundred dollars
($500).:
(J 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.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or Improvement It sold
within one-year of completlon.,the owner -builder will have the burden of proving that
he or she did not build or Improve for the purpose of sale.).
( 1 I, as owner of the property,, am exclusively contracting with licensed contractors
to construct the project.. (Sec. 7044, Business and.Professions Code: The Contractors'
State, License -Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with'a contractor(s) licensed pursuant to
the Contractors' State License Law.).
"1 am -exempt under Sec. : B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjurythat there is a`construction iending agency for
the performance of the workfor which this permit Is Issued (Sec. 3097, CM C:):
Lender's Name:
Lender's Address:
(760)574-4444
Uc. No.: 930133
WORKER'S COMPENSATION DECLARATION
I herebyaffirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
!hn
tion, as provided for by Section 3700 of the Labor Code, for the performance
k for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
00 of the Labor Code, for the performance of the work for which this permit
Is Issued. My workers' compensation Insurance carrier and policy number are:
Carrier:_ Policy.Number._
I certify that.in the performance of the work for which this permit Is. issued, I
shall not employ any person in anymannerso as to,become,subject to the•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, l shall forthwith
comply with,those provisions.
Date:5 — ai — IS Applicant` 61 //1
Q LA
WARNING:FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT'
IMPORTANT* Application is hereby.made to the Bullding.Official.for a permit subject to
the.conditions and restrictions set forth on this application.
1. Each person upon whose behalf this applicationis made, each person at.whose
request and for whose+benefit work is performed under or pursuant to any permit
Issued as°a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related'tothe workbeing performed Under or
following Issuance of this permit.
2. Any permit issued as.a result of this application becomes null and -void if work is
notcommenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that's have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and stateaaws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned
bove•
mentioned�rpproperty for Inspection purposes:
Date-u�)^ 15 Signature (Applicant or Agent)
•• •
DESCRIPTION. ACCOUNT CITY AMOUNT. ' PAID. PAID DATE.'
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
PAID BY METHOD RECEIPT f CHECK # CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
-DESCRIPTION
ACCOUNT
QTY"
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
PAID_ BY
'METHOD
RECEIPT #'
CHECK:#
CLTD BY -
Total Paid forPERMIT'ISSUANCE: $91.85 $0.00
DESCRIPTION
ACCOUNT
QTY'
AMOUNT'
PAID'
PAID=DATE
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
'PAID, BY
METHOD
RECEIPT #
CHECK;#
CLTD BY.
DESCRIPTION;
ACCOUNT_
QTY
AMOUNT*
PAID
.PAID DATE
WATER HEATER/VENT PC
101-0000-42600 •
0
$7.25
$0.00
PAID BY
METHOD
RECEIPT•'#
CHECK #
CLTD BY
Total Paid forPLUMBING.FEES: $19.34 $0.00
O��
Description:,JOLLEY / REPLACE (1) 50 GALLON GAS WATER HEATER
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 5/8/2015 SKH
Approved:
Parcel No: 602112042 Site Address: 48520 CASITA DR LA QUINTA,CA 92253
Subdivision: TR 27835 Block: Lot; 6
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,35S.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories:0 No. Unites: 0
- - ADDRESSI
Details: WATER HEATER CHANGE OUT - 50GALLON/GAS 12013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Friday, May 08, 2015 3:52:10 PM 1 of 2
CRWIYSTEMS
CONDITIONS.
CONTACTS
NAM E.TYPE 11(AME
- - ADDRESSI
CITY
STATE,
ZIP' PHONE FAX . EMY41l.
APPLICANT
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #C3
INDIO
CA
92201
CONTRACTOR
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #C3
INDIO
CA
92201
OWNER
JUNE JOLLEY
48574 VISTA
LA QUINTA
CA
92253
PALOMINO
FINANCIAL
INFORMATION
DESCRIPTION ACCOUNT Qllf' AMOUNT
PAID PAID DATE.
RECEIPT # CHECK #' METHOD PAID. BY� CLTD
BY
BSAS S81473 FEE 101-0000-20306
0 $1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
Printed: Friday, May 08, 2015 3:52:10 PM 1 of 2
CRWIYSTEMS
ESCRIPTION
AC °. , .
QTY
AMOUNT .
PAID:
PAID;.DATE
RECEIPT#
CHECK`#
ME
PAID BY
CBTID`.
..
PERMIT ISSUANCE
30140000-02404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
WATER, HEATER/VENT
101-0000-42401
0
$12.09
$0.00
WATER HEATER/VENT
101-0000-42600
0
$7.2.5
$0.00
PC
Total Paid for PLUMBING. FEES: $19.34 $0':00
• ��
:)FCTIC,
SEQtD. E , I.COMPLETEQ: RESULT,,.' REMARKS' NOTES
INSPECTION TYPE INSPECTOR ' SCHEOUL
_ DATE DATE`
PLUMBING FINAL" BLD
PARENT PROJECTS - -' -
Printed: Friday, May 08, 2015 3:52:10 PM 2 of 2
CIFW.IYSiEMS
i
06/06/2,013 TRU 15:09 FAX.La
Qui Ata 81dg 6 Safety ; �OOif001
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BuikMg Permit ApplfCatiotl and Tip Sheet
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PLUMBING WORK.ORDER/INVOICE
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'AII aear!' CA 1-1110.9930139 Out', 50
8TI1ET
'48wh
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TOTAL MATERIALS
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TOTAL LABOR
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Initials I ❑ CASH ❑ C.C. ❑ BILL ;RGHECK #
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TOMMY ROOTER
20395
HELPING THE DESERT
ONE FRIEND AT A TIME
CO. &.�
phowng Drain.ct"ft&ietterspel: owt
Inv.#ykQ77z0
80973 IndEo Blvd., #89
AUIh # ,47 -MA 0
Indio, CA 92201
750-574-4444
FAX 76D444-2717
W W W TOMMYROOTEP I'MAl
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8TI1ET
'48wh
CITY n $_ TSE ZIP
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MAKE MODEL MAIAL N
TOTAL MATERIALS
0 SERVICE CONTRACY
C1 NORMAL
K RES. p COMet.
❑ NOT COMPLETE
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TOTAL LABOR
❑ WARRANTY
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Q SMarilh Q NO
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WARRANTY CALLS
ARE SCHEDULED
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Initials I ❑ CASH ❑ C.C. ❑ BILL ;RGHECK #
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TOOURCflSTOMERS:8ervkoemenerarequlra tohaveworkefipsigned;
Thta is. done In order to prosect you.lhe workmen, and ourselves end Io
enable us lo give you absdule saddactcryservice. You are respectr*
rsqueeted 10 examhe material andfabor alalernentbefpre woknen leave
the Job, aed.lf you ind.erYmr)Witg s2IIslaClary,;okalr this Hakes. It service is
unsellsfaoiory, In any %VW please phone our offbe immedlaieiy.
APENALTY WILL BECHMGEDATTIERATE (IF 10%PER IONTHWUNPAID
uuNGf8AFIERwaAYSOPitmDm, Atilt rlilltCEiaaRATEuv.
II MINIMMI(REESrt'M
DRAIRCLEANINO
.A11D1 FOOTAGE C
ADO`L FIXTURE$
PLUMBING LABOR
PAS
PR0011C17S1fREfRA1EHT
- -
VJDEOINSPEC11ION
I Jlnd the t%ma and malnetfal charged abom satlelactory and agree b pay
for same an presenWIcn of b4ce, and furtberagree to pay reasonable
charged for collection including idtorn ys teres In We event of my defauB.
HYDRO,IETTER
MINI JE TER
LINELFAK LOCATION
410TWE TO OWNER" 118aca4n 7aleConftetora [Ioenes lad ued[r an
illgnrlK' um Lw w4m aft, skooveem, lolxw. moadd mala ourywogn who",
brnpram_Ynr nd Y wwoj eno PIN for No wr. Wilna voakU� a n�rl m erloroe nor
dna badw Yiv properts Under to b1GM low*16ot ywcall twill! akin cwrorr ar oft,
bekwaomIFISIDadlaodor]npq�ll[eu,'sladrdmde[elfa Irewodr of EppwyturRaa
modiealbi- ihYa dNoldurba[advor-lnooaAjrAioalwproperryyk�9ragrderd
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primpsEPTICaRFASE
OTHER
_ TAX
-
TOTAL
PAYNEVTRECEIVED
—
PAYMENT DUE
WATER HEATING
°s Dalantloa Statement)
• l certify tl+at this Ccrtiivatc of Compliance documentation'is accurst and compida. :
441 �ie►vty•ii sialied'smer1heaters and boilers for Moth domestic hot xwater he<ticrs (DWN) an
DWH heaterr and boilers•tnu t be- us, p the: e.0gringqve.
livr/ronk space heating. Newly Installed
Woter Heater Dim*vdur Type Naa�ber in link
TyprlFual Type` tRa fin System Capaeiry (goq
� Energy Feeler ae
F.ftieaey
R.xteww .
R -V laeton
• I c atify that the energy katuses-and pnfbrrtnu►ce specifications fo'thvbuilding design
id:' ified on this CordlIcaoe of Cwhpliance
conform to, the m irement9 of Tide 24' Pard and' B of th c"Caiifotrtia Code of Regulations. '.
• 1'he building design features identified:on This Cert likato of Compliance are consistent with the information provided itrdomawnt-this
building &ftin oa the other applicable complknee farms, wotksitwm calculations.
-plans and specificadom submitted to the
onforcementmMy for sPwqK# with this buildin pMicapplicatlom
Nanra
1. lnSkate Type (Storage Cjm'flea! PumVF lnsigatarieo*% etc_) ;
2.'Reciirui4tiirg systems serving mWtok .46�elling units shat! chest The recir umdon rc 4dreowwi -of
requirenrepls do not allow the installation of a elnaloting uwwer heating system for single dwiellirtg units
3. TAt external wat+brhemin tank and s shall,be Insubted to »Iter there mutts OfIl
ne .PZriPr ve
Coaftctor or Homeowner (Decu�et ta�ion Autho AIResponaibk Buggy Des'
°s Dalantloa Statement)
• l certify tl+at this Ccrtiivatc of Compliance documentation'is accurst and compida. :
• 1 em eligible under Division 3 of the California- Bruinm and Professions Code to act
.pt responsibility for the building design
identified on this Cutificate of Compliance.
• I c atify that the energy katuses-and pnfbrrtnu►ce specifications fo'thvbuilding design
id:' ified on this CordlIcaoe of Cwhpliance
conform to, the m irement9 of Tide 24' Pard and' B of th c"Caiifotrtia Code of Regulations. '.
• 1'he building design features identified:on This Cert likato of Compliance are consistent with the information provided itrdomawnt-this
building &ftin oa the other applicable complknee farms, wotksitwm calculations.
-plans and specificadom submitted to the
onforcementmMy for sPwqK# with this buildin pMicapplicatlom
Nanra
Compaur.
urr)Au4 rC lv. mb ic-,
late:
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06/06./2013 THU 15:09 FAX La Quinta.Bldg & Safety
0001/001
B16
City Of La Qulnta
Btdkgng.& Safety DMSIM
P.O. Box 1504, 78.495 Cie Tarr#
La Qubta, CA 92253 • (760) 777-701
Building Permit Application and T'rackn Sheet
PMk
PtnjartAddtgrs
r OWn«'st '-CY
AL P. Number.
Address: L4 .la a
Leo Dwlow
CRYS Zip.
O
Tal bone: �, �
Adm: q 7:1:
rojecbDescrlption:
city. ST, zip:
Telephone: O
State Lic # : \
Arch.. Bagri, Designer:
L
city Lle. C.
Address:
City, ST. Mp:
Telephame
State Lic :#:
Name of.Cotttact Person:
Construction Type: Occupalcy:
Pmjca type (circle one): New , dd'a Alter Repair; Demo
!Y-, Sq. Ft:#.Units:Telephone0
of CwW Palm.
I �, Bstimabed Value of Project
APPI1CAldT: ala Nor-wFtrrE Bnow'CHIS LINE
tl
8abmtttal
'd
Ree'A
�II TRACMG P$Rwr no
Plan sets
Pian Check aitbtoit_ Item { Amonat 01
8ttuctaral Ades.
l3evl Wvc ready for torrscttoaa .Pfau t Deposit
Tans Cala,
Celled Coataat Peraon Pfau CI'hetk f%tauee ,
Tide 24 Cdcs.
Platy pielu--d1IIup Coast 'A's
Flaod plain plea
iMacs restb4itted Merl aftaf
GradbtY plea
2' Review, ready for aw ectiouwUm Elecd�Ical
$ulnwntector Ilat
Caged Copta�Ct Person t'iawlfiag
Grant Deed
Plans picked $,M.I,I
H.O.A. Approval
Piave reavbr f ted Gradfag
M AO115R+
°nt I.9.vkw, y W eoMcdona/iwae Devef wImpact Fee
Plawdog Approval
Called Coata�etPeraoa
PtdL Wks. APPr
Date of tissue
3ekotif Feu
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I
i
Total Permit Fea
1
Prescri tive.,,Certificate of Com fiance: Residential I CF-IR-ALT-DHW
Residential Alterations Page i of.2
WATER HEATING
• I certify that this Certificate of Compliance documentation is accurate and complete.
List'hewly installed water heaters and boilers for both domestic hot water healers (DWH) and hydronic space heating. Newly installed
DWH heaters =d -boilers must be as. pro e, or use.the existing I I
Diterstribution Type
Water Type/Fuel�Typet (Standard. Number In
Recireuladn
Capacity (gal) Iltamal Efficiency Tank E=W Factor or
tency
External Tank
Insulation
R-Vahtd
r
building design on the otter applicable compliance forms, worksheets calculations, plans and specifications submitted to the
enforcement'agency for. approval with this building it appIlicatiOn.,
Name:
i
C\ Y
I
Date
Address: I
o � -rf)J �'o ' )Vj � �
f
i
Cityistatilzp:
1. Indicate Type (Storage Cas,'Heat Pump, Instantaneoux ere.)
2. -Recirculating systems serving maUiple dwelling writs shall meet the reciirulation regi irrments of 0150(n).
requirements do not allow the Installation of a recirculating water heating, system for single d;> Iltng, curies
3. The external-water,heatin tank and pipej shall be Insulated to meet the requirements o ' 15
The Prescriptive
Contractor or Homeowner (Documentation Anthor's/Responsible Building Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• 1 am eligible under Division 3 of the California• Business and Professions Code to accept responsibility for the building design
identified on this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance
24,
conform to the requirements of Title Parti. and 6 of the California Code of Regulations.
• The building design features identified on this Certifi ate.of Compliance are consistent with the information provided to document this
building design on the otter applicable compliance forms, worksheets calculations, plans and specifications submitted to the
enforcement'agency for. approval with this building it appIlicatiOn.,
Name:
C\ Y
Company:
--urns
Date
Address: I
o � -rf)J �'o ' )Vj � �
Ucense:
I q v ( 3 �
Cityistatilzp:
Phone:
Tt� q ��
a5 -q L-
C)V
PLUMBING WORK OR®ERANVOICE
TOMMY ROOTER 20395
4 ,
HELPING THE DESERT
ONE FRIEND AT A TIME Co.�
g.`.
, • DESCRIPTION
• ITEM • • PART
AMOUNT
M.
v
Plumbing, Drain Cleaning & letter Specialist I nV.#yf0971�0
80975 Indio Blvd., #B9 Auth.# N7XIIS 0
2
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Indio, CA 92201
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760-574-4444
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Fax 760-444-2717
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a CA LIC. #930133
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❑ WARRANTY
❑ CONTRACT
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+7(o
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MAKE
MODEL
SERIAL NUMBER
❑ SERVICE CONTRACT
C
p NORMAL
TOTAL MATERIALS
p RE& p COMM.
NOT V COMPLETE
DESCRIPTION
OF ••
AMOLINV
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LAB • •
• , •
TO OUR CUSTOMERS: Service men are required to have workslip signed.
DRAIN CLEANING
This is done in order to protect you; the workmen, and ourselves and to
enable uslo absolute satisfactory service. You are
ADD L FOOTAGE Q
give you respectfully
ADD'L FIXTURES 0
requested to examine material and labor statement before workmen leave
the lob, and H you find everything satisfactory, okay this ticket. If service is
PLUMBING LABOR,
unsatisfactory, in any way, please phone our office immediately.
PARTS
A PENALTY WILL BE CHARGED AT THE RATE OF 1 ft PER MONTH ON UNPAID
pFtODUCTS/tRFATMENT
TOTAL,LABOR
BALANCES AFTER DAYS OF INVOICE DATE. ANNUAL PERCENTAGE RATE 18%
RETURNED CHECK FE $28.00
VIDEO INSPECTION
❑ WARRANTY
• • • 01 14VIIIIIIII
1 find the time and material charged above satisfactory and agree to pay
HYDRO-JETTER
p S.Day ❑ 1 Year
for same on presentation o1 invoice, and further agree to pay reasonable-
MINI JETTER
❑ 3 Month p NO
charged forcollection including attorneys fees in the event of my default.
LINUEAK LOCATION
1] 8 Month
"NOTICE TO OWNER" (Sectlon 7019-Contractore_ License Law) under cre
PUMP SEPTICIGREASE
WARRANTY CALLS
- _ - - - - - - - - _
Mo0wims'.Lion 4w, any ooNreiior. aimoonUaclor. tabourer, ratledel man or other penin who Mos
m k mve your property end is not pend for his labor, senrim or nnmedd, hes a right to ankace his
OTHER
ARE SCHEDULED
gyA1 a you, y �r the MM you may Woyp s MaInal � � b, A
taloa eornmermbng such work T hpvvsmenL a akpbel emu" b the Bark of Nprovemenl or a
FROAF M -F 8AM-5PM
modification d
r^e to ofthe c unl rewrderof the countywtiere the pmpedyIs equated and
roquirbg Iha1 a adorh Doral M recorded b nsrfioake. Bab bore elmg binan emouN
TAX
- -
p prke and *4 In addition to arty cot dtions la the
non leap than t.t I thek,for
parlonnarpa of I - rad, nthe payment. in lug of the daft of sit persona
-j
�frnishing
tabor, se sfs For the work b dam conked.
TOTAL m
X.
X
PAYMENT RECEIVED
Initials
[]CASH
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DATE
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PAYMENT DUE
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