0401-068 (SFD)o
_ CITY OF'LA QUINT_A SUB CONTRACTOR LIST.
JOB ADDRESS PERMIT NUMBER OWNER " BUILDER s
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This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place.- Only persons appearing on.this list "or their employees are authorized to work
. for each applicable trade, all information requested below'must be corn
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Company Name.
Classification
Number
Exp.
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Carrier Nam e
PoficY' Number
ExP . Date
ber
License Number
Exp.
Date tLicense
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