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Sublist 12-06707 _V0 idzeCITY OF LA QUINTA'SUB-CONTRACTOR LIST y JOB ADDRESS / ,2.2.5:5 PERMIT NUMBER OWNER BUILDER ✓ /2 This form shall be posted on the ioh with the Building (Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are aut rued to ork on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade /Classification 'Contractor State Contractor's License Workers Com ensatiori Insurance: City Businegs License ' - Company Name - Classification (e.g. A, B, C-81 License Number (xxxxxx) - Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date Ixx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) ..; CONCRETE (C-8) - FRAMING (C 5) .. Je 5 ' O -3 -19 S ' � 3 � ff lo- - '33 4ID7361 0-311c2 STRUCT STEEL (e-51) MASONRY (C-291 - PLUMBING (C-36) SLRZfG(/Gf 1 36 1-31-17 LATH; PLASTER (C-35) DRYWALL (C-9) ''... / .5 (Q0 / r7 a HVAC (C-20) ELECTRICAL (C-101 ROOFING (C 39) SHEETMETAL(d 43) - FLOOtRING 1C-151:. GLAZING IC INSULATION:(C-2) SEWAGE DISP; (C-42) PAINTING (C-33)- CERAMIC TILE (C-54) 1 CABINETS IC-61 FENCING (C-13) LANDSCAPING (C-27) POOL (C-53)