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20163207 - Permit (3)
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20163207 - Permit (3)
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Last modified
11/15/2022 10:49:25 AM
Creation date
11/15/2022 10:49:24 AM
Metadata
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Permit
Permit Number
20163207
Full Address
4042 W Garry Ave
Permit ID
230319
Master ID Number
2017-136234
Project Name
Pak West Thermalizer Install
Street Number
004042
Street Direction
W
Street Name
Garry
Street Suffix
Ave
Building Use Code
Warehouse
Job Types
Alteration
Permit Type
Electrical
Applied Date
5/17/2017
Issued Date
7/20/2017
Finalized Date
10/17/2017
Flood Zone
X-0602320258J
Description of Work
Distribution and transformer for new industrial thermalizer equipment
Nature of Work
Thermalizer Equipment-Transformer/FWU
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CALIFORNIA ALL.PURPOSE ACKNOWLEDGMEI{T crvtL coDE s 1189 <br />A notary public or other otficer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attached. and not the truthfulness, accuracy, or validity of that documeni <br />State of Cali ra <br />Countv o <br />5 A f)41,; <br />who proved to me on the basis of salisfactory evidence to be the person(, whose name(sfis/artr <br />subscribed to the within instrument and acknowledged to me that he/sheAh,ey executed the same in <br />his/hetAheir authorized capacity(lrs), and that by his/h€y'lheir signaturejs) on the instrument the person(ar, <br />or the entity upon behalf of which the person(9.acted, executed the instrument. <br />I certify under PENALry OF PERJUBY under the taws <br />of the State of California that the foreb6ing paragraph <br />is true and correct. <br />On b b"lor" ^Date <br />personally appeared _ <br />Here lnseft Name and Titl f the Officer <br />Name(s) of Signe4s) <br />WITNESS my hand an icial seal <br />GAL <br />Signature a D <br />Ccn.Signature of Notary Public <br />Place Notary Seal Above <br />OPTIONAL <br />Though this sectlon /s optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document:Document Date <br />Number of Pages: _ Signe(s) Other Than Named Above <br />Gapacity(ies) Claimed by Signer(s) <br />Signer's Name <br />Corporate Ofiicer - Title(s) <br />CdlllbbortnohryH.-CfirIL6ritco€ <br />Partner - Limited Generallndividual - Attorney in FactTrustee Guardian or Conservator <br />Other: <br />//>I <br />Signer ls Representing: <br />4st!c<rL{:cvl!clrcr-a\q,L!jca&!&\E&arcY4<4E!@qucaj-JEcg.!a<L.LEcejc.ccgq!:ce cr <br />O2014 National Notary Association ' www. NationalNotary.org . 1-800-US NOTABY (1 -800-876-6827) ttem #5907 <br />) <br />Signer's Name: <br />. borporate otri"". -titt"(5fPartner - Limited Generallndividual Attorney in FactTrustee Guardian or Conservator <br />Other: <br />-=- <br />-- <br />Signer ls Representing:
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