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- MAY:R <br />I u;guel a. eulido <br />. MAYOR PRO TEM <br />Brett E. Iranllin <br />CCXJNCIT MEMBERS <br />Claudia C. Alvarez <br />l-isa Bisl <br />Albena D. Christy <br />Mike Carcia <br />lose Solorio <br />tior 1 <br />CITY OF SANTA ANA REcErvE D <br />FE8 16 2006 <br />OWNER-BUILDER VER|FlcATloN (HSc 19831) City of Santa Ana <br />Attention Property Owner: <br />An "owner-builder'' building permit has been applied for in your name and bearing your signature. <br />Please ccmplete and relurn this information at your earliest opportunity to avoid unnecessary delay inprocessing and issuing your building permit. No building permit will be issued until this verification-is received(Read information on Page 2 priot lo completion of this form.) <br />I personally plan <br />improvement (ye <br />I (have/have not) <br />proposed work. <br />to provide the major labor <br />I have contracted wilh the following person (firm) to provide the proposed conslruction: <br />Name <br />PTANNINC & BUITDING AGENCY <br />20 Civi( Center Phra (M.I 9) <br />P.O. tsOX 1988 . Sanla Ana, Calilolnia 92702 <br />f ax (714) 647-5878 <br />www,santa ana.org <br />1 <br />2 <br />3 <br />sorno ) <br />and malerials for construclion of the proposed property <br />signed an application for a building permit for the <br />City <br />Conlractor's License No <br />City <br />e <br />4 I plan to provide portions of the work, bul I have hired lhe following person lo coordinate, supervise <br />and provide lhe ma.lor work: <br />Address <br />Phone <br />Name <br />Address <br />Phone <br />5 <br />Contractor's License No <br />I will provide some of the work, but I have contracted (hired) the following persons to provide the work <br />indicated: <br />NAME ADDRESS PHONE TYPE OF WORK <br />h <br />Signed: <br />Property Address: <br />rV"ft4 <br />Date: <br />LL Prafw+*at <br />CITY MANACER <br />David N. Ream <br />.CITY ATTORNEY <br />Joseph W. Fletcher <br />CIERK OF THE COU,.ICIT <br />,anice C. Cuy <br />Property owner (print): l/MAl 1_t+-:to-.,h^'o-