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101103757 - Permit
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1040 W MacArthur Blvd Unit# 52
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101103757 - Permit
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Entry Properties
Last modified
6/3/2021 11:14:37 AM
Creation date
6/3/2021 11:14:35 AM
Metadata
Fields
Template:
Permit
Permit Number
101103757
Full Address
1040 W MacArthur Blvd Unit# 52
Permit ID
265411
Master ID Number
2020-158914
Project Name
Souza - Window Replacement
Street Number
001040
Street Direction
W
Street Name
MacArthur
Street Suffix
Blvd
Unit Number
52
Building Use Code
Resid-Multi-unit
Job Types
Alteration
Permit Type
Building
Applied Date
6/5/2020
Issued Date
6/5/2020
Finalized Date
11/2/2020
Flood Zone
X-0602320258J
Description of Work
Window change out. 3 windows changed out. No size changes.
Nature of Work
Window c/o
Document Relationships
101103757 - Plan
(Plan)
Path:
\Building\Plans\M\MacArthur Blvd\1040 W MacArthur Blvd Unit# 52
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-,-\ "AC(}RI)' <br />THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTENO OR ALTER THE COVERAGE AFFORDEO BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONIRACT BETWEEN THE ISSUING INSURER{S). AUTHORIZED <br />REPRESENTATIVE OR PROOUCER. ANO THE CERTIFICATE HOLDER. <br />IMPORTANT: lI the c6nificato holder is an AOOITIONAL INSURE0, the policy(ios) must have ADOiTIONAL INSURE0 provisions or be endorsed. <br />lf SUBROGATION lS WAIVEO. subject to the terms and conditions of the policy, certain policios may requiro an endorse.nont. A stat6m6nt on <br />lhis certificate does not confEr rights to the certificate holdo. in lieu of such endorsom6nt(s). <br />MNRSH ]SA I <br />E' <br />C, xol <br />NSUiER B lle* Far shrro ns lo <br />BUILOING C <br />ATLANTA G <br />.? <br />CERTIFICATE OF LIABILITY INSURANCE <br />CERTIFICATE NUMBERCOVERAGES REVISION NUMBER: -' <br />THIS IS TO CERIIFY THAT THE POTICIES OF INSURANCE LISTEO AELOW HAVE BEEN ISSUED IO IHE INSURED NAMED ABOVE FOR IHE POLICY PERIOD <br />INDICATED NOTWITHSTANDING ANY REOUIREMENT TERM OR CCNDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECI IO ALL THE TERMS <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOW\ MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />POL CY EFF POTIC <br />IMMiOOIYYYYI IMMIOD <br />"o.'c" f--j fto; <br />t <br />i <br />MED ExP Any cne.erson, 5 <br />Loc <br />E( ]LLJDED <br />GENERAT A6GRE64I E <br />OAMAGE TO RENIEO <br />PREMISES E. x:L.qn.6 <br />GEN'L AGGREGAIE LIMII APPLIES PER <br />r I COIIIERCI LGEXERAL LT BlLlrY <br />' curus.uroe ' ]mcun <br />i-,'lsn-sr ooo ru <br />PERSONAT E AOV INJURY S <br />PROOUCIS, CO POPAGG t <br />Ll l ANY auro <br />I owNEo <br />T- F|RED <br />l__-.1 auros oNLY <br />AIJIOMOAILELIABILIft <br />BOOILY Ill]URY Ps ,ca 1€.I I scH€orJLEo <br />f---] NoN:dwNEo <br />L_.1 AUIos oNLY <br />EACHCCCURREi€E <br />EXCESS LIAB <br />OCCUR <br />CLAIMS.MAOE <br />B IwoRxERs coMPENsaIoN- Iero euproyens lregtrlrI : q'r'oqcpo erca p.erreo-e.e:.t <br />J CFFJCiR I'JEt.|aERE{'L]DE3' <br />(I.nd.rorY in xHl <br />rl r'6s d6.r be rnder <br />]ionrrnued co &dllronai Page <br />J-.,- <br />E L EACH ACCIOENI <br />,AC i <br />EL OISEASE,POLICY I. MIT I <br />EL OISEASE Ei EMPLOYEEi I <br />Excess Auto <br />Excess Gefterrl Lrab rtv <br />2971100110020m <br />MWZX 314580 <br />n2 01,0! 20213 <br />OESCRIPTION OF OPERATIOTIS TLOCATIONS I vExICLES IACORol0l Addlrlo..l R.mlrkt Sch.dul., m.y b. ltrrch.d il'@.!p.c. i.,.qun.d) <br />El,lIDENCE OF IISURNNCE <br />CERTIFICATE HOLOER CANCELLATION <br />HOME DEPOT USA INC <br />2455 PACES FERRY ROAD <br />BUILDING A <br />AIUNIA GA 30339 <br />SHOULD ANY OF THE AAOVE OESCRIBEO POLICIES 6E CANCELLED BEFORE <br />THE EXPIRATION OATE THEREOF. NOTICE wlLL BE OELIVEREO IN <br />ACCOROANCE !YlrH THE POLICY PROVISIOI{S, <br />^UIHORIZE <br />O iEPRESEI{'^'IV E <br />Manash MukherJee -.!r(-a.vrror.j -!a,^..&-^r,.it .. <br />O 19EE-2016 ACORD CORPORATION. All righE r6servod <br />The ACORD namo and logo are registered marks of ACORDACORD 25 (2016/03) <br />II'SUiERIS) A'FOROING COVERAGE <br />prsuRER <br />^ )o eerlpr.c -sLra_ce . ,
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