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30143414 - Permit
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30143414 - Permit
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Entry Properties
Last modified
9/23/2021 2:05:53 PM
Creation date
9/23/2021 2:05:52 PM
Metadata
Fields
Template:
Permit
Permit Number
30143414
Full Address
1227 W River Ln
Permit ID
277581
Master ID Number
2021-167783
Project Name
Miscellaneous Counter1 Permit
Street Number
001227
Street Direction
W
Street Name
River
Street Suffix
Ln
Building Use Code
Resid-1 unit
Job Types
Miscellaneous
Permit Type
Plumbing
Applied Date
8/2/2021
Issued Date
8/2/2021
Finalized Date
8/11/2021
Flood Zone
AE-0602320144J
Description of Work
Plumbing - drains changed out (approximately 15)
Nature of Work
Plumbing
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CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the identity of the individual who <br />signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of <br />that document. <br />STATE OF CALIFORNIA <br />before me,Nota ryOn)t <br />D6te <br />Public, personally appeared <br />taset Nor.e ondlitle ol the ollraet <br />Nome(s) of Siqner(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the <br />person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENATTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br />W|TNEsS my hand and official seal I a. r-:-- - .i-i{ }! . --I- .::!-, :-: : ar r).-i. r- <br />! :-;rr'!ii: :r 1.E1.r.:.-r, ii ','q{r.. .:--:.'." r 2r:i:"i i! ''--i7 Y, a:-- 1r:"r r,, l' :a:i )r----.;----t <br />/J <i_/./r-,'(lSignatu re <br />OPTIONAT <br />Ihouqh this section is optionol, completing this informotion con deter olterution ol the document or frcudulent <br />ottochment ol this form to on unintended document. <br />Description of Attached DocHme /0,//r'.'/z/n /tTitle or Type of <br />Number of Pag <br />Document <br />es: <br />Docu ment Date <br />Signer(s) Other Than Named Above <br />Capacity(ies) Claimed by Signer(s) <br />Signers Name <br />Q Corporate officer - Title(s) <br />E Partner - D Limited DGeneral <br />A tndividual CAttorney in Fact <br />I Trustee OGuardian or Conservator <br />D other: <br />0 Corporate officer - Title(s)_ <br />E Partner - tl Limited D G"n"r.-i-- <br />D lndividual EAttorney in Fact <br />tl Trustee DGuardian or Conservator <br />E other: <br />Signer is Representing Signer is Representing <br />I <br />ICOUNIY OF <br />Signers Name:_
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