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HomeMy WebLinkAbout82314 Community MAY aa GT Development Group OWNER/BUILDER ADDENDUM TO BUILDING PERMIT NUMBER(S) g3/ ADDRES7\ 7 , I .S / i'1/1 //I . rDe ©nia The undersigned applicant asserts that she or he is exempt from the original contractor licensing requirement of Arizona Revised Statues Chapter 10, Title 32 on the basis of: VARS 32-1121.A.5. The applicant owns the property and shall occupy the property, and does not intend the property to be for sale or rent, and shall have the work performed by the applicant alone, or by the applicant with employees of the applicant, and/or performed by duly licensed contractor(s)all of whom are identified below or on the attached. — ARS 32-1121.A.6. The applicant owns the property and shall have the work performed only by duly licensed contractor(s) all of whom are identified below or on the attached. Contractor/Company Name License Number Classification • ARS 32-1121.A.7. The applicant is a registered architect or engineer, or employee of registered architect or engineer engaged in professional practice, not as a contractor. The undersigned swears and affirms that the information herein is true and accurate, and acknowledges that the filing of an application containing false or incorrect information with the intent to avoid the licensing or tax requirements of the State of Arizona is "unsworn falsification," a criminal misdemeanor. A 4j4 gio 014 f4)C/M 5 G‘ /� �� Printed Name of Owner / S nature of Owner Date City of Glendale * 5850 West Glendale Avenue_*Glendale, Arizona 85301-2599 * (602)930-2800