Building Permit Application Form - Permit Service Center Page 2
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2PERMIT DECLARATIONS (for FAX or Mail-In only)
LICENSED CONTRACTOR’S DECLARATION
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I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code:
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NOTE: A permit applicant who files a signed document by facsimile transmission
(fax) with the City of Berkeley Permit Service Center represents that the original
signed document is in his or her possession or control. At any time after filing the
document, the City may demand production of the original physically signed
document. Notwithstanding any provision of the law to the contrary, the City of
.
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Berkeley will treat a signature produced by facsimile transmission as an original.
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