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WAYNE <br /> Automatic Fire Sprinklers,Inc. <br /> ; Cbmpany's Name: Wavne Automatic Fire Sprinklers, Inc. <br /> Qualifier Name: Jason G Rountree �: <br /> License Number. EC13005133 <br /> I hereby authorize theC'�� � �`��`Yr�l���to issue permits to ean W son, Joe Taylor, Fernando Ramos, <br /> I Harvey Haynam , William Whiqham, Todd Onan, Kevin Mclaffertv and eff Kir,k atrick. Whose positions with my <br /> company are Desiqn, Foremen, Sales and Superintendent. <br /> Check one. <br /> ( ) This authorization is good for the job at: <br /> (X)Any and all permits until further notice. <br /> The permit must be signed in front of the building official or his representJive. <br /> I understand that I remain fully responsible for all acts perform d unde�said permits. <br /> /��� <br /> s�1��- � s - <br /> ,- , <br />� Date License Hol'er Signature <br /> ***This action must bear the notarized signature of the license holder"** <br /> STATE OF FLO ., ,RIDA <br /> COUNTY OF \ �I�s6nb�'o � <br /> The foregoing instrument was acknowledged before me this �� day of <br /> v Y l 20 i�, by �0.���o uh�re-e_ <br /> ( name of the person acknowledging) <br /> ( SEAL) <br /> - No �y� gn ture <br /> , <br /> Personally/Professionally Known oti�� Notary Public State of Florida � <br /> ? , Kathryn L Watts <br /> � My Commission EE 881545 ' <br /> -or- Produced Identification �oF�o� eXP;r�soa��eizo�� <br /> Type of ID Produced <br /> I <br /> R ional ff'ce: 3226 Cherry Palm Drive•Tampa, FL. 33619 • Phone��13) 630-0303 Fax: (813) 630-0312 <br /> Ocoee • Pompano • Fort Myers • Jacksonville • Port S� ucie • Concord, NC <br /> _�� <br />