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16-17410
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16-17410
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Last modified
7/13/2017 9:36:55 AM
Creation date
7/13/2017 9:36:25 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
16-17410
Building Department - Name
FLACK,CINDY
Address
38415 12TH AVE
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I� <br /> i � <br /> � <br /> � <br /> � <br /> U.S. � <br /> � AiR COND�TIONING � <br /> & H�ATING <br /> Authorization Letter <br /> I, �e�'/q(�OWcr� , contractor license number C/9Cds��71 , ; <br /> Herel�y authorize the following to act as my agents in obtaining permits in <br /> ►-}-v 6� Z.r;�l�vr 1�.1�5 <br /> �QY�Q.V12 �n�2_Y{�tQC1 �y�5 ��y 7 - y a -�o�^ � <br /> � <br /> � <br /> il <br /> 'I ' I <br /> il <br /> � gent's Name's Driver License Number's <br /> This authorization is to remain in effect indefinitely, unless canceled by me in <br /> writing <br /> o a tor's Sign re <br /> � ;� <br /> Sworn to and subsc bed to before me this day of$�,�ne, 20� � <br /> By � ho is personally known to me or has produced <br /> �L-� L r� ��5 - 5y'z -`-�a -_�,r�^l. -b as identifi 'on and who did (did -t) take an � <br /> oath. <br /> .— <br /> ota blic . <br /> � <br /> My commission egpires <br /> U.S. ir Conditioning <br /> 5827 13t"Avenue , Y�Py-., CRISTINATURCOTfE <br /> New Port Richey, FL, 34652 _'=4�' �"_ MYCOMMISSION#FF027671 <br /> ;��,'o, EXPIRES:August 3,2017 , <br /> •�pF���•' Bonded Thru Nolary Public Undeiwriters <br /> i <br /> I <br /> I <br />
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