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18-19384
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18-19384
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Last modified
9/24/2018 10:53:48 AM
Creation date
9/24/2018 10:53:46 AM
Metadata
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Template:
Building Department
Company Name
ADVENTIST HEALTH SYSTEM
Building Department - Doc Type
Permit
Permit #
18-19384
Building Department - Name
ADVENTIST HEALTH SYSTEM
Address
7350 DAIRY RD
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� �� y - � A=�I N E i : 2_�28-1440 <br /> �� Off ce 35 <br /> Fi�rE �r SafEty� �NC. F�: 352-728-8332 <br /> 2001 ,South St; • Leesburg, .Fiorida 34748 �Walinefire.com <br /> PERMIT AUTHORIZATION LETTER <br /> I hereby authorize Aaron Silvis <br /> to pick up permits and sign any documents related to: <br /> � All Permits <br /> ❑ Address/Parcel # <br /> ❑ Permit#: <br /> Robert W. Bowersox - � ,� <br /> Print Name: Signature: <br /> License#: FED11-000016 <br /> The foregoing Quthorization letter was acknowledge before me this a$ dny of <br /> , 20�by �D��' �✓. �F�V�/P.9'�(�kl <br /> {� Who is personally known to me <br /> ❑ Who has produced identification <br /> Notary Public Signature: ,��,�'�,��,��a��l'� <br /> My Commission Expires: ��/�,Ll '2�J� � � <br /> M�rry�� <br /> r�;l:!,�y MEUSSA�I.MERCER <br /> � MIY COMMISSfON+�GG 10T558 <br /> �� r�= EXPIRES:Me�r 23,2021 <br /> . p�y�}►���.y�����y����,.y <br /> �MM���DV�NRI 1111Y rwivJ fWIRr NRJVIt11iEIL <br /> "Sales,Service and Installation" <br /> FIRE EXTINGUISHERS/FIREALARMS/EMERGENCY EXIT LIGHTS&FLOOD LAMPS/ <br /> CABINETS/PRE-ENGINERED FIRE SYSTEMS/VEHICLE SYSTEMS/CLEAN AGENT SYSTEMS/ <br />
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