Laserfiche WebLink
. . , y . ; ,���I:N E <br /> ^ ,�� - - - - Office: 352-728-1440 <br /> , �. . _.._ <br /> � Fax: 352-728-8332 <br /> Fi rE �r SafEt=y.;� �Nc:_ <br /> www.alinefire.com <br /> 2U01 °South;St: � Leesburg; Fiorida:.34748, <br /> PERMIT AUTHORIZATION LETTER <br /> � 1,� i <br /> I hereby authorize ���e,c � r�r.�b�c`�cj <br /> to pick up permits and sign any documents relnted to: <br /> � All Permits <br /> ❑ Address/Parcel # <br /> ❑ Permit #: <br /> �a-'1� ��- � ��je5�'— - <br /> Print Name: Signature: <br /> License#: FED11-000016 <br /> The foregoing authorization letter was acknowledge before me this 2�J day of <br /> � , 20�by�b�Xf l�/ �D 1vPX5C�G <br /> ❑ Who is personally known to me <br /> ❑ Who has produced identification <br /> Notary Public Signature: �.1��.�i��i���.�i��'�� <br /> My Commission Expires: M�� 2�, 1-1/� <br /> ..���:.,.,. <br /> �•4�► MELfSSAA�.MERCER <br /> ��,,....,. <br /> �;�;.'� M1'COAAMISSION t�GG 107558 <br /> 'z's '�� EXP�RES:May 23�202� <br /> �ei �;;•' <br /> '�•������� O:W�64 T1MU NOFdry'tIW{C UfldE11M1�li <br /> "Sales,Service and Installation" <br /> FIRE EXTINGUISHERS/FIREALARMS/EMERGENCYEXIT LIGHTS&FLOOD LAMPS/ <br /> CABINETS/PRE-ENGINERED FIRE SYSTEMS/VEHICLE SYSTEMS/CLEAN AGENT SYSTEMS/ <br />