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Tampa Bay Tran a P.O North!-limes AvenueP.O.Box 18547 <br /> Tampa,Florida,33609 <br /> �* 813-877-8251 <br /> 800-966.8251 Toll Free <br /> z. ea� <br /> �,�.._...f" 813 877-8252 Service Dispatch <br /> 800-966-8252 Toll Free Service Dispatch <br /> 813 877-8257 Fax <br /> :nviv tampabaybane com <br /> Permit Agent Authorization <br /> I, Tim Barnes CAC1818652 <br /> (License Holder's Name NOT Company Name) (Contractor's License#) <br /> Permit Agent,Fi,rst and'Last Name,, :D.river's;License Number <br /> Christopher Groves / C — J go <br /> q_ <br /> Todd Watson \n f 325_ 5 <br /> 5 _H qB o <br /> David Ortiz 1032_ ` U q _ H I A ' 0 <br /> David Burness 6 n5 2 _ I ( l_� I _ H f „9 _ O <br /> Kristina Gay tI L j - � '�_ 9 I -1 �2, O <br /> License Holder's Signature: Date: lO f SDI <br /> Email Address: TPA-CoreContracting@trane.com <br /> State of: � <br /> County of.• <br /> Before,me,personally appeared, �� �"" ��S who produced <br /> as.Identification oils personally known tame,and who'did affirm and subscribed before <br /> me this1' `` , day of .\ <br /> •'`''" signature of otvry Public <br /> Nome of Notary Typed,printed or stomped <br /> My Commission Expires I \` <br /> Notary Public$fete f t AREJ <br /> 6Rn. <br />