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CONTRACTOR AUTHORIZATION FORM <br /> STATE LICENSE NO.: CBC 1260807 <br /> PRINT QUALIFIER'S NAME: MICHAEL YAGMIN <br /> BUSINESS NAME: ENERGY SOLUTIONS DIRECT <br /> authorize the following individuals to sign for and obtain permits: (Please print names clearly.) <br /> JACOB HODGES <br /> STACY GRAVES <br /> ARIFI R1.111INGTON <br /> TIM COFFEY <br /> Signature of Qualifier: ate: S-11wa <br /> State of Florida <br /> County of <br /> Sworn to and subscribed before this day — <br /> Notary u is ate o lorida <br /> (Stamp) 4-7-19 <br /> My commission expires <br /> ;��''�a� STEPHANIE STEPHENS <br /> :�.. �: <br /> My COMMISSION#FF218087 <br /> �'fs;Ftio�'f EXPIRES April 07,2019 <br /> lJ(1/139Y.-0'S hlondallowyServlce,com <br />