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CONTRACTOR AUTHORIZATION FORM <br /> STATE LICENSE NO.: <br /> PRINT QUALIFIER'S NAME: DONALD WARNER <br /> DON WARNER ELECTRIC <br /> BUSINESS NAME: <br /> authorize the following individuals to sign for and obtain permits: (Please print names clearly.) <br /> DEBORAH PLATTHY ANDREA O'CONNELL <br /> I <br /> STACY GRAVES JACOB HODGES <br /> ARIFL RUII INGTON <br /> TIM COFFEY <br /> Signature of Qualifier: Date: 6/11/18 <br /> State of Florida <br /> Count of <br /> Sworn to and subscribed before this day 6/11/18 <br /> Nota f Flo ' a <br /> (stamp) 4-7-19 <br /> My commission expires _ <br /> STEPHANIE STEPHENS <br /> MY COMMISSION#FF218087 <br /> EXPIRES April 07.2019 <br /> 1Cr:Sy::-C'S's NoridallotayServlcetor <br /> I <br />