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CONTRACTOR AUTHORIZATION FORM <br /> F STATE LICENSE NO.: <br /> PRINT QUALIFIER'S NAME: MICHAEL YAGMIN <br /> ENERGY SOLUTIONS DIRECT <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 /> STACY GRAVES JACOB HODGES <br /> ARIFI Rl11 1 IN GTON <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 /> ANota Pu Ic a e Florida <br /> (stamp) 4-7-19 <br /> My commission expires _ <br /> 4PP•'•Le •� STEPHANIE STEPHENS <br /> 1� My COMMISSION#FF218087 <br /> EXPIRES April 07.2018 <br /> • r3Cr:fb8-0'ys ibriAallotarySaMCo.cam <br />