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19-21492
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19-21492
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Last modified
1/8/2020 2:40:20 PM
Creation date
1/8/2020 2:40:20 PM
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Building Department
Company Name
CRESTVIEW HILLS
Building Department - Doc Type
Permit
Permit #
19-21492
Building Department - Name
KENNEY,BRILEY & GABRIELLE
Address
7509 MERCHANTVILLE CIR
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r,+ 7 .',;.fit -.�(" <br /> -ir "'/'" drT`u + yes: -h <br /> ,5:e ^mow. ;';y':.•.'"'':6°�.ca-.•drn-^ �:- _ <br /> • ';,yam::'.„ ;... r�y <br /> 6021 W Culf T4 Lake HWY 700 N CI!steert RD <br /> Crystal River FL -, 29 New FArt-Richey Fl, M603 <br /> 52 795-2665 499 202.0003 <br /> Contractor's Authorization Letter <br /> I, Oq vi o Hu 7-CH I ivS , license holder for Sa Y � E <br /> /4 G , authorize the following people to apply/sign for permits <br /> under my license number_C A C_ol o 1//6- <br /> Please allow ONLY the person(s) listed below to sign. This letter supersedes all others. <br /> GRE6 oR y S• 6,0WIg20s <br /> C�: ,,� DA111d S� yvTCHIwS <br /> ontractor's ignature Contractor's Printed Name <br /> STATE OF FLORIDA <br /> COUNTY OF PASco <br /> The foregoing instrument was acknowledged before me this /a day of <br /> J m y , 20 11 by DqV'O go TCHIWS who is ersonall <br /> know to me or has produced as identification. <br /> HAROLD COE <br /> Notary Public—State of Florida <br /> .; Commission M GG 158450 <br /> NOTARY PUBLIC =:u> �,=My Comm.ExftesDecl,2oz1 <br /> ',Fc *'= ' gened�roghNauona Norarylssn. <br /> H:\USERS\BDRS SHARED DIRECTORYTFORMS\CONTRACTOR AUTHORIZATION LETTER,doc <br /> Created on 10/14/2014 10:28:00 AM <br />
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