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a <br /> CONTRACTOR AUTHORIZATION FORM <br /> ec13001287 <br /> STATE LICENSE NO.: <br /> DONALD WARNER <br /> PRINT QUALIFIER'S NAME: <br /> BUSINESS NAME: DON WARNER ELECTRIC <br /> *THIS AUTHORIZATION SUPERSEDES ALL PREVIOUS SUBMITTED AUTHORIZATIONS* <br /> I authorize the following individuals to sign for and obtain permits: (Please print names clearly.) <br /> DEBORAH PLATTHY ADAM FRANCIS <br /> JACOB HODGES <br /> JORDAN MILLER <br /> ARIEL BULLINGTON <br /> Signature of Qualifier: Date: 2/7/19 <br /> State of Florida <br /> County of Pasco <br /> Sworn to and subscribed before this day 2/7/19 <br /> Notary Pubk State f F rida <br /> ,P "° ^ Notary Public State of Florida <br /> Timothy Coffer <br /> y @¢ <br /> 1.eMy Commission GG 248671 <br /> Q�woe Expires 08t1512022 <br />