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98-7949
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1998
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98-7949
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Last modified
3/4/2009 3:16:04 PM
Creation date
8/24/2006 10:44:02 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
98-7949
Building Department - Name
CIRCLE K
Address
38509 CR 54 E
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<br />"I <br />1J[~. <br />-.J ~~.B.leat.dc <br /> <br />2517 COUNTRY CLUB RD. <br />SAN FORD, FL 32771 <br />407/323-6300 <br /> <br />Terry K. Tabb <br /> <br />QUALIFIER'S NAME <br /> <br />EC0001530 <br />(cl.l h.l' J Q K -=It- 7 I G-'9L) <br />3~EUq ~ e> ~ R '64- <br />~-~~;;)y'FC <br /> <br />CERTIFICATION NUMBER <br /> <br />JOB NAME <br /> <br />JOB ADDRESS <br /> <br />CITY, STATE, & ZIP CODE <br /> <br />I hereby authorize <br /> <br /> <br />permits ln the <br /> <br />name of K & K Electric Company, signed by <br /> <br />I, Terry K. Tabb, authorize the person bearing <br /> <br /> <br />act as my agent in filing application, <br /> <br />signing <br /> <br />on, and any and all administrative steps <br /> <br />necessary for the purpose of registering or permitting as <br /> <br />needed. <br /> <br />7-/~' &fZ <br />DATE <br /> <br />T 7( 1U- <br />SIGNATU~OF QUALIFIER <br /> <br />Sworn to and subscribed before me this ~day of ~ <br /> <br /> <br />j f\~ tJ. ~o..N\ My Commission Expires: <br />NOTARY'PUBLIC <br /> <br />,1998. <br /> <br />TRACY N. ALLMAN <br />~ Notary Public. State of Florida <br />\ M'J comm expires Jan. 30. 2000 <br />, , No. CC528736 <br />~~: !:kn(1'l-' Ihro Ashton Agency. Inc. <br />~;;--------=:-'~.:;..::.~ <br />""~ -..- .~... <br />
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