Laserfiche WebLink
. � <br /> Fire&WatQr- Clea,up& Restoration'"' <br /> V <br /> CONT'RACTOR AUTHORIZED FORM <br /> STATE CERTIFIED LI� # CGC014994 <br /> PASCO CONTRACTOR ID# 004351 <br /> QUALIFERS NAME - �,AIRD, RANDALL W. <br /> BUSINESS NAME— SLRVPRO OF TARPON/WEST TAMPA <br /> ' I authorize the following individual(s) to sign for and obtain permits, record <br /> my state contractor license(s) and create passwords o:� my behalf regarding <br /> the above mentioned license. <br /> DONNA LOTZ of PERl`vIITS PLUS <br /> PAUL TUGGLE of SERVPRO of TARPON/WEST TAMPA <br /> �`*This authorization supersedes al� previous submitted authorizations** <br /> �---�, <br /> / f <br /> Signature of qualifier: ;'� � <br /> Sworn to and subscribed before this day <br /> :��. T w'�:�. :;-t.��.t�GttA <br /> =': :� PNY C�MMIS:�IGN#DD988734 Ttl r /� <br /> �. '.� �X�iR�S;�1ay 31.2014 � �A`� D C �� ��4 <br /> �0 398-0153 f ' pp� J� <br /> /` f� <br /> Nota Public <br /> State of Florida <br /> In�lepe�t�lejttll' ()tt�nrd�rn�l O�er�rte<l <br />