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I$ NO~ $'FART~D WlrtlIN 180 DAYS Olm I$$UANCB OR IF <br />W'ORKIN SUSPBNDBD FOR ~80 DAF& <br /> <br />2~ CONTRACTOR IbB?ORMATION -- ~ IA'DICAT~ <br />WHO ~J DOING TI~ WORK <br /> <br /> ~,:'u,~ A~: '-~.. 0 · ~ Ow-~ / ~0o~"- <br /> <br />Fax: <br /> <br />strttctawe b zold or off, red for ale bffore ar upon cornpltdon_ If I <br />him subcontractors. I will Mm only subcontractors regL~tered with <br />the Con.rtrueMon Contrac~or$ Board, ff l change my mtnd and do <br /> <br />.%',:ut's Slgnamr~: <br /> <br /> PLAN REVliY/V SF, CTION <br />Maim Co~ty doe~ ~ rcqulr~-m piton ~evicw, We will provide pl~ul <br /> <br />MC 15-4I P~v 9D8 <br /> <br />xool~ <br /> <br />s <br /> <br />$ <br />$ <br />$ <br /> <br />861Z0/~I <br /> <br /> <br />