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,i <br />II <br />I I <br />tt <br />\ <br />R.IGH IME. <br />7 <br />AIR CONDTTIONING A HEATING <br />Coll todoy ood hCp is on the woyl <br />Contractor's Name; David M. Slott - President <br />Thebelowlistedindividualemployee(s)areaUthorizedtoapp|yto- <br />for a building permit on behalf of the above identified licensed contractor. <br />I understand that it is the licensed contractor's responsibility to provide a copy of this form with each <br />building permit application. lf a copy of this form is not provided at the time that a building permit <br />application is filed, an agent(s) of the above identified licensed contractor may ncrt?pplf f6r-tbn1lt thg <br />permit. <br />The below listed employees are authorized to apply for permits for the above identified licensed <br />contractor: <br />Print Name(s) of authorized employees: <br />1. Michael Jaelgli- <br />- <br />2.Bruce Edgar_ <br />4.Rob Cleaver <br />5.Dan Ochipinti 6. Kyle Au Coin_ <br />7. Stephanie Smi <br />9. <br />8. David Painter <br />10 <br />A <br />?_V <br />N <br />C <br />rF, <br />-.-..e.. <br />= :i <br />='-- t.. <br />4.,-Bt <br />Printed name and title of slgnor: Oavid M. Slott, Presid€nt <br />Authorrredsrsnatu rrt furr/ &E Date: 1-l- tl <br />J7;f1 2f 'feeats5 e r <br />Co, tl of 5}tlby <br />,ss' <br />- <br />3-7-l') <br />t.ta ty <br />Phone: 1-877-@4123 www.energuy.co,n Fax l-877-571-0123 <br />Esquire Plaza 1215 KStreet, lTth Roor Sac.ameno CA 958t4 <br />? <br />Mv ComfiisEion Expires <br />Jarxrary 20, 2020 <br />a , <br />Agent Authorization for Contractor <br />Company Name: ARS American Residential Services. DBA Riqhtime Home Services <br />Contracto/sLicenseNumber: 765074 <br />Email: <br />3.Evan Volkwein