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- <br />FI F <br />-Prof essiorr€ll Floof ing Service <br />STATEMENT OF AUTHORIZATI ON <br />Date: 5130117 <br />I hereby authorize the following person to act on my behalf in order to obtain <br />permits and/or a business license from the Building and Safety and/or Business <br />License Divisions. <br />I am properly licensed and will provide verification of current status. <br />I assume full responsibility under the law for permits taken by the person <br />authorized to act on my behalf. <br />Executed by:Brian Lynn Hoyt, President <br />PERSON AUTHORIZED TO SIGN PERMITS AND HIS SIGNATURE AND <br />DRIVER'S LICENSE NUMBER: <br />Lu is Tokillas E1203764 <br />Print Name of Person Signature CA Driver's Lic# <br />Tak eo Tokillas 46152044 <br />Print Name of Person Si gnature CA Driver's Lic# <br />_Mauricio Laguna_ _ <br />Print Name of Person <br />E2200603 <br />Signature CA Driver's Lic# <br />Print Name of Person Signature CA Driver's Lic# <br />SEEATACHED <br />CTILIFORI'IIA <br />ACPIOYLEDGEMETiT <br />Lic # 606111 ) 1809 N. Orangethorpe Park o Anaheim, Ca g2801 <br />Phone (714)773-1820 t Fax (1141773-1822 <br />O <br />STATE CONTRACTORS LICENSE# AND CLASSIFICATION 606111 C-39 <br />EXPIRES 12131118 <br />CONTRACTOR'S NAME AS lT APPEARS ON LTCENSE: HOyT ROOFS.tNC.