Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 18-6491 <br />WELL N0.29 IMPROVEMENTS <br />CONTRACTOR'S LICENSING AND .REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she <br />and all his/her subcontractors are registered with the State of California Department of Industrial <br />Relations (DIR), and that the following is true and correct. <br />Contractor's Name: <br />Business Address: 2155() okocwa St,, Sie, [m 1h ooet ,Cxd`yt CA II"?t � <br />Business E-M[aitl-/A�dydresss:ft�,r�'(;{.1y5� Pil�i�aticon, (,om <br />Telephone: ( 0) I "i� t 9 r d 2 D <br />State Contractor's License No. and Class: ` l % 291& I>, 0 9f c2-I, NS 0 TF z- <br />License Expiration Date: <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 10F:>(vo q 515 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date:y L, � � G> l ') () <br />Signed: <br />Title: F(I.V(d. �Glroo( i P(,es <br />C`P..rV O C U'.1` � ii` 6tfi ! l e.. v, <br />P-7 of P-20 <br />