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CITY OF SANTA ANA <br />PROJECT NO. 1 16745: RAI'I'T STREET FROM WARNER AVE. TO EDINGER AVE. <br />PROPOSAL AND CONTRACT AGREEMENT <br />CONTRACTOR'S LICENSING�STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that the <br />following is true and correct. �% <br />Contractor's Name: }} � � �j'Y%X /�C Q-f Z �,SJ%�Q �T/ <br />Business Address: p U. �jX j}rj}�j �1 �j'j)] ;�� � �%�, G%a���� <br />Telephone:. `7 ��� ���jL¢ _ � l� U <br />State Contractor's License No. and � � �� � � ' <br />Class: <br />Expiratic <br />Date: <br />Signed: <br />Title: <br />BP 13 of 13 <br />