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23B - PROJ - WARNER WATER AND SEWER IMPROV
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05/17/2016
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23B - PROJ - WARNER WATER AND SEWER IMPROV
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Last modified
5/12/2016 11:36:15 AM
Creation date
5/13/2016 8:51:14 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
5/17/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 16 -6461 <br />WARNER INDUSTRIAL COMMUNITY WATER AND SEWER 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 <br />Industrial Relations (DIR), and that the following is true and correct. <br />Contractor's Name: Kwi. , <br />Business Address: t�-. MIC C L zip la twF- 1UT- Pt t PT0S -, (,A. Utz ip <br />Business E -Mail br-, tF0 K- j,7rave 6o --1 <br />Address: t` l V->A UI.-P �i--il-+..l= %2L:', - CC) b"1 <br />Telephone: 01to el'�)t - �± <br />State Contractor's License No. and Class: 4 (S l 4 �_7 A <br />License <br />Expiration Date: - -'1 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: i Q C>CJ 0 Q 2--Z--t> <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: ja to 2la <br />Signed: N\ 1 1.-0Gv- <br />Title: PV.GSw'>- or- <br />P -6 OF P -17 <br />23B -12 <br />
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