Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16 -1305 <br />3AD AND BUSH RESTROOM <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 Deparbrient of Industrial <br />Relations (DIR), and that the following is true and correct. <br />Contractor's Name: DYAvvn.(>r-� t h-) C <br />Business Address: CA tQ0 2 SA-m c, 1 t v) e— t) (_')W °"t E `� C(k <br />Business E -Mail Address: �<)�Al � C'CSr?l O v IC; \C i 5 1i CJ Yvl Ck_ � 1 CC) rv'l <br />Tetephone: 661 C�. G� 01 . '2 -),I t1 <br />State Contractor's License No. and Class: <br />License Expiration Date: j I <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: <br />State Dept. of <br />Registration Er <br />Signed: <br />g6900.? •- 6 <br />J ()bbD G,(o5q ee?D <br />(DIR) (.n I .� 0/ 16 <br />v <br />Title: "IV V `� <br />1 ^C e `• F-C.S'��n�;w� j'� <br />P -4 of P -16 <br />20B -10 <br />