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i- L�- ` —, a L LA UJV1 Y ( k It' 1W. have agreed to be
(Company lt2amt:[In4ividuat Name)
ttae ELI
b 1� A Sub -contractor for
(Typeof'£rade) . (Prinnar`y-contractor)
For the project located ai.1 c� �: �� T1C �i ���A Y �� �� � ���i�5� '-r�iC��
(Project Street Address orProf ony _ t ID #)
It is understo od that, if there is any change of status regarding our -participation with the abazre mentioned
project, tiie Building and Code Regulation Dh4sion of St. Lucie County vwi"II be advised pursuant to the
rf3ing of a Cbange of Sub -contractor notice.
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My Comm. Hxsires Jar g. ? ;2: ;tp^V" ; ., JESSICASANCHEZ $
Bonded through Nationa. uoUr: ass !Ems: ; ; Commission # HH 081950 3
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PF ° Bonded Thor Troy Fain insurance 880-385-70i8
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ilie _. 4 + Bub-conueator ffi_ bi n. o r ^' hn"
(tyrtr. G. Tt dc) (?rlmary contractor)
i'0?' the project located sit � �� C�,�ctq Y`7
(Prgieat SCaet Address ar t�rore iy 7 j
it, i5 understood 'that, if thim is may change of embus iBOut 7di1fiCii321.'(on x?rith the 213oVe'ril>'n-dozzlBd
nrajecc, :he Building Ltd Code ReoU't&tion Division of St LuCie CCom al y vAli be advised i3)l Suxj- o FEc
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