Industrial Electrician Notary Public

VERLFICATION OF CONSTRUCTION EPERTENCE

PISELLAS COUNTY CONSTRUCTION LICENSING BOABD

Li3OL BELCHER 2OAD, SUITE 102

LARGO, FLORIDA 33563

IS/WAS EMPLOTED BY

LOCATED AT

ROM, Jona 19, Tone ok 19.84

tte axperienca, Deccriba the type

hia posteson ae eiper, journeynan, forezan,

er contractor. Descrile the kind of buildings, struccures,

eta Norkad upon. Give any other details thac etgic aid in evalua “eg Mo

Ji Suedor aorked with co as an fnstaller, this foh uae co install motors amt

ols to specifications. He worked or

ag ang ns. Basically

2 was 2 journeyzan

TAM THE QUALIPIZA POR THE ABOVE CONSTRUCTION FIRM, AND OLD CURRENT CERTLPZCATE.

or cawerency x0,.E1 27/27 cam _S/ py Bon

Bitchin! CONTRACTOR. I CERILYY UNDE2 PENALTY OF PTRIVRY

Ne 15 Ta A Gonatcr,

ros Gratis

(RENT wane) DS

Tacs

County of eae we

Subscribed and avorn to before ce

hha day of ee ee

Notary Public AZoe hia) Doe fle

AOSE MARY NOAWILL

My Coantasion Exptregosiy Soir CF NEW JE9SEY

ey Sommanias Eagan June 3, 1987

(his form aay be duplicated, ¥

the etaisus experience req

fication fores suet be furnished co audstantiate

ed in tha category for which application 4s cade.)

(IE aeitvesployed, notarized Lettare froa Building O€fteiate, Lew

and/or contractors you performed work for, wil! be sccepted),

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