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r <br />CITY OF SAN`I'A ANA <br />PROPOSAL <br />PROJECT NO : 170802 <br />LINCOLN AVf I'E[)ES71tlAN PATHWAY PAIZK 1 N. "1'0 SAN'F1A(iO CREEK <br />ATPL 506](177) <br />C6N I RAC"IUR S l I(, l NS(N(t ANI) Rf Ci1S112A I ION S 1 A 11INIEN I" <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and <br />all his/her subcontractors are registered 00 the Suite of Calif nha Department of Industrial <br />Relations (DIR), and that the following is true and correct_ <br />Contractor's Name- W r i, f r„, <br />Business Address Z, L <br />Business E-Mall Addiess <br />Telephone: LLLLIY. +''1' <br />State Contractor's License No and Class jw, , iL- , _ <br />I.iccnse Expiration Date '(r ri' ,' <br />State; Dept- of Industrial Relation,, (DIR) <br />Registration No n, ire a r. <br />State Dept, of Industrial Relations (DIR) <br />Registration Lxpiration Date <br />Signed <br />Title Ir,. <br />City Council 16 — 41 060021 <br />P-7 of P-20 <br />