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1. Trade Name of Business: <br />BUILDING INSPECTION AND RELATED SERVICES <br />CONSULTANT INFORMATION SHEET <br />2. Legal Name of Business (if the Trade Name is an Assumed Name): <br />3. Business Address: <br />Street City State Zip <br />4. Business Telephone: (Please list all applicable phone numbers in which you can be <br />reached regarding this application): <br />5. Name(s) of Person(s) Authorized to Represent the Business: <br />Name Title <br />Name Title <br />Name Title <br />