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<br />,f <br /> <br />,. <br /> <br />., <br /> <br />BUILDING INSPECTION AND RELATED SERVICES <br />CONSULTANT INFORMATION SHEET <br /> <br />1. Trade Name of Business:, <br /> <br />.. Dt-{FLSi FI&ll <br /> <br />I AJ<; lJec7/D",v'5; I AJ c.. . <br />, <br /> <br />2. Legal Name of Business (if the Trade Name is an Assumed Name): <br /> <br />hicfEJ2S i ;;=/~O <br /> <br />IAJ<;J)E;<7/~6J.5 ,/.AJ~. <br />, ' <br /> <br />3. Business Address: <br /> <br />~/og ,;l.~7 ~ AtJ~" .Ali€". <br />Street <br /> <br />~AJi( <br />City <br /> <br />AfAJ <br />State <br /> <br />5Sao/".1) -Sa..77 <br />2ip <br /> <br />4. Business Telephone: (Please list all applicable phone numbers in which you can be <br />reached regarding this application): J 4 ~ _ ~J?# e <br />'7"3 -'7S7- 77 /~ <br />t,1.:1 - 71./7 - Br!ls</ ,.. 6~.uu 763 - ;};;JS" - 7K~1 J ('/fel cElt #' <br /> <br />5. Name(s) of Person(s) Authorized to Represent the Business: <br /> <br />GL-eNU ;8u2zel/ <br />, Name <br /> <br />~Vltj)Pf/6j t?/F;C(A-~ <br />Title <br /> <br />{ltfe.1 r\5~~pS()"J <br />Name <br /> <br />& ,(.t)/Alt; t:J #/ V'4 ( <br />Title <br /> <br />Name <br /> <br />Title <br /> <br />-6" <br />