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Get Dpd Contractor Disclosure Form

O. Box 34019 Seattle WA 98124-4019 Phone Fax 206-684-8850 206-233-7866 DPD Project Number Site Address Legal Description/Tax Number Property Owner s Name Address Phone Number PLEASE COMPLETE SECTION A OR B AND SIGN THE FORM. A. REGISTERED CONTRACTOR DISCLOSURE To be completed as soon as a contractor has been selected but prior to the start of any work authorized under the permit noted above.

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