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Get NYC Buildings LIC38 2008

Cial: Internal Use License # Year License: # Applicant ‘s Name Permanent Address City Phone # State Birth Date Zip SSN # Email Address Are you the Responsible Representative for the business? Yes: (note that there can be only one Responsible Representative for a business) Responsible Representative only: Name No: Do you authorize this person(s) to file electrical applications under the business name? License # Yes: No: Initial here ____ Are there additional licensees in the busin.

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