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Get CA HCD RT 476.6G 2015

Ey may suffer resulting from registration of the above described unit in California, or from, issuance of a California Certificate of Title covering the same. I/We certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on Date at City State Signature Signature Signature Signature PHONE #: E-MAIL ADDRESS: HCD 476.6G Side 1 (Rev. 01/15) Decal (License) No.(s): Serial No.(s): DECLARATION OF INSTALLATION OF WATER HEAT.

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