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Get NJ U.C.C. F120 2005

CALL UTILITY DIG NO: 1-800-272-1000. Qualification Code Block Lot C. CERTIFICATION IN LIEU OF OATH I hereby certify that I am the (agent of) owner of record and am authorized to make this application and perform the work listed on this application. Work Site Location Applicant’s Signature/Contractor’s Seal and Signature Owner in Fee: Tel. ( [ ] Licensed Elec. Contractor [ ] Certif'd Landscape Irrigation Cont'r [ ] Exempt Applicant e-mail ) D. TECHNICAL SITE DATA QTY. SIZE ITEMS Addres.

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