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STEAMFITTER 15. SURVEYOR 16. TILER 17. TRUCK DRIVER 18. LABORER 19. OTHER 20. OTHER I hereby certify that the foregoing statements made by me are true. ASBESTOS WORKER 2. BRICKLAYER OR MASON 3. CARPENTER 4. ELECTRICIAN 5. GLAZIER 6. HVAC MECHANIC 7. IRONWORKER 8. I am aware that if any of the foregoing statements are willfully false I am subject to punishment. Signature Please Print Your Name Area Code Telephone Number Title Ext. PROJECT NUMBER 8. IS THIS PROJECT COVERED BY A PROJEC 4. IS...
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