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Ftg. b Type c Type d Type Contractor/Installer Construction Contractors Registration Number Expires Print Name Signature OFFICE USE - Sign District Zoning By signature I state and agree that as owner or owners agent that I have carefully examined the completed application and do hereby certify that all information herein is true and correct and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State...
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