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4/18/2019 Annual Report ePermitting Change Form - Google Forms <br />https://docs.google.com/forms/d/1QY6C6w2BMyQoAmu1_DFtS5wVHIfoeUraQePxvehJJac/edit#response=ACYDBNj2Z4aA5Z4ZEgzTMRQbFz_nsO…1/3 <br />23 responses <br />Accepting responsesSUMMARYINDIVIDUAL <br />of 23 <br />Responses cannot be edited <br />ePermitting Administrator Change Form <br />* Required <br />Please complete this form to update the ePermitting Administrator for submittal of annual <br />reports and fees. This form is for changing the name and/or email address of the <br />administrator on existing ePermitting accounts. You will receive an email conrming your <br />changes within two business days. <br />Kirkland Construction <br />M-2013-012, M-1993-059 <br />22 <br />Name of Permittee or NOI Holder: * <br />Permit/NOI Numbers (ie M-1987-189, P-2016-026): <br />Annual Report ePermitting Change Form <br />QUESTIONS RESPONSES 23