2019-12-10_GENERAL DOCUMENTS - M2008001

• Permit No: M2008001
• IBM Index Class Name: General Documents
• Doc Date: 12/10/2019
• Doc Name: Agreement to Conduct Permitting by Electronic Means
• From: EWSD I, LLC
• To: DRMS
• Media Type: D
• Archive: No

12/10/2019 Annual Report ePermitting Signup-Google Forms
Permit/NOI Numbers (ie M-1 987-189) P-2016-026):
M2008001
.......................................................................................................................................................
Last Name of individual who will act as account administrator for the
ePermitting account:
Gallo
First Name of individual who will act as account administrator for the
ePermitting account:
Thomas
Email address of account administrator:
The account administrator is responsible for providing the Division with a current email address for
ePermitting correspondence. Please contact the Division if an existing administrator email requires
updating.
[e-mail]
.................
Name(s) and Permit Number(s) of any additional person(s) to notify
on annual report/map/fee due date(s):
744104
https://docs.google.com/forms/d/11rxOW3YTBhUgGtqfeXDsKSGkvVjwJFE-9jmiKZURFs/edit#response=ACYDBNimRz4YeICvt1 nRf3F9vgrGLJy6Q9k... 3/5