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3/5/2020 Annual Report ePermitting Signup-Google Forms <br /> Please complete this form to create a new ePermitting account for submittal of annual <br /> reports and fees. You will receive an email with your login information within two business <br /> days. This form is for new ePermitting account activation. If you have already enrolled in <br /> ePermitting, you should not complete this form. <br /> Name of Permittee or NOI Holder: <br /> Scott Contracting, Inc. <br /> ............................................................................................................................................................................... <br /> Street Address: * <br /> 9200 E. Mineral Ave., #400 <br /> ................................................................................................................................................................................ <br /> City: <br /> Centennial <br /> ................................................................................................................................................................................ <br /> State: <br /> CO <br /> Zip: * <br /> 80112 <br /> Telephone: <br /> 7204907407 <br /> https://docs.google.com/forms/d/l IrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNhlazD6YN85stw2P7rWIQhQWn6pG... 2/4 <br />