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8/1/22,3:24 PM Annual Report ePermitting Signup <br /> City: * <br /> Frederick <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> State: * <br /> Colorado <br /> Zip: <br /> 80516 <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> Telephone: <br /> 3036666657 <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> Permit/N01 Numbers (ie M-1987-189, P-2016-026): <br /> m-2015-003, m-1999-006, m2022-013(pending) <br /> ............................... .................... ................................................................................................................................................................................................. <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Jeakins <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Kevin <br /> https://docs.google.com/forms/d/1 lrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNhZMAjk8wGngd7GptwLH 1 t3yMyM... 2/4 <br />