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6/18/24,7:00 PM Annual Report ePermitting Signup <br /> Street Address: <br /> 7057 West 2100 South <br /> ............................................................................................................................................................................. <br /> City: * <br /> Salt Lake City <br /> State: <br /> Utah <br /> Zip: * <br /> 84128 <br /> Telephone: <br /> 8015974471 <br /> Permit/N01 Numbers (ie M-1987-189, P-2016-026): <br /> M-1 980-085,M-1 987-044,M-1 986-165 <br /> ............................................................................................................................................................................. <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Jorgensen <br /> https://docs.google.com/forms/d/l lrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNiiDKFxl mNofJWgn53cgAmIL-txoOS... 2/4 <br />