Fillable Letter of Authorization to Pick Up Permit(s) (City of Greenville)

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Letter of Authorization to Pick Up Permit(s) (City of Greenville)

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Letter of Authorization to Pick Up Permit(s)
This Letter of Authorization expires at year’s end for the year .
I, , the state license holder hereby authorize:
(Full name needs to appear as listed on State issued ID.)
to submit permits, pick up permits and sign any documents related to:
□ All permits
□ Address/Parcel #:
□ Permit #:
Print Name (State License Holder as shown on State License)
Signature (State License Holder)
Company Name:
Contractor License #:
Notary Acknowledgement of Signature
The foregoing authorization letter was acknowledged before me this
day of , 20 .
by (Contractor’s Name)
□
who is personally known to me
□
who has produced identification
Notary public signature
Notary printed name
My commission expires
(Seal)
City of Greenville Building Department
P.O. Box 2207 Greenville, SC 29602
Phone: (864) 467-4550 Fax: (864) 467-5715
permits@greenvillesc.gov
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Letter of Authorization to Pick Up Permit(s) (City of Greenville)

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Completed 18 November 2020

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