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<br />, 06/0~/2003 09:08 9037842429 <br /> <br />PARIS PUBLIC WORKS <br /> <br />PAGE 03 <br /> <br />DATE .5'-:2 0-03 <br /> <br />CITY OF PARIS <br /> <br />. REOUEST TO WAIVE WORKERS' COMPENSA nON <br /> <br />GooJ. J;ee Service <br />. . :NAME OF COMPANY <br /> <br />Jlf#; JOY 2:<:<0 <br />. ADDRESS OF COMPANY <br /> <br />/)rir/(il h 7~f'3b <br />..' CITY, ~TATE ZIP <br /> <br />903 -b?f-cY?3 3 <br />. PHONE NUMBER <br /> <br /> <br />. . am requesting that WORKER'S <br />ENSA nON be waived. I have no employees. <br /> <br />RECE,"EO <br />",~,{2 0 2003 <br />C11~S <br /> <br />The individual(s) afeall theOWNERS/PARTNERS of this company and will be the ones <br />working on our job site(s). <br />