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Illinois Professional Design Engineering/Land Surveying Firm #184.000819
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Client
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Name
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Last
Phone
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Email
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HBE Project Number
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(Located in Title Block of Plans)
Initials of Design Engineer
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(Located in Title Block of Plans)
Project Location
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(Village, City, Address, Pin No., etc.)
Brief Description of Project and/or Required Services
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Approximate Date Requested for Completion of Services
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Have Plans Been Approved/Permit Obtained?
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