Permit
Holder: (Company Name)___________________________(Permit No.)_________________
I, ____________________________________________________________occupy
the position of
____________________________________________ in the Permit Holder
firm. In that position I have authority and undertake to maintain
an organization in which the practice of the profession (s) for which
the above Permit Holder is authorized to practice, can be conducted
in accordance with The Engineering, Geological and Geophysical Professions
Act and Regulations.
I hereby
apply for a 50% reduction of the annual permit dues payable by the
Permit Holder for the invoiced billing year and declare:
- The
Permit Holder has only one Professional Engineer, Professional Geologist,
Professional Geophysicist or Registered Professional Technologist
as a full time employee or member of the firm, and
- The
gross revenues of the firm did not exceed $250,000.00 in the last
12 months.
I declare
the above statements to be true, complete and accurate to the best
of my knowledge and have enclosed a payment of 50% of the Permit to
Practice dues.
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