HomeMy WebLinkAbout210492 AXICONSignMasters®COLORADO
Department of
Regulatory Agencies
Division of Professions and Occupations
Below are your electronic wallet cards to use as proof of your license. You can also print your license at
any time by visiting www.colorado.gov/dora/DPO_Print_ License and following the instructions listed.
If you would like a more durable wallet card option, you can order one for a fee by visiting
www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If
you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastoregnasba.org.
Should you have questions about your credential, or need other information please contact
our Customer Service Team at 303-894-7800 or dora_ dpo_licensinggstate.co.us.
Division of Professions and
Electrical Board
Dariusz Rafal Luty
Master Electrician
ME.0600200
10/01/2020
Number
Issue Date
Active
09/30/2023
Credential Status
Expire Date
Verify this credential at:
dpo.colorado.gov
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Division of Professions and
Electrical Board
Dariusz Rafal Luty
Master Electrician
ME.0600200 10/01/2020
Number Issue Date
Active 09/30/2023
Credential Status Expire Date
Verify this credential at: dpo.colorado.gov
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1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 dpo.colorado.gov
®COLORADO
Department of
I CS Regulatory Agencies
Division of Professions and Occupations
Below are your electronic wallet cards to use as proof of your license. You can also print your license at
any time by visiting www.colorado.gov/dora/DPO_Print_ License and following the instructions listed.
If you would like a more durable wallet card option, you can order one for a fee by visiting
www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If
you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastoregnasba.org.
Should you have questions about your credential, or need other information please contact our
Customer Service Team at 303-894-7800 or dora_dpo_licensinggstate.co.us.
Division of Professions and Occupations
Electrical Board
Axicon LLC, Inc.
Electrical Contractor
EC.0100884 10/01/2020
Number Issue Date
Active 09/30/2023
Credential Status Expire Date
Verify this credential at: dpo.colorado.gov
fbwlfu � I Dan Luty
Division of Professions and Occupations
Electrical Board
Axicon LLC, Inc.
Electrical Contractor
EC.0100884 10/01/2020
Number Issue Date
Active 09/30/2023
Credential Status Expire Date
Ve ify this credential at: dpo.colorado.gov
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1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 dpo.colorado.gov
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City of
"� WheatRjdge
COMMUNITY DEVELOPMENT
7500 W. 29th Avenue * Wheat Ridge, CO 80033 * O: (303)235-2855 * F: (303)235-2857
Contractor Waiver for
Workers' Compensation Insurance
I, (print your name), Dariusz Luty
verify that I am the sole owner or partner of (company name):
Axicon
which has no employees and is not required by the State of Colorado to
carry workers' compensation insurance.
I further state that if I hire contractors/subcontractors, they are in
compliance with the State of Colorado Workers' Compensation insurance
requirements, have obtained the required contractor's license from the City
of Wheat Ridge and will be listed on the permit.
Dariusz Lut Digitally signed by Dawn wry
Signature: Y Date. 2022.07.1310: 5920-00'00'
Date: 7/13/2022