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38B-139 (6) 326 - 139 Find Construction Control Document Tobe submitted m completion of construction by• rRegistered Dadra Protaab•al 1 for work pa the 814 edition of the Mara•ohtaetta State Building Code, 780 CMR,Section 107 Project Tkk: , j,7�,�, PowDate:_____ It eco. Parry Address: /7© 'rx/.'2i h 5T. ,/,/4/(77-/77744/0/0",/ GUFF p/06f7 Project Check ooe or both u applicable. ,yZNew commotion 0 Existing Construction Project description: AV/G/) tl— K) til/ 2&Jt7Q265 [ ."Vr2ar 2/t,`1-1%C MA Registration Number: /pyo Expiman lair. J9_" am a registered design professional, and I haw pawed or directly supervised the i epitgi ofsil design , .. compatriot's aed spedffcaions concerning: T.wrchuauael8gtvetrral [ j Mechanical [ I Fire Protection r I Electrical [ I aha: fir Sc Move named project. I,or my designee,have performed the necessary professional enrolees and ws prima at the constriction site on •regular and patodk basis.To the bat of my knowledge,information,sad belief the work proceeded in accordance with the reghemeats of 780 CMR and the design documents approved as cart of the building path and tree 1 or my designee: I. Haw reviewed,lbs confirmmce to Ibis code end the design concept, shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the denies for registered deslga professionals in 780 Oat Chapter 17, as applicable. 3. Rave boon present at intervals appropriate to the rage of consbuctice to became geeer•Ily Braille.with the progress and quality of the work and to determine If the wait wits performed m a mama consistent with the construction documents and this code. Nothing in this document relieves die contactor of its ' `regarding the provisions of 780 C Mit 107. ,s Furter m the space to the right a"wet"or It ekmmk signature and teal: , _ Iia%%7 y Phone number \ Hnrmns % Balding Ovoid the Only Building Official Nemo Pert Roy Dela_T_ Venice 06_11_2013