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Get Architect And Licensees Affidavit Massachusetts Form

Ect hereby certifies: 1. The Architect has created the architectural plans and specifications attached hereto as Attachment 1 (the "plans") regarding physical plant improvements at the facility named below: Facility's Licensed Name or Proposed Name Address City/Town Zip Code Hospital or Clinic Satellite Name (If Applicable) Address City/Town Zip Code Brief Project Description 2. The Architect has reviewed all submitted plans which are identified in attached list against the regulations.

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