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Get form registered ladbs 2016-2024

___ Fabricator ___________________________________________ Permit ______________________________________________ TO THE SUPERINTENDENT OF BUILDING: CITY INSPECTOR: _________________________________ I hereby certify that the following portion of the work at the above job address which required continuous and/or periodic inspection, and which I was employed to inspect, was inspected and approved by me and complies with provisions of the building Codes applicable thereto: Type of inspection: [ ] .

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