Laserfiche WebLink
p= 1529 Seaport Boulevard=]] <br /> VII. Inspector Information : <br /> The inspections documented in the attached Inspection and Maintenance Checklists were <br /> conducted by the following inspector(s): <br /> Inspector Name and Title Inspector's Employer and Address <br /> VIII. Certific • ion: <br /> I hereby certify, ► nder penalty of perjury, that the information presented in this report and <br /> attachments is <br /> 1,\ <br /> d complete: <br /> c....>„-----Th 1 Zt l ic <br /> Signature of Property Owner or Other Responsible Party Date <br /> N-Ai\ pL \ . g ,13 .1:t-Y-L3 <br /> Type or Print Name <br /> W € s7 -90 I \in2 LL C___---. <br /> Company Name <br /> \ 2--- LC-eitsCa• DV %-tvol -0 c \ ) <br /> 0■4- O o <br /> Address CaCt cei <br /> Phone number: 113 r O c �rnafl : ��� L°C��-" " — ' Qoi�`-?� <br /> PLEASE SEE ATTACHED <br /> ACKNOWLEDGEMENT/JURAT <br /> FROM NOTARY PUBLIC <br /> Page 3 O&M Inspection Report <br /> ATTY/AGR.2016.004./1529 Seaport - Phase 2 <br />