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Get and Sign City of San Diego Application to Perform off Site Fabrication
Separate sheet)
JOB SITE ADDRESS:
DESCRIPTION OF COMPONENTS FABRICATED:
FABRICATOR IS CURRENTLY CERTIFIED BY:
Other:
ICBO AISC ACI PCI pti
Certificate No.:
Expiration Date:
SPECIAL INSPECTOR ASSIGNED:
CERTIFICATE NO.:
FABRICATION DRAWINGS REVIEWED AND ACCEPTED BY DESIGNER OF RECORD?
YES
NO
STRUCTURAL FRAMING PLANS, DETAILS & CALCULATIONS REVIEWED AND APPROVED BY THE CITY
OF CORONADO BUILDING DIVISION?
YES
NO
FABRICATION COMMENCEMENT DATE:
COMPLETION DATE:
We hereby...
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