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Srncke & CO
AI arm Affidavit
P r c1:':t AJ C,'e ; s
Permit lrl ,.rrnber
Prcperty Owner
C o n tra;tJr:Lice ns? #
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p-.rf,)r::e,1. ,r,ra,,.t''ir^ S,-rol<:J-! 1i3;-:i1j nTusico'rpl7 r,irrillr ,;1 3;pir,:lbie ;irnrj,r,'j j lt',-1 be a:,'oroveC
b'7 [:e Scr:e Fir: t\lar:hail i;;i\li Ba:::r''7 iiie mu':t be l-l years
I her:cy certtfT ti"ai I ar:, lie ccni-lc:Jr or tne pi?certl o'runer oi t:re lbo'ie prllect. I f"riiler-cert;fy
that ;inoK,'aiari:r; and;er-5,)o rnon'),(,de:iar':ns ra'ie been inst.rlled in ccmpliance wrth the,3overntng
Cc,j,:s and ha.re be'::. i:;i:,1 tc be f,-,irrclronai. l, arsc, he.eb,r ,:el'rrf'7 "t'3t 1 ,vvill rSlesi lle aiar"ns oer the
man u itct;rer'' ; inst,-'.rci,on s
Signatur z af/vd Dat z 6[t6
(check o n e)tr L:cet ie,J Ccnii'ar:to:E Pr-o oeri I \/uner
NOf: This;elf-certificzt:on is oni,/ used for prcject; that tffzct the EXTER|OR oi ne ;tructure. This
pr)c2;i is'tpOlicabte CftrL{ to ptoi.c!; wherz dc.ess to the interior of the d,pelling by a Santt Ana
lnspectcr is not rzquirzd.
Ha.re ihrs completed fcrm an.l the job-c,rrC re*7il'y available on final inspectioni
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