RECORD DRAWING CERTIFICATION FORM CDB Project No.: Project Phase: Building Number: Project Description: Using Agency: Project Location: This date, 20 Firm: ___________________________________________________ Firm Registration Number: ___________________________________________________ the project Architect/Engineer, submits herewith record construction drawings of the above project in electronic format as listed below: This certification shall constitute the the Architect’s and/or Engineer’s original signature(s) on record drawings in accordance with Illinois law. All parties signing the original drawings must sign and seal this form. Attach additional pages, if necessary. Seal PRINTED NAME: _________________________ SIGNED: AUTHORIZED SIGNATURE Seal PRINTED NAME: _________________________ SIGNED: AUTHORIZED SIGNATURE
RECORD DRAWING CERTIFICATION FORM CDB Project No.: Project Phase: Building Number: Project Description: Using Agency: Project Location: This date, 20 Firm: ___________________________________________________ Firm Registration Number: ___________________________________________________ the project Architect/Engineer, submits herewith record construction drawings of the above project in electronic format as listed below: This certification shall constitute the Architect’s and/or Engineer’s original signature(s) on the record drawings in accordance with Illinois law. All parties signing the original drawings must sign and seal this form. Attach additional pages, if necessary. Seal PRINTED NAME: _________________________ SIGNED: AUTHORIZED SIGNATURE Seal PRINTED NAME: _________________________ SIGNED: AUTHORIZED SIGNATURE
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