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ASSURANCE OF FIELD REVIEW & COMPLIANCE

                         Note: This letter must be submitted AFTER completion of the project, and BEFORE issuance of an Occupancy Permit

               To:  Construction Code Authority of Saskatchewan
                    Att: Ryan Shepherd
                    PO Box 535, 872-103 Street
                    North Battleford, Saskatchewan
                    Canada S9A 2Y7                                            Building Permit #


                    Name of Project
                  PROJECT  Address               Lot                City               Prov



                    Roll Number (Legal Description)
                                                                    Block
                                                                                       Plan

               Signature of Registered Professional

               I hereby give assurance that:
               a)   I have fulfilled my obligations for field review as outlined in Section 8 of the Uniform Building and
                    Accessibility Standards Regulations, and in the previously submitted "COMMITMENT FOR FIELD REVIEW"
                    letter dated                                                ; and
               b)   Those components of the project opposite my initials in the "COMMITMENT FOR FIELD REVIEW" letter
                    substantially comply with the plans and  supporting documents submitted in support of the application
                    for the building permit; and
               c)   I certify that I am a registered professional as required in the Uniform Building and Accessibility Standards Act.

               Full Name (Print)                                         (Affix Professional Seal Below)


               Signature                         Initials

               City                              Postal Code


               Phone Number            Fax Number

               E-mail Address          Date:



               If the registered professional is a member of a firm, complete the following:
               I am a member of the firm:  Name of Firm             Address

                                       City                                   Postal Code


               and I sign this letter on behalf of the firm and myself.
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