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Special Inspection & Testing Agreement

PO Box 145490 Building Services & Civil Enforcement , fax 801-535-7750451 South State Street, Room 215 Salt Lake City, Utah 84111 Salt Lake City, Utah 84114-5490 BLD #DateUpdated 6-2016 Received by ValuationOffice only Special Inspection & Testing AgreementBefore A Building Permit Can Be Issued: The registered design professional in responsible charge shall fill out this Agreement in full. This is to include the name of the Inspection agency, the full name of the applicable inspector for each category as well as their appropriate certification number (see the boxes on pages 3, 4 and 5).Also attach to this form, as an added page, a copy of each listed inspector s current copies of this form and the certificate copies are to be submitted to the City during the plan review (prior to the issuance of a building permit).

3 DRetain special inspection records The General Contractor is also responsible for retaining at the job site, all special inspection records submitted by the Special Inspector, and …

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