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DV Packet Revised June 2017 Declaration of Value Form Instructions Complete the following sections: 1. Assessor parcel number(s) (APN) – List all parcel numbers affected by the property transfer.
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This document was developed by the Southern Nevada Building Officials’ International Building Code Committee and presents recommended amendments to the 2012 International Building
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EMPLOYEE DIRECTORY -Department of Public Works For general information, project inquiries or to request maintenance, please call 455-6000 or email: InTheWorks@ClarkCountyNV.gov
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Self-Inspection and Declaration Tool 55 Pa.Code Chapter 6400 Provider Name: Master Provider Index (MPI) Number: The provider has had at least one full renewal inspection by the Department other than the initial inspection: ☐ YES ☐ NO Note: If “No” is checked, this site is not eligible for self-inspection.
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Rev 1/17 . Toxic Substance Control Act (TSCA) Certification . Date: Waybill or reference number: Check only one Positive Certification . I certify that all chemical substances in this shipment comply with all applicable rules or orders under