此表格是为了使许可证持有人要求批准对除生命安全项目以外的偏差计划的更改,这将在完成的工作中隐藏。(对计划中心进行正式修订,需要在结构和/或生命安全的变化上进行。)I ________________________the Holder for Permit Number __________________, am submitting this change for the following non-life safety item(s), with the knowledge and concurrence of the Owner and the Professional Designer._________________________ ____________ ________________________________ Signed by Permit Holder Date Printed Name of Permit Holder ____________________________________ ________________________________ Email Phone Number SITUS ADDRESS: ________________________________________________ TYPE OF CHANGE: _______________________________________________
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