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CONSTRUCTION

COMPLETION CERTIFICATE

Subdivision Name:
Subdivision Owner:
Engineering Firm:
Contractor:
Date of Final Inspection:

A. BY CONSULTING ENGINEERING FIRM:


I, , P.Eng., of the firm of
hereby certify that the works noted herein have been constructed in accordance with the plans and
specifications approved pursuant to the Subdivision Control By-law No. 4-33 and are complete. I
hereby recommend this subdivision construction work for acceptance by this Construction Completion
Certificate.

Drawing Number(s):

Professional Engineer

Date
P.ENG. SEAL

List of Deficiencies found at final inspection (to be completed before the start of the maintenance period).

B. BY CITY OF KAMLOOPS: Pending deficiency correction, this subdivision construction work is:

Recommended for acceptance , 20__


Lab Technician/Construction Inspector
Accepted on , 20__,
Engineering Development Supervisor

C. BY CONSULTING ENGINEER:

I hereby certify that the items listed as


deficiencies have now been corrected and that
as-constructed drawings have been prepared,
submitted and approved by the Engineering
Development Supervisor.

DATE:

P.ENG. SEAL Professional Engineer's Signature

D. BY CITY OF KAMLOOPS: All deficiencies having been corrected, this subdivision construction work is:

Recommended for acceptance , 20__


Engineering Development Technician
Accepted on , 20__,
Engineering Development Supervisor

Date Maintenance Period to Expire:

T:\DES\LAND DEV ENG\GENERAL\CONSTRUCTION COMPLETION CERTIFICATE.doc