CERTIFICATE OF COMPLETION
Date:
TO: The Louisiana State Fire Marshal
8181 Independence Blvd.
Baton Rouge, Louisiana 70806
This is to certify that the___________________
(name of project by title)
for_______________ located at ___________________________
(type of use) (street/number/name)
as periodically observed by me, by my consultants, and/or by others in my employ during construction and, to the best of my knowledge, information and belief, has been completed in accordance with the safety provisions which were shown in the plans and specifications previously approved by the fire marshal.
Under penalty of law for false statement,
I_______________ License Number: ______________________
(name of architect/civil engineer or owner if architect or engineer is not required)
certify that all statements contained therein are, to the best of my knowledge, information and belief, true and correct.
La. Admin. Code tit. 55, § V-307