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\ltrch\fcs0 \b\f1\fs28\insrsid12150428 obowi\'b9zk\'f3w inspektora nadzoru inwestorskiego \par }\pard \ltrpar\s15\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs28\insrsid12150428 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 Ja ni\'bfej podpisany ................................................................................................................. \par }\pard \ltrpar\s15\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs18\insrsid12150428 (wymieni\'e6 imi\'ea i nazwisko) \par }\pard \ltrpar\s15\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 zamieszka\'b3 y w........................................................................................................................ \par }\pard \ltrpar\s15\qj \li0\ri0\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 przy ul............................. ....................................................................................................... \par }\pard \ltrpar\s15\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 zgodnie z wymaganiem przepis\'f3 w art. 12, art. 19, art. 25, art. 26 oraz art. 45 ust. 2 ustawy z dnia 07.07.1994r. Prawo Budowlane (Dz. U. Nr 106, poz. 1126 z roku 2000 z\~p\'f3\'9fniejszymi zmianami) oraz Zarz\'b9dzeniem Ministra Gospodarki Przestrzennej i\~ Budownictwa z dnia 15.12.1994r. w sprawie rodzaj\'f3w obiekt\'f3w budowlanych, przy kt\'f3rych realizacji jest wymagane ustanowienie inspektora nadzoru inwestorskiego (Dz.U.\~Nr 138, poz. 1554 z roku 2001), \par zawiadamiam niniejszym o podj\'eaciu obowi\'b9zk\'f3w }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs24\insrsid12150428 inspektora nadzoru inwestorskiego obiektu \par \par }\pard \ltrpar\s15\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 ............................................................................................................................................... \par }\pard \ltrpar\s15\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 ..... ........................................................................................................................................... \par }\pard \ltrpar\s15\qc \li0\ri0\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs18\insrsid12150428 (okre\'9cli\'e6 obiekt) \par }\pard \ltrpar\s15\qj \li0\ri0\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 na nieruchomo\'9cci stanowi\'b9cej w\'b3asno\'9c\'e6 ............................................................................... \par }\pard \ltrpar\s15\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 ................................................................................................................................................ \par }\pard \ltrpar\s15\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid12150428 (wymieni\'e6 w\'b3a\'9cciciela) \par }\pard \ltrpar\s15\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 \par }\pard \ltrpar\s15\qj \li0\ri0\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 po\'b3o\'bfonej w ........................... ............................ ................................................................... \par przy ul. ..... ............................................................................................................................. \par nr geodezyjny dzia\'b3ki ............................................................................................................. \par }\pard \ltrpar\s15\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 O\'9cwiadczam, \'bfe znane mi s\'b9 przepisy obowi\'b9zuj\'b9ce przy wykonywaniu rob\'f3 t budowlanych i rozbi\'f3rkowych oraz rygory dotycz\'b9ce odpowiedzialno\'9cci karnej i\~zawodowej w art. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs24\insrsid12150428 90 - 94}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 cytowanego wy\'bf ej Prawa budowlanego. \par \par Informuj\'ea, \'bfe posiadam uprawnienia budowlane w zakresie}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs28\insrsid12150428 :........................................ \par }\pard \ltrpar\s15\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs28\insrsid12150428 .......................................................................................................................... \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 Uprawnienie budowlane zosta\'b3o mi udzielone decyzj\'b9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs28\insrsid12150428 ................................................. \par .......................................................................................................................}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 ....}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs28\insrsid12150428 . \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 stwierdzone pismem z dnia ............................ nr ewidencyjny}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs28\insrsid12150428 ...................................... \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 Informuj\'ea, i\'bf jestem wpisany na list\'ea cz\'b3onk\'f3w Okr\'eagowej Izby.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs28\insrsid12150428 ..................................... \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 w}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs28\insrsid12150428 .............................................................}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 pod numerem}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs28\insrsid12150428 .........................................}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs24\insrsid12150428 \par }\pard \ltrpar\s15\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs28\insrsid12150428 \par ............................................. ............................................... \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid12150428 (piecz\'ea\'e6) (podpis) \par }}