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INSTALLATION CARD viESTERtr
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3 I srueeo /y WESTERN ONE KOTE STUCCO SYSTEM KOTE
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WESTERN STUCCO PRODUCTS CO. INC.
Job Address: ICBO Evaluation Service, Inc.
Report No. ER 1607- Date of Job Completion [/
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Plastering Contractor
Name: e CCS 0h_5 y? �J
Address: 5 C/ () c ) (/ ( 7,6 Ac,/v 1 SC..!?O
Telephone Number: �'0?
Approved Contractor License Number as (7 c---c 1
Issued by Western Stucco Products
This is to certify that the plastering system on the building exterior at the above address has been installed in
• accordance with the evaluation repoort specified above and the manufacturer's instructions.
Signature of authorized representative of plastering contractor Date
Installation card must be presented to the building inspector
after completion of work and before final inspection.
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