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STUCCOA
44i//II1W% INSTALLATION CARD WESTERN
W I W OF�� ' .g 1
3I srueco I H WESTERN ONE KOTE STUCCO SYSTEM KOTE
WESTERN STUCCO PRODUCTS CO. INC.
Job Address:T �.7 /l ICBO Evaluation Service, Inc.
12 /Y/ �‘ Ur Report No. ER 1607 //()/�J/�/` 7
irf // L_/ ( /C- /�J
_ (T 6-na4 � A/ ?, 5 0/ Date of Job Completion
Plastering Contractor --„.__ / /
Name: !— . ,gi'1 C( . G P/a5 Y/`j�l jh G
Address: ---()I3 w i'`ya'// . ex,,�/Y�X e� H Z. g5o/f
Telephone Number: 92
'la �c2 •� 7 71/
Approved Contractor License Number as
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 e aluatio repoort pecified above and the manufacturer's instructions.
Signature of authorized representative of plastering contractor Date
Installation card must be presented to the building inspector p -
after completion of work and before final inspection. N_ 90421
41111411
F. . 1