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t9ilIit °4c INSTALLATION CARD wESTERry
w/ w OF�� I '.- i
\ ST110 /co WESTERN ONE KOTE STUCCO SYSTEM KOTE
WESTERN STUCCO PRODUCTS CO. INC.
Job Addres ICBO Evaluation Service, Inc.
fO j$/ c/OG A(.*-C Report No. ER 1607
<% = ��3b2 _ Date of Job Completion - / dY
,e?ber / 40.54 G y-
Plastering Contractor// 4;,/,, ,
Name: Uh i GiP--,e-. cC tee, ' .Address: / 6C7x /VVf ' 3 , ,'� gr2 7
Telephone Number: — L) 9573 38 7
Approved Contractor License Number as ��j
Issued by Western Stucco Products 7
This is to certify that th pl ering system on the building exterior at the above address has been installed in
accordance with the tion repoor spe fie abov and a manufacturer's instr ction . py
Signat f authorized representative of plastering co actor Date
Installation card ust be presented to the building inspector N° 86616
after completion of work and before final inspection.