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HomeMy WebLinkAboutMiscellaneous Compliance Report 2013-6-4 (2) Jun 04 13 02:19p Corp 5417460194 p.2 .:a, ,,. SPRINGFIELD j fi ;F 7.---=-=-*i guusuG GE7 ///EPARTM,ENT, LLC Exterior Wall Envelope Self-Certification Form I, /14 I/4 ✓ie Sh, < ;,g'v'te , am the general contractor or the owner-builder at the following address: 65Y0 H7b H$'rs 6 . • Street Address p• City 2-e ii — 737c, Z Permit# • To conform to the 2011 Oregon Residential Specialty Code (ORSC), Section R703.1.1, I am notifying the building official that I am aware of the exterior wall envelope requirements of R703.1.1, and hereby certify that the components of the exterior wall envelope have been installed in accordance with the code requirements. [Section R703.1.1 is provided for reference on the reverse side of this form.] . ScAw,26,0s/37G • Print Name I A/t (7de-1 i.. - . . Signature Date Revised: 216/2010