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HomeMy WebLinkAboutMiscellaneous Compliance Report 2010-11-3 (2) '" THE [BUILDING ~ 1DEPARTMENT.LLC ~j1! ....cl..--------... ._m_._ Exterior Wall Envelope SelfmCertification Form I, !111M lh/YlcS owner-bu Ider at the following address: " (G - i. I , , am the general contractor or the Lf( t.f3 C!4c,(( tJr Street Address ,'.' _ 5 t. """Ot.-e 14- CIty , 5fr -: Iff Permit# " J To conform to the 2008 Oregon Residential Specialty Code (OR?C), 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.] _, ~ ". , ~L?//~ Signature /(-;3-7() Date > . 'l. t,." -:"', 'I-" " ~ \. .-,;.. -' .t..\ Revised: 2/8/2010