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CITY OF EVERET[ <br />CERTIFICATION OF FORMALDEHYDE EMISSION COMPLIANCE <br />Plan Check No. �% 2 G <br />I, J O N� �.• 5 C O"t`T , hereby certify that materials <br />(Name - Please Print) 301� GtAND Ql�� <br />for structural components utilized at <br />(Address - Please Print) <br />meet the Department of Housing and Urban Development (HUD) Formaldehyde <br />Emission Standards of O.J ppm for particle board and 0.2 ppm for plywood. <br />These products carry stamps indicating that they meet the HUD Standard. <br />Interior grade structural panels made with phenol-based resins (stamped <br />"Exposura 1") or axterior grade structural panels (stamped "Exterior") can <br />also ba usad under this condition. <br />� �n�s, � <br />Builder/Own r <br />�� �. .,. Ca .� �F'�C. <br />� <br />or ed Officer /� T� fs) <br />Bu�lding Department � <br />o�-- � ! <br />Date <br />� - �' �� <br />Date <br />