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p <br />H�{ <br />W <br />N <br />CITY OF EVERETT <br />� <br />O <br />CERSIFICATION OF FORMALDEHYDE EMISSION COMPLIANCE <br />m <br />N <br />M <br />Plan Check No. 5 <br />M, <br />hereby certify that materials <br />m <br />(Name - Please Print) Ki�VIEO I.Ii1Y <br />ti <br />H <br />for structural components utilized at <br />(Address - Please Print) <br />Urban Development <br />0.2(fpDn for Formaldehyde <br />meet the Department of Housingand <br />particle plywood. <br />y <br />board <br />Standards of pp heresins S(stamped <br />stamps <br />These products carry stamps indicating <br />These <br />panelsamade with phenol -based <br />Interior grade structural <br />1") exterior grade structural panels (stamped "Exterior") can <br />"Exposure or <br />also be used under this condition. <br />Date <br />Builder/Owner <br />I 1 <br />f <br />• _ s-�. �-.c.%. c.0 t/ Date <br />uthorized Officer <br />��1_1 Building Department <br />J <br />