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Building Permit #
Planning & Development Services Department
Building & Regulations Division
Product Review Affidavit
Owners Name 7p%h A. 11,1 ^ Applicant. 9-1AM611-
Product
Opening Design
Pressures
Product Rated
-Design Pressure
Manufacturer
Model Number
Product Approval
Number
Glass
Type
Method of Attachment
Windows
Mullions
Fixed Glass
Block Glass
Skylights
Sliding Glass Doors
Swing Type Doors
French Doors
Gara a Doors
Hurricane Protection
RoofVentilation
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Roofing Material
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IV4 6A A*l(S
Revised 07/22/2014
[Design
ave reviewed the above components or cladding and I have approved their use in this structure. These products provide adequate resistance to the
nd loads and forces specified by current code provisions.
Name: Signature: seal
Prof• Cert. No. Date: