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Building &Rggplafions Divigion
Product Review Affidavit
Applicaut.-W2 �E:h
BuildinzTermitA Owners Namn;p'��a',Q.
Product Opefifftbesion I Product Rated I Manufacturer I. ModalNun*or Product Approval I Glasr; Mothod of Attachment
1: Roofing MiterlW
Revised '07/22/2014-
I have reviewed the above,cotupoRents; or cladding and Thave approved t:heirugelth'this structure. 'These products provide, adequate resistance to the
windloads: and foremspecified by current code provisions.
Name: Signature: seal.
Design Prof: Cert..-No. Date: