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~ State of Oregon <br /> Building Codes Agency <br /> Manufactured Structures and ParRs Section <br /> 153.5 £dgewater NW, Salem, Oregon 97310 <br /> (.sOo=) $75-1235 FAX (.gO.g) 373.1014 <br /> <br /> Applicant:///??x>7-///~././~//? (_'-57/?/.J' ~j./" Mfr. No: <br /> Mailing Address: <br /> <br /> State: ~L73/~', Zip Code: <br /> <br /> PREFABRICATED 9,TI~ I ICTI IRIG,' ,:" ~° <br />COMPLIANCE CERTIFICATE (Manufactu~rbt{~o]~)]9~$'~*~ <br /> <br />ink.md and [mind in mmpHance with ~pplicable Oregon <br />¢ordanoe wi0~ the p,oviSion~ of ~[~UCh~tev 50, ; ~ ~ ~ <br /> <br />[PPROVED a <br /> <br />DATE <br /> <br /> TYPE OF STRUCTURE: m/PERMANENT APPLICATION FOR: IGNiA ~ STAMP <br /> (See O$SC Chapter 50) Er RELOCATABLE <br /> <br /> NO. OF ~OD~ES OR CO~O~NTS J ' ' <br /> <br /> ~S¢¢ OSSC ~,~rough 12) ~ - ~/ <br /> DESIGN TE~ERA~RE ": ' . ...... <br /> (S~¢ OSSC Chapter 53) ~F :: <br /> ~LEC2IC~ SERglCE LOAD ' A~S <br /> <br />WI~ LOAD [Uokizon~ Wind Lode) .~C~ M P ~ h - , <br />ossc s tion 23n( ) a c L <br />AOREEM~' AppUeant agee~s that Omgo~ ~sig~i~s or Shmp~'~ ~ ~f~'~3 *o ~i'kimcmh~ ~2i,"c~d~ ~;ia ~h'""~ <br />an~m o Nsl ~ ' ' p ' g.m .meal, ce~ncal, andfl~sde~qmpm~n, <br />necessa~ m~cuons and lec~ mcu~d incidental ~o ~e ls~uan~ of Oregon Pl~ A~v~, <br /> <br /> <br />