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07-7205
Zephyrhills
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Building Department
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2007
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07-7205
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Last modified
3/6/2009 4:32:21 PM
Creation date
1/17/2008 9:35:28 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-7205
Building Department - Name
REBENSKY,FRAN
Address
6049 18TH ST
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<br />. :~ <br /> <br />, ~. ~ \"., ' <br /> <br />',', .1 <br /> <br />~ .r <br /> <br />i". " <br />. ~... 1 <br />~ID:!!!.e~~ <br />\ #-. <br /> <br />---. <br />n.,e'~menf Tille: Oocu.melll No. FRM B1-02 <br />CERTIFICATION AUTHORIZATION REPORT R.~'isi~n 1 .... I P~ge: 1 or. 1 <br />-. No. <br />~Cq'lirl!d ~l': PRO B f-(}3 <br /> ..~ -.,. <br /> <br />-~~ <br /> <br />FMA Keystone Certification Program <br />Certification Authorization Report <br /> <br />CAR & Product 10 Number~ 022 _ 107 <br />CAR Issue Date: 2/6/2004 <br />CAR Expiration Date: 4/2/2007 <br />Company Code: 022 <br /> <br />ThiS Certification Authorization Report (CAR) is IssUed by Keystone Certifications, Inc. {KCI) after full <br />validation review Of the product specification documents for the product named below. This report is only <br />valid When signed and sealed by the President of KCI. and indicates the product as manufactured by the <br />company named below has been tested and meets the requirements of the referenced standard and is <br />eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates <br />in a.ffixing certification labeis to products, that those products are representative of the specimen <br />evalua/ed and documented For certification authorization. Only products bearing stich a certification label <br />shall be considered certified. <br /> <br />Company Information: Product Information: <br />Goren Enterprises Model: 85305 Tilt Double Hung <br />1380 Wayne Ave, Operator Type: DH <br />Indiana PA 15701 Configuration: Bow Pin <br /> Max Width: 54 <br /> Max Height: 77 <br /> <br />Referenced Standard: <br />ANS/JAAMNwOMA 101/152-97 <br /> <br />Product Rating: <br />H-R30 54x77 <br /> <br />QuaJifying Test Information <br /> <br />Test Report No: T137-03 <br />Test Report Expiration: 4/2/2007 <br /> <br />Authorized Signature: <br /> <br />Keystone Certifications, Inc. <br />2545 Lori Drive. Suite 204 <br />York, Pennsylvania 17404 <br />Phone: 717-754-6278 <br />Fax: 717-764-3049 <br />WWw.keystonecerts.com <br /> <br />w~/!J <br /> <br />Marcia Fal!(e,. President <br /> <br />Independent Certification and Inspection Agency <br />
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