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PLASTER, STUCCO OR ACRYLIC STUCCO INSTALLATION CERTIFICATION Plaster Manufacturer: Brand Name/System/Model Job Address: ICBO or ICC Evaluation Report Plastering Contractor: Address: Phone: Cell: Approved Contractor # as issued by the Plaster Manufacturer: I, the undersigned, hereby certify that the plastering, stucco, and/or acrylic stucco system on the building exterior at the above address has been installed in accordance with the evaluation report specified above and the manufacturer’s instructions. Signature of Authorized Representative of Plastering Contractor Date INSTALLATION CARD MUST BE LEFT AT THE JOB SITE WITH PERMIT AFTER COMPLETION OF WORK AND BEFORE FINAL INSPECTION A FINAL APPROVAL FOR OCCUPANCY OF THE STRUCTURE WILL NOT BE GIVEN UNTIL THIS FORM IS COMPLETED, SIGNED AND WTINESSED BY THE BUILDING INSPECTOR. SIGN