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� y <br />C�H <br />H�� <br />fC C] <br />oH 7ptl <br />�I �+ htl <br />N <br />xp <br />�HC <br />OH <br />��g <br />�IiY (�] <br />C"yx <br />Ny <br />g�� <br />�o� <br />COMPIJl1NCE <br />fiE�U1RED � <br />INSPECTION <br />APPROVED <br />�IL' <br />n�o <br />��� <br />IMPORTANT: Piease supply intortnatlon in the shaded 6oxes and check the approprlate <br />clrcles. Disregard toplcs that don't describe your building or equlpment. RQ.dQ'L p�sce <br />checks In the two left columns. <br />_ .,. n . .n �.uaW.aeaelo-�x�r .., � . <br />�fTAilillNG PHASE{CoriGnuedj �` <br />No. Manutaclurer <br />lo <br />� <br />See the <br />Frame material # Layers Modei # <br />Iv <br />� <br />� SingleGlazing�Nomo�eaw�+xoin�a«enoaareaceio�aeo�bu�,s.soz.�s� <br />Type: No: Area: � <br />Type: No: Area %� <br />] UntestedGlazing�u�odyaai�icu-wa�,ee�cn��.io,s.iaas.» <br />Type`. " No: Area: <br />Type: No: Area: <br />TOTAL GLAZING AREA (Add entlre column) �► <br />Area <br />Uo vaiue Tested7 <br />Glazing%= �� <br />p p �< Glazing alr leakage(S. 502.4.3 (c)) measures shali be met as foliows : <br />1) fixed site buift: stops with sealarn. <br />2) operating site buift: weatherstripped with closer <br />O p�s Concealed Insuiatlon shali be placed: 1) Behind shower/tub 2) Behind partition studs/wrner <br />J ��s Standard alr leakage caulking (s complete and instalied in ihe following locations (S. 502.4.3): <br />1) between Sole plate/subfioors 4) partition stud penetratiors <br />2) wiringlpiumbing/duct register penetrations 5) light fixture/ flue penetrations <br />3) rim joists/mud silis (heated lower iloors) _ 6) around window and door frar' Page 3 of 6 <br />