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��� <br />H <br />�Hx� <br />Hx� <br />fC C] <br />H� <br />� H � <br />pJ H <br />x <br />��d <br />H�g <br />ij]Y � <br />>H <br />7.H <br />rNy <br />� <br />oCC� <br />M <br />�H� <br />H O C/� <br />COMPLIANCE <br />FEDUIRED � <br />INSPECTION <br />APPROVED <br />IMPORTANT: Piease supply Intormatlon In the shaded boxes and check the approprlate <br />clrcles. Dlsregard topics that don't describe your bullding or equlpment. D_QNS2I P�ace <br />checks In the two Ieft columns. <br />. m <br />� p �Exterlor slab Insulation, il not located on the interior, sha(I�bed tor�bel wI g ade use. <br />� p QExterior slab Insulation materlal, d present shail be app <br />» , �����.� � ��iE <br />_,.�.� w., �� ��;M-��° � w "'h esswrk.io � abfa 6 7}+�, <br />❑ ❑ s N1alfssincWduigrlm�jo�s��helf�Gsf�aQa4�� tn�tV�..,`�Akt9.���taa�rn�{i;� <br />OIIJ <br />n�r� <br />❑ I I� Qt Skylight wall Insulation is instalied and equivalent to the required wail R-vaiues above. <br />�7�❑� <br />��` <br />��� <br />WSEC Insulation phase requfrements: <br />Inspected by — <br />FINAL f!N�SE ` <br />Date -- <br />e <br />�sed toam Insulation shail comply as tollows (S. 502.1.4.8): <br />❑ Protected with metal or plastic tlashing or equivalent material that extends below grade. <br />Page 5 of 6 <br />