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INSULATION CERTIFICATION <br /> (THIS CARD IS TO REMAIN PERMANENTLY POSTED IN A READILY ACCESSIBLE IOCATION) <br /> 7NIS IS�TO CERTIFY THAT IN CONFORMANCE WITH THE CURRENT THERMAL PEHFORMANCE STANDARDS <br /> WASHINGTON STATE ENERGY CODE, CHAP. 61•12 WAC, REVISED tees, AND APPROVED PLANS, 1 HAVE INSPEC- <br /> TED THE ENERGY PACKAGE AND CERTIFY THAT IT HAS BEEN INSTALLE� IN ACCORDANCE WITH 7HOSE <br /> STANDARDSIN THE BUILIDING LOCATED AT: � <br /> ��0 G �e� 1-I�t�;6v✓ � � �va%/�`�� i��,' <br /> AOErn�ol PrOp�M Counry BM Pertnn Na. <br /> DESCRIPTION OF INSTALLATION <br /> ROOFS <br /> Type ol Maier(al _ Manulacturer iTickness R Value_ <br /> (Or trade name) <br /> EXiERIOR WALLS M �q <br /> TypeolMalerialFIBER�GLASS ManulacWrer ' `�1a'�l� r Thickness _� RValve.�L �, <br /> (Or Iratle name) <br /> CEILINGS <br /> BATiS: �-{, <br /> TypeofMalerialFIBERGL•'ASS ManufacNrer l "•""""C ��-- Thickness C� RValue �� <br /> C� (Or Irade name) <br /> . > �Sq.FI. etl � <br /> LOWN: � <br /> ype ol Malerial ManufaZclu.r�er T�icknass � No.Ba� <br /> Wt�Bap y?�"�Sq.FI. overed � R Value <br /> FL ORS <br /> TypeolMaterlalFIBERGLA55 Manulaclurer ����"�� �� Thickness � RValue� � <br /> (Or trade name) <br /> SLAB ON GRADE <br /> , Type af Malerial Manufaclurer Thickness R Value_ <br /> (Or lrade name) <br /> Witlth ollnsulalion inches ' <br /> FOUNDATION WALLS(il requiretl) • <br /> � Type ol Meterial Menuleclu�er Thicknee� R Value_ <br /> (Or traae name) <br /> � DUCT AND/OR PIPE INSULATION � <br /> � Type o1 Material Manulacturer Thickness fi Value_ <br /> • - (Or Irade name) j <br /> � HEATING SYSTEM . <br /> Type ol System Manulacturer Inpul Ouiput _ <br /> ❑ NIGHTSETBACKTHERMOSTATINSTALLED <br /> ❑ HEATING SYSTEM INSTALLED TO NO MORE TNAN 750960F DESIGN LOAD WASHINGTON INSULATION INC. <br /> ❑ GIA2ING—ALLGLAZINGINSULATEDGLASSORSTORMWINDOWSPROYIDED 16120WOpDINVILLEREDMONDRD.N.E. <br /> ❑ WATER HEATERS—ASHRAE 90A•80 LABELED SUITE 15 <br /> O WATER FLOW RESTRICTORS—ALL SHOWERS IIMITED TO 3 GPM WOODINVILLE,WA 98072 <br /> ❑ INFILTRATION—OOORS&WINDOWS WEATHERSTRIPPED OR APPROVED BY ASTM 283•73 <br /> ❑ INFILTRATION—ALL OPENINGS IN EXTERIOR WALLS CAULKEO OR SEAIED <br /> ❑ FIREPLACES—OUTSIDE AIR VENT(SIX S�UARE INCHES)WITH DAMPER TO FIREBOX � <br /> O SLAB THERMAL BREAK CREATED <br /> � ❑ VAPOR BARRIERS—INSTALLED PER CODE <br /> REMARKS QI desired) - <br /> I CERTIFY UNDER PENALTYOF PERJURY UNDERTHE IAWS OFTHE STATE OF WASHINGTON THATTHE FOREGOING IS <br /> � TRUEANDCORRECT. <br /> Gene'ral Conlractor(Builder) Contractors Reg.No. <br /> BY Tille . <br /> Da1e and Place <br /> Sutrconlractor(Insulation Applicalor) Contractots Reg.No. <br /> (Insulalion, Masonry,etc.)(Stale"SAME" il same as General Conlractor) � <br /> BY � ' � � Tille �� ��/___ <br /> Date and Place `�1 (�P��'� � <br />