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. <br />COMPLIANC[ <br />REQUIRED <br />� �. <br />INSPECTION <br />APPROVED <br />IMPORTANT: Please suppiy Intortnailon In the shaded boxes and check the appropriate <br />circles. Dlsregard topics that don't describe your bullding or equlpment. D4SlQI p�ace <br />checks In the two left coiumns. <br />J p e Glazing/skylight� <br />ea�r.:».; c <br /><` No. Manutacturer <br />S No �t;�e5t LJ�A•, <br />� <br />a� I c� �I <br />[�IIL� <br />0�� <br />0 <br />by type � H�, ��, <br />�.. <br />Frame material # <br />. �... . i <br />;,s' See the Washfngton <br />��:. . _ <br />„ .�... . ............ ....<_., <br />Model # Area (Ft2) <br />� SingleGlazing(Nomoremanixurneaceanoorareaba�oredoubonp,s.6oz.7s) <br />Type: No: Area: � <br />Type: No: Area X2 <br />� Untested Giazing N�ooiyaer�urtu-v��agmcnaa�er�o,s.�oos.>> <br />Type: ' No: Area: <br />Type: No: Area: <br />TOTAL GLAZING AREA (Add entire coiumn} —� <br />Uo value Tested? <br />U.— Yes ", � <br />U.� Yes <br />' U.— es i:�.,, <br />: <br />�; : u .� : <br />�']J.Z> U•— '" <br />, � ..� � ,..,.v.. .., . <br />Glazing % _ ��� <br />p ra Glazing air leakage(S. 502.4.3 (c)) measures shall be met as foliows : <br />i) tixed sRe built: stops with sealant. <br />2) operatirg site buiR: weatherstripped with closer <br />p�s Concealed Insulation shaii be placed: 1) Behind showerttub 2) Behind partition studs/corner <br />Q rs Standard air leakage cauiking is complete and installed in the following locations (S. 502.4.3): <br />1) between Sole piate/subfloors 4) partition stud penetrations <br />2) wiring/plumbing/duct register penetrations 5) light fixture/ flue penetrations <br />3) rim joistslmud sills (heated lower tloors) 6) around window and door trar� Page 3 of 6 <br />