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��� <br />o�x <br />C H <br />�H� <br />H�� <br />FC f� <br />H� <br />� H � <br />N <br />�Q�� <br />OH <br />0 <br />c��o <br />t" y 'Y <br />Hy <br />ti <br />OC❑Cn <br />[s]�. <br />�HV�i <br />HO[n <br />IMPORTANT: Pleaso supply Intortnatlon In the shaded boxes and check the approprlate <br />clrcles. Dlsregard to�lcs that don't descrlbe your bullding or equlpmertt. D�� P�ace <br />checks In the two left columns. <br />I" r�iennwG PHASE�(Contmueii) ��,�: <br />3lazing alr IeTkage(S. 502.4.3 (c)) measures shall be met as tollows : <br />❑ tixed sile buill: stops with sealant. <br />p eperaling site bullt: weatherstripped with cioser <br />Concealed Insulatlon shall be placed: Q behind showerttub p behfnd partflion studslcomer <br />Standard elr leakage (S. 502.4.3) caulking is comP�ele and inslalled in the lol!owing locations : <br />4) partilion slud panelralions <br />�) between Sole plalelsublloors 5j �; ht lixture/ Ilue penetralions <br />2) wirincyplumbing/ducl register penetralions G) amund window and door f'"Page 3 0l 6 <br />3) rim joists/mud sills (heated Iower Iloors) _ <br />