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<br /> ADPlication/Permil!............................................................ ':�
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<br /> ynH � � �' � NI7CC CODIPLIANCC '�, �ownise RESIOEMTIAL ..'
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<br /> syy Assessor's Pro�erty Tax Account No: �'`::. `9,.;:'`
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<br /> rr-i �93 �'UD PL�W RGVIG{4 N0: U�� � d k�:Q�>>ar:o
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<br /> �O Moisture Barrier �O Perimeter InsuWtion R- Q O 4'Gravel Base �
<br /> [�s] y� i
<br /> InspectoYslnifials..._............... s�
<br /> O H � �ale MOroved.......................... ;3
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<br /> gN H • Ir dural Panels•Formaldehyde �
<br /> ntyy • Qp'�JindowiDcorU-valce � Stl15olePlate<C:ulked � �
<br /> • � /(�ticc reccrsc) �16"OC tand:�rd Pramin� :�a
<br /> � �tr:1 � �p"Window/Door Sealed �O�Qiher Penetraliom�Sealed Q 24"OC O Advanced Framing N
<br /> � y�� , / Q1G"OC Olnt rmediatc Praming �
<br /> � Q(�PiumbinplEleclriwl Penelrations Q O�e�UNon•Heat Recovery Ventilalion Q rawl Spue Venlilation �;
<br /> • Q�ccsscd I.ig!�ts-Dhl ICall Inspecmr'slnitlals................._ '�
<br /> ' Date ApD�ovsd....... �
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<br /> . 1 �....__ m4lttie Vent Baffies �O Knecwalls R•.................... ,
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<br /> .,,,,, „�, QO Vaulled Ceilinqs R ._........_.. Q aDor Barriers-Walls,Ceilinps,Fioors Inspecrors Inivals._. �
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<br /> ' � � ' Mec nical: We tharslrippinpNapor Barrier. Insula�i : 3�'
<br /> . Q Heatcrs Q�E��eenor Ooors O llc rosulation R-.................... ::
<br /> p"���� � �(��� Q FloorinsulationR•.�.�..�..........
<br /> t�. „r �O Bathraom/Kitchen 6chaust Fans Q U'h' ows
<br /> � Elec ical5wiiehes and Oullet Plates OO Duct Insulalion H-�.............. ;.
<br /> • QODuctWork �� '
<br /> • ipe Insulatian R•....................
<br /> ('' � • O O Mechanical Venlilation System � Atliyand Cr�wl Aecess ��
<br /> • l Atlic Hatches Baflled
<br /> � �O Intake and Fxhausl0penings QM�"��round Cover(6 mil.) 0
<br /> 0 O Maintenance and Service Panels �O'PVA Paint
<br /> � �O Venlilation Controls FireplaceslWoudstoves:
<br /> Q O fireplaces•doors
<br /> Plumhinp:
<br /> In�do�o'Rit Uualiry: �O Hot Watcr Heaters(ASHRAE 90p•1980) �O Flue damDcrs
<br /> �M�"I.�A.�.Inlormation for Homcowner �O Bottomboards fl•10 Q O Combuslion air i
<br /> Qti(.YAadon Monitori�g Ol�er �O Shower Heads(2.75 qpm) Inspector's Initials....................
<br /> Ualc MPraved.......... ... ... ..
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