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1 ����-�--� INSULATION CERTIFICATION <br /> (THIS CARD IS TO REMAIN PERMANENTLV POSTED IN A READILV ACCESSIBLE LOCATION) <br /> THIS IS TO CERTIFY THAT IN COkFORMANCE WITH THE CUHRENT THERMAL PERFORMANCE STANDARDS <br /> WASHIN6TON STATE ENERGY CODE, CHAP. 5t-12 WAC, REVISED 1985, AND APPROVED PLANS, 1 HAVE INSPEC• <br /> TED THE ENERGY PACKAGE AND CERTIFY TMAT IT HAS BEEN INSTALLED IN ACCORDANCE WITH THOSE <br /> STANDARDSIN THE BUILDING LOCATEO AT: <br /> 5����.P� � �. , �3 i u� <br /> AOCress o�ProOehy Lounry Bi0 Mfnil N0. <br /> DESCRIPTION OF INSTALIATION <br /> ROOFS <br /> Type ef Malerial— Manutacturer Thickness R Value <br /> (Or trade name) <br /> EXTERIOR WALLS [ � � , '� <br /> Type ot Material—./1s!_�:,.)c,5� Manutacturer G C^ Thickness � � R Value� <br /> " � � (Or trade name) <br /> CEILINGS <br /> enns: � U c . <br /> Type of Material�'�� Manulacturer � Thickness � R Value. �U <br /> (Or trade name) <br /> Sq.Ft.Covered <br /> BLOWN: � L{ <br /> Type of Material—��?4� r s u.�.,Manulacturer - Thickness No.Bags_ <br /> __�_�.1_WUBag Sq. Ft.Covered R Value <br /> FLOORS 1 � 'I C� <br /> Type ol Material��� �1=Ty.yE,3_�—. ManulacWrer �� � _ Thickness �` R Value <br /> I� (Or Irade name) <br /> SLAB ON GRADE <br /> Type ol Material —_— Manufacturer Thickness R Value <br /> (Or tratle name) <br /> Witlth of Insulation _ inches <br /> FOUNDATION WALLS(if required) <br /> Type ol Material ____..-- Manufacturer___ Thickness R Value <br /> (Or trade name) <br /> DUCT AND/OR PIPE INSULATION <br /> Type ol Material _ __ Manulacturer � Thickness R Value <br /> (Or Irade name) <br /> HEATING SYSTEM <br /> Ty�e ol System ManulacNrer _ _ Inoul __ Output <br /> ❑ NIGHT SETBACK THERMOSTAT INSTALLED <br /> ❑ HEATING SYSTEM INSTALLED TO NO MORE THAN 150�,OF DESIGN LOAO <br /> ❑ GLAZING—ALL GLAZING INSULATED GLASS OR STORM WINDOWS PROVIDED <br /> ❑ WATER HEATERS—ASHRAE 90A-80 LABELED <br /> ❑ WATER FLOW RESTRICTORS—ALL SHOWERS LIMITED TO 3 GPM <br /> ❑ �NFILTRATION—DOORS 8 WINDOWS WEATHERSTRIPPED OR APPROVED BY ASTM 283-73 <br /> ❑ INFILTRATION—ALL OPENINGS IN EXTERIOR WALLS CAULKED OR SEALED <br /> ❑ FIREPLACES—OUTSIDE AIR VENT(SIX SOUARE INCHES) WITH DAMPER TO FIREBOX <br /> ❑ SLAB THERMAL BREAK CREATED <br /> ❑ VAPOR BARRIERS—INSTALLED PER CODE <br /> REMARKS(il desired) <br /> I CERTIFYUNDER PENAITYOF PERJURYUNDERTHE LAWSOFTHESTATEOFWASHINGTON THATTHE FOREGOING IS <br /> TRUE AND CORRFCT. <br /> General Contractor(Builder) _— Contractor's Reg. No. _— <br /> gY_ _ Title <br /> Date and Place--_ <br /> Sub-wntraolor(Insulation Applicator) ��-a6.�c��---�c�1—��-- Contractor's Reg. No. �—''4 � �G a�J<�.� < <br /> (Insulalion, Masonry,etc.)(Stale"SAME" il sarr�ras G nerzl Co0 ntractor) <br /> BY-=��''_`"�'�:�Y-'—{-�ti'� Title �� (.�� J�r <br /> Date and Place_-- - <br /> :,0 32 <br />