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i <br /> � <br /> � <br /> i <br /> ��^'�y�� °I ��' INSULATION CERTIFICATION <br /> QNIS CARD IS TO REMAIN PERMANENTLY POSTED IN A READILY ACCESSIBLE LOC`TION) <br /> THIS IS TO CERTIFY THAT IN CONFORMANCE WITH THE CURRENT THERMAL PERFORMANCE STANDARDS <br /> WASHINf.TON STATE ENERGY CODE, CHAP. 51•12 WAC, REVISED 1986, ANU APPROVED PLANS, I HAVE INSPEC- <br /> TEP THE ENERGY PACKAGE AND CEHTIFY THAT IT HAS BEEN INSTALLED IN ACCORDANCE WITN 7HOSE <br /> STANOARDSIN THE BUILDING LOCATED AT: <br /> 9i � ti�n- �1 SUJ ��i� <br /> ACCress al PropeM � Cnuny BiO Mrmil No. <br /> DESCaIPTION OF INSTALLATION <br /> ROOFS <br /> Type of Material Manufacturer fiickness R Value__ <br /> (Or hade name) , <br /> EXTERIOR WALLS �c ��o � ? <br /> Type ol Material �� f�^ ManulacWrer � C Thickness �_ p Value—L �• <br /> (Or irade name) <br /> CEILINGS <br /> BATTS: t <br /> Type ot Material � �Q� ��/ Manulacturer � � Thicknass � p Value 3 a <br /> (Or iraAe name) <br /> Sq.FL Covered <br /> BLOWN: <br /> � <br /> Typeof Materia� � � � Manufadurer � � __ Thickness � No.Bags— <br /> Wt18ag � q.Ft.Coveretl �_� R Value <br /> FLOORS / � � <br /> Type of Material�/4� Manufa-.Wrer_� Thickness �SL R Value_� <br /> (Or irede name� <br /> SLAB ON GRADE <br /> Type of Malerial_ Manulaclurer Thickness R value <br /> (Or trade name) <br /> � Widlh of insulation_ inches <br /> FOUNDATION WALLS(il requiretl) <br /> Type of Material Manutaclurer Thickness R Value <br /> (Or trede name� <br /> DUCT AND/OR PIPE INSULATION <br /> Type ol Material ManufacWrer � Thickness R Value <br /> (Or irede name) <br /> � HEATING SYSTEM <br /> �, Type of System _ Manulac�urer _ Inout putput i <br /> ❑ NIGHTSETBACKTHERMOSTATINSTALLED <br /> ❑ HEATING SYSTEM INSTALLED TO NO MORE THAN 150%OF DESIGN LOAD <br /> ❑ GLAZING—ALL GLAZING INSULATED GLASS OR STORM WINDOWS PROVIDED <br /> ❑ WATER HEATERS—ASHRAE 90A•BO LABELED <br /> ❑ WATER FLOW RESTRICTORS—ALL SHOWERS LIMITED TO 3 GPM <br /> ❑ INFILTRATION—DOORS 8 WINDOWS WEATHERSTRIPPED OR APPROVED BY ASTM 283-73 <br /> O INFILTRATION—ALL OPENINGS IN EXTEflIOR WALLS CAULKED OR SEALED <br /> ❑ FIREPLACES—OUTSIDE AIR VENT(SIX SQUARE INCHES)WITH DAMPER TO FIREBOX <br /> ❑ SLAB THERMAL BREAK CREATED <br /> ❑ VAPOR BARRIERS—INSTALLED PER CODE <br /> REMARKS(it desired) <br /> I CERTIFY UNDEii PENAITYOF PERJURY UNDER THE LAWS OFTHE STATE UF WASHINGTON THATTHE FOREGOING IS <br /> TRUE AND CORRECT. JI <br /> General Contractor(Builder) �-�-�-c.f Nu S Contractor's Reg.No. _���GU� / ��Okl� <br /> gY�^—nn^—�.--c Title Yt75. �g`� ,.. IR..�M � <br /> Date and Place � � " �� ' �1 V (y��(.wln.n .-�..., <br /> Sub-contracror(InsulationApplicaror) 14sca. 40.� � CoNrector'sReg. No. �����wtc�� <br /> (Insulation, Masonry,etc.)(S t "SAME" if same a 'eneral Contractor) <br /> BY— ^ `"- Title V W h 2/' <br /> Date and Place • <br /> co-az <br /> � <br />