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COMPLIANCE <br />REOUIREO � <br />�NsrEcnor� <br />APPpOVED <br />OIL�] <br />��u <br />O II O <br />�I <br />71� <br />��u <br />IMPORTANT: please supply Intom►etion In the sheded boxes and check the appropMete <br />clrcles. DlsrepercJ to�k:s that don't descrlbA your bulldlnp or equipmern. D.Q�LQ.i place <br />checks In the two Iett columns. <br />� Glazlnp/skyllgMs'�ytype a ` ,�� <br />. �. <br />No. Manufacturer Frame material # <br />,Z <br />9� Single Glazing (No mor. uw� 1x of �».tee no«.r.. ba�on a� <br />Type: No: Aroa: <br />Type: No: Area <br />UrKested Glazinp N» �r a.a�,n uv.w,.. ti cnyn« io, s. <br />Type: No: Area: <br />Type; No: Area: <br />TOTAL GLAZING AREA (Add entire column) <br />„ •.• � :� <br />� <br />� <br />�-�► <br />Area <br />� <br />I20 <br />Uo value Tested? <br />Yes <br />Yes <br />i'es <br />U.�L Yes YO <br />u._ Yes O <br />U._ Yes � <br />U:_ Yes � <br />U.__ <br />p p I u Glazlnp air leakege(S. 502.4.3 (c)) measures shall be met as tollows : <br />❑ fixed sRe LwAt: stops wilh sealant. <br />❑ operating site buitt: weatherstripped wrih cbser <br />O p ta Concealed Insulatton shall be piaced: p behind showerttub p behind paRNion studslcomer <br />O O�e Sir+ndard afr leakage (S. 502.4.3) caulking is complete and installed in the foliowing locations : <br />1) between Sole plate/subtloors 4) partftion stud penetrations <br />2) wiring/plumbing/duct register penetrations 5) Iight fi�Rure/ flue penetrations <br />3) rim joists/mud sills (heated lower tloors) 6) around window and door f•'Page 3 ot 6 <br />7 <br />