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d <br />COMPLIANCE <br />RE�UIHED <br />iN�cnoe+ � �MPORTANT: Piease supply Infortnatlon In Yhe shaded boxes and check the approprlate <br />APPROVED �� ����eS, Dlsregard topics that don't descrlbe your bullding or equipment. �.dQl��ece <br />� checks In the two left co�umns. <br />0 <br />� ��AmrNG �Has� �co�r►nuea� � <br />by <br />- .��� <�� :.:: 3..,. .:a ......�. __ _ <br />.?luae<;s; v.ax;w:x;k;:..F.✓. <br />No. Manufacturer Frame material # Layers Model # Area (Ft2) Uo value TestE�� <br />L 'L-. <br />'L �2 <br />p p T�m` SingleGlazingcNo�e�^,xo�^B81eena«�oao�� � <br />:r: Ty�; No: Area: _ <br />�i <br />� TYPe� No: Area <br />� p �o `UntestedGlazingcu��raei.�,n���e, ur�o,s. <br />h� TYPe� ' No: A : <br />� Type: Na rea: <br />� TOTAL GLAZING AREA ( entlre column) <br />0 <br />�IC' <br />o, s. eoz�� <br />X2 <br />� �z'`^�u ` �r:i.��+ rz. <br />.i� � ^C. G42$�:f y �i''%i <br />+'T��� <br />—� 1 �1'lS P <br />Glazing % _ <br />p 1d Gia g alr Ieakage(S. 502.4.3 (c)) measures shall be met as foilows : <br />1) fixed sfte built: stops wfth sealaM. <br />2) operating sfle buift: weatherstripped with closer <br />p�s Concealed Insulatlon shall be placed: 1) Behind showerttub 2) Behind partftion studs/corner <br />��e Standard air leakage caulking is complete and installed in the tollowing locations (S. 502.4.3): <br />1) between Sole piatelsubfloors 4) partition stud penetrat(ons <br />2) wiring/plumbing/duct register penetrations 5) light fixture/ flue penetratfons <br />3) rim joists/mud sills (heated lower floors) 6) around window and door trar� Page 3 of 6 <br />