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COMPUANCE <br />REOUIRED � <br />INSPECiION <br />APPROVED <br />L71� <br />IMPORTANT: Piease suppiy Informatlon In the shaded boxes and check the approprlate <br />clrcles. Disregard topiCs that don't describe your bullding or equlpment. D9SlQI place <br />checks In the two left coiumns. <br />No. Manufacturer <br />L <br />bytype <br />r,.s��.,.��„ <br />Frame material # <br />I V �/� /a� <br />See the Wasl <br />,;..:K.H ., <br />s Model # Area <br />i.r Jt ,4b� '' t <br />..5 �/�W v� � <br />p p �o SingleGlazing�No�Ou�,,,xan�a�an��oen�m�edo�b��,s.wz.�s� <br />� Type: No: Area: X2 <br />'� Typa: No: Area X2 <br />p p �» � UntestedGlazingcuww,�yeei�,nw��a.hcn.r���o,s.iooe.» <br />j _ <br />y, Type: �� No: Area: <br />" T`lTye No: Area: <br />Sy " " � <br />, TOTAL GLAZING AREA (Add entlre column) �► <br />01� <br />�1� <br />Uo value Tested? <br />U._. <br />Glazing % <br />O ��4 Glazlnp alr Ieakage(S. 502.4.3 (c)) measures shail be met as follows : I�� � <br />1) fixed sRe buitt: stops wflh sealam. <br />2) operating sRe buift: weatherstripped with closer <br />p p is Concealed Insulatlon shall be placed: 1) Behind showerttub 2) Behind partition �tuds/corner <br />� � is Standard alr leakage caulking is complete and instailed in the (ollowing localions (S. 502.4.3): <br />1) between Sole plate/subfloors 4) partition stud penetrat(ons <br />2) wiringlplumbing/duct register penetrations 5) light fixture/ ilue penetrations <br />3) rim joists/mud siils (heated lower iloors) 6) around window and door irar� �- • <br />Page 3 of 6 <br />