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�U�� "`"�`� , ��INSU��� CERTiFICAiION <br />RHIS CARD IS TO REMAIN PERMANEhTLY FOSTED IN A FEADILY ACCESSIBLE LOCATION) <br />THIS IS TO CERTIFY THAT IN CONFORMANC'e WITH THE CURRENT THERMAL PERFOflMANCE STANDARDS <br />WASHINGTON STA'fE EkERGY CODE, CHAP. 51•12 WAC, REVISED 1s86, ANO APPROVED PLANS, 1 HAVE INSPEC- <br />TED THE ENERGY PACKAGE ANU CERTIFY THAT IT HAS BEEN INSTALLEO IN ACCORl7ANCE WITH 7HOSE <br />STpNDARDSIN THE BUILDING LOCATED AT: <br />�JDb`i i �` A'`�--I„---- <br />Adtlross of Property <br />DESCRIPTION OF INSTALLATION <br />-- 2 �'� � 7 <br />COunry Bid PBrtnii No <br />ROOFS <br />Type ol Ma;arial _ Manulaclurer _ ___ __ Thickness ___ R Value__ _ <br />1 (Or Irade name) <br />EXTERIOR WALLS �` „q_ � n <br />Type ol Material UN`b Manufacturer �• <br />o1..r Thickness�� � R Value��.. <br />(Or Irade name� <br />C�ILINGS <br />BAT7S � ( -- �� <br />���,Q q hf <br />Type ol Material _ . _�(,� J ManufacNrer _ 1--- . Thickness _� R Value_ <br />�O�S (Or Irade name) <br />q. Ft. ^ vored <br />BLOWN: i� /� %� <br />�Ty e of Material ��__4Lj_���/�4er(ufacWrer 0 LJ _ 7hickness _��__ No.Bags �`.. <br />— WVBag _� Sq. FL Covered _._ _____ R Value <br />FLOORS 1`/�A <br />TypeolMaterial ��.1_S�1\��S ManufacNrer__�C____._ Thickness �_ RValue�_ <br />U (Oi irade name� <br />SLAB ON GRADE <br />TypeolMaterial_.._____. _ . ._— Manufacturer_______.._ _____.__.____. Thickness ___. __. RValue___.._ <br />(Or trade name) <br />Widlh of Insulalion inches <br />FOUNDATION WALLS (il requiretl� <br />Type ol Material __— Manulacturer ______ —___ _ __ .. _ <br />�Or trade name� <br />DUCT AND/OR PIPE INSULATION <br />TypeofMalerial___—____.. ___..__. Manulaclurer.__________. <br />�Or trade name) � � � <br />HEATING SYSTEM <br />Type ol System <br />Manulacturer ______ <br />Thicknesc ___ _ . _ R Value_ <br />Thickness _._ __ RValue____ <br />Inout----_. ._ -- Outpul _ _.--- <br />❑ NIGHTSETBACKTHERMOSTATINSTALLED <br />❑ HEATING SYSTEM INSTALLED TO NO MORE THAN �50%OF DESIGN LOAD <br />�� GLAZING—ALLGLAZING INSULATED GLASS OR STORM WINDOWS PFOVIDED <br />❑ �YATER HEATERS—ASHRAE 50A�80 LABELED <br />❑ WATER FLOW RESTfiICTORS—ALL SHOWERS LIMITED TO 3 GPM <br />i_: INFILTRATION—�OORS & WINDOWS WEATHERSTRIPPED OR APPFOVED 8Y ASTM 283-73 <br />G INFILTRATION—ALL OPENINGS IN EXTERIOR WALLS CAULKED OR SEALED <br />❑ FIREPLACES—OUTSIDE AIR VENT (SIX SOUAflE INCHES) WITH DAMPER TO FIREBOX <br />�.: SLAB THERMAL BREAK CREATED <br />�' VAPOR BARRIERS—INSTALLED PER CODE <br />�' RE61ARK5 (il desired) <br />I CEflTIFY UNDER PENALTYOF PERJURY UNDERTHE LAWSOFTHE STATE OF WASHINGTON THATTHE FOFEGOING IS <br />TRUE AND CORRECT. ( ' y <br />General CoNractor�Buildep __,__�-5.�`�Y._._�'�(/.(v�-��=5 __. _. Conirac�or's Reg. No . C:�.;_. �'_�_�+, - <br />.� / � / <br />BY - . :.Y�_isi_!c__.__ ._,C�'` __. _ ... _.-- .. Tille .--L�S�._ il.;�}�a:�-J-r. �...--<.i�C. <br />Date and Place_ _L. �--�= J_l-' �' /� s�4J,+,�y..t,_.�v <br />�/� /��'�/� � ---- - ---- � --- T-�c,\, —n I -/� <br />Sub-coMractor (Insulation Applicator) y �� �N_Uf�l.f'_ n ___- CoMractor's Reg. No�l-Y �..2jJ_J�,.[�_I `(/ <br />�Y tion, Maso , etc. late 'SAME' d same as�y�neral Contractor) ^ � <br />L „ i, . r <br />Title _.�-��i� <br />--- <br />�aie ana P�aco.. <br />