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S-e-� -a-c l�- �j�- ," <br />� �� INSULAYION CERTIFIi;AT10N <br />(THIS CARD IS TO REMAIN PERMANENTLY POSTED IN A flEADILY ACCESSIB�E LOCATION) <br />THIS IS TO CERTIFY TNAT IN CONFORMANf,E WITH TNE CURRENT THERMAL PERFdRMANCE STANDAROS <br />WASHINGTtYN STATE ENERGY CODE, CHAP. 51•;2 WAC, REVISED 1986, AND APPROVED PLANS, 1 HAVE INSPEC- <br />TED THE fNERGY PACKAGE AND CERTIFY THAT IT HAS 14F:tN INSTALLED IN ACCORDANCE WITH THOSE <br />STANDARDSIN THE BUIL�ING LDCATED AT: <br />AG��esrt ol PropeM - Couny Bid PnrtnB No. <br />ROGF9 <br />Type of Malerial <br />DESCRIPTION OF INSTALLATION <br />Manufacturer _ <br />(Or trade name) <br />EXTERIOR WALLS /' <br />Type ol Material T_bal�1 Manulacturer_ <br />(Or irade name) <br />Thickness —_ FlValue <br />Thickness 3�u R vaiue � 3 <br />CEILINGS <br />BATTS: <br />Type ol Material ��!sr�.rs ManulacWrer v C— Thickness G R Value �� <br />(Or hade name) <br />� Sq. F�. Coveretl <br />BLOWN: I i, <br />TypeofMalerial '�,. a�c�.(nSLtao,G�ManulacWrer b C Thickness � f No.Bagss:2 <br />3—Q_ WtJBag _�s��y_ Sq. Ft. Covered _s� R Value <br />FLOORS <br />Type of Material ��1�,� ManulacWrer C'i L 7hickness _� A Value ��j_ <br />(Or trade name) <br />SLAB ON GRADE <br />Type of Material _ <br />Widlh ol Insulation inches <br />FOUNDATIUN WALLS (if requiretl) <br />Type ol Material _. ____ _ ___ ____ <br />OUCT AND/OR PIPE INSULATION <br />Type of Material <br />HEATING SYSTEM <br />Type ol System <br />Manulacturer_ <br />(Or Irade name) <br />M2nu!acturcr _ <br />(Or Irede name) <br />ManulacWrer _ <br />(Or irade name) <br />Manulacturer <br />Thickness <br />Thicl;ness <br />Thickness <br />Input_ <br />❑ NIGHTSETBACKTHERMOSTATINSTALLED <br />❑ HEATING SYSTEM INSTALLED TO NO MORE THAN t5o� OF DESIGN LOAD <br />❑ GLAZING—ALL GLAZING INSULATED GLASS OR STORM WINDOWS PROVIDED <br />O WqTER HEATERS—ASHRAE 90A-80 LABELED <br />❑ WATER FLOW RESTRICTORS—ALLSHOWERS LIMITEDT03 GPM <br />❑ �NFILTRATION—DOORS & WINDOWS WEATHERSTRIPPED OR APPROVED BY ASTM 283-73 <br />❑ INFILTRATION—ALL OPENINGS IN EXTF.RIOR WALLS CAULKED OR SEALED <br />❑ FIREPLACES—OUTSIDE AIR VENT(SIX SOUARE INCHES) WITH DAMPER TO FIREBOX <br />❑ SLAB THERMAL BREAK CREATED <br />J� VAPOR BARRIERS—INSTALLED PER CODE <br />REMARKS (if desired) <br />co sz <br />R Value <br />R Value <br />R Value __ <br />Oulput <br />I CERTIFY UNDER PENALTYOF PERJURYUNDERTHE LAWSOFTHESTATEOF WASHINGTONTHATTHE FOREGOING IS <br />TRUE AND CORRECT. <br />General Contractor (Builder) Contractor's Reg. No. <br />By <br />Date and Place <br />Sub-contrector (Insulation Applicator) _,��� <br />(Insulation, Masonry, etc.) (Stale "SP,M E" if same as eneral Contraclor) <br />BY �j�—�. �i^ 'r..c�s�_-- <br />Da�e and Place_ _______._ ____ <br />Title <br />Conlraclofs Reg. No. C-L1 I l p �� � <br />Tille _S11�tJ../� <br />:e <br />r :r <br />