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❑ <br />❑ <br />❑ <br />O <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />P ern,'f � CO Ilo o,'t3 <br />INSULATION CERTIFICATION <br />THIS IS TO CERTIFY THAT IN CONFORMANCE WITH THE CURRENT�THERMAL PERFORMANCE STANDAROS <br />WASHINGTON STATE ENER +Y CODE, CHAP. 51-12 WAC, RE�1SED 1986, AND APPROVED PLANS I HAVE INSPEC- <br />TED THE ENERGY PACKAGE AND CFRTIFY THAT IT HAS BEEN INSTALLED IY ACCOR�ANG�E WITH THOSE <br />STANDARDS IN THE BUILDING LOCATED AT: <br />`a3 �y �� s� L n r�,_ �, ti__ �, a� � �;� <br />ROOF3 <br />oEscRIPTION OF INSTALLATION <br />Typs of M�tarltl M�nuhcturor Thlcknaa R Vdua <br />(Ortnd�n�ma) . <br />EATERIOR WALL3 <br />Typs of Metarltl F���B�ess Manufadurer 7ohR5 MamillC <br />rnkknau / Rv��u�_�`� /3 <br />CEILINGS (Or fnda nema) <br />BATTS: <br />Type of Meladal F����� M�nuhdcnr Johns Mam�ille <br />L��� (or tnee n�ma) <br />8q. FI. Co� d <br />BLOWN: � <br />�of M�tarial e Menuf urcr <br />WUBaB — Sq. FI. Coverod � R V�Iw <br />FLOORS <br />Thlcknsa �� RV�Iu� 3d <br />/� 4 6 <br />Thltlm�u `' No. B�p�� <br />Type of Matarlal F����55 _ Manuhcturer 1ohn9 Metrvillc Io <br />� Thlekneu R Y�Iw.LL_, <br />(Or tnde name) <br />SLAB ON GRADE <br />Typ� of M�tarlal M�nuheturor _ Thlcknsu R V�lue <br />(Or In:da nem�) <br />VNCth of Inwletlon Incha� <br />FOUNDATION WALLS (If requlred) <br />Typa of Materlel <br />DUC7AND/OR PIPE INSULATION <br />Type of Meterlal <br />HEATINO SYSTEM <br />Type of &ystem <br />M�nutaauror ThlWmass R Vdua <br />(Or tnd� nams) <br />Manuhdurar _ <br />(Or tnde nome) <br />Menuhqurer <br />Thlckneq R VelUe <br />Input Output <br />NIGH7 SETBACK THERMOSTAT INSTALLED <br />HEATING SYSTEM INSTALLED TO NO MORE THAN 1Q0% OF DESIGN LOAD WASHINGTON INSULATION INC. <br />GLAZING—ALL GLA2ING INSULATED GLASS OR 6TORM WINDOWS PROVIDED 18120 WOODINVILLE REDMOND RD. N.E. <br />WATER HEATERS—ASHRAE 90A-BO LABELED SUITE IS <br />WATER FLOW RES;RICTORS—ALL &HOWER5 LIMITED TO 3 GPM WOODINVILLE, WA – 7 2 <br />INFI LTRATIQN—DOORS 6 WfN DOW3 WEATHERSTRIPPED OR APPROVED BY ASTM 2B3• 7 3 <br />INFIL7RATION—ALL OPENINGS IN EXTERIOR WALLS CAULKED OR SEALED <br />FIREPLACES—OU7SIDE AIR VE4T (SIX SQUARE INCHES) WITH DAMPER TO FIREBOX <br />6LA8 THERMAL BREAK CREATED <br />VAPOR BARRIERS—INBTAILED PER CODE <br />I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OFTHE STATE OF WASH!NOTON THAT THE FORE�OINO IS <br />TRUE AND CORRECT. <br />Cieneral ConUactor (Bulider) Contnctora Rag. No. <br />By <br />1 itle <br />Dale end Place — <br />&ubcontractor (Insuletion Applicator) WASHINGTON INSULA'110N Conlnctor's R�p. No. W�H-ID-134M3 <br />13 (Insulatlon, Mesonry, etc.) (Stete "SAME" If same af Gen�rel Contrador) <br />r Aobert M Jurgenson TiW <br />Dete and Plece �NAG� <br />3 -o��- Ga <br />