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INSULATION f ERTIFICATION <br />(THIS CARD IS TO REMAIN PERMANENTU - JSTED IN A READILY ACCESSIBLE LOCATION) <br />THIS IS TO CERTIFY THAT IN CONFORMANCE Whit THE CURRENT THERMAL PERFORMANCE STANDARDS <br />WASHINGTON STATE ENERGY CODE, CHAP. 51.12 WAC, REVISED 1986, AND APPROVED PLANS, 1 HAVE 1NSPEL- <br />TED THE ENERGY PACKAGE AND CERTIFY THAT IT HAS BEEN INSTALLED IN ACCORDANCE WITH THOSE <br />STANDARDS IN THE BUILDING LOCATED AT: <br />l l Z-7 7 y S r 5 E Et'FeEl W4 <br />Add,mi, of rraoeM <br />every ea Pemmf No. <br />DESCRIPTION OF INSTALLATION <br />ROOFS <br />Type of Material __ <br />Manufacturer <br />Thickness <br />R Value_ <br />(Or trade name) <br />EXTERIOR WALLS <br />Type ofMaterial EIBERGLASS <br />Manufacturer___ <br />Thickness <br />flValue_LL <br />(Or Iratla name) <br />CEILINGS <br />BATTS: <br />Type of Material F I BE RGL A SS _ <br />Manufacturer _ <br />Thickness <br />(Ur trade name) <br />--R-7fffTw— <br />Sq. Ft. Covered <br />BLOWN: <br />of Materiab/3e/r ASS <br />(P, / <br />41 <br />yDe <br />( <br />Manufacturer <br />Thickness <br />No. Bags! <br />Wt/Bag i 33q Sq. FI. Covered <br />3C-) <br />R Value <br />FLOORS <br />Type of Material F I BE RGL A S S <br />Manufacturer__ <br />� <br />j <br />Thickness <br />RValue <br />(Or trade name) <br />-.9 <br />SLAB ON GRADE <br />Type of Material <br />Manufacturer <br />Thickness <br />RValue_ <br />(Or trade name) <br />Width of Insulation Inches <br />FOUNDATION WALLS (II required) <br />, <br />Type of Material <br />Manufacturer <br />Thickness <br />R Value_ <br />(Or Irade name) <br />DUCT AND/OR PIPE INSULATION <br />Type of Material <br />Manufacturer _ <br />Thickness <br />` <br />Value_ <br />(Or trade name) <br />�R <br />HEATING SYSTEM <br />Type ofSystem _ _ <br />-- <br />Manufacturer__.___ <br />Input <br />Output <br />❑ NIGHT SETBACK THERMOSTAT INSTALLED <br />❑ HEATING SYSTEM INSTALLED TO NO MORE THAN 16096OF DESIGN LOAD WASHINGTON INSULATION INC. <br />❑ GLAZING —ALL GLAZING INSULATED GLASS OR STORM WINDOWS PROVIDED 16120WOODINVILLE REDMONDRD.N.E. <br />❑ WATER HEATERS—ASHRAE 90A-80 LABELED SUITE 15 <br />❑ WATER FLOW RESTRICTORS—ALL SHOWERS LIMITED TO 3 GPM WOODINVILLE, WA 98072 <br />❑ INFILTRATION —DOORS 6 WINDOWS WEATHERSIRIPPED OR APPROVED BY ASTM 283.73 <br />❑ INFILTRATION —ALL OPENINGS IN EXTERIOR WALLS CAULKED OR SEALED <br />❑ FIREPLACES —OUTSIDE AIR VENT (SIX SQUARE INCHES) WITH DAMPER TO FIREBOX <br />❑ SLAB THERMAL BREAK CREATED <br />❑ VAPOR BARRIERS —INSTALLED PER CODE <br />REMARKS (it desired) <br />I CERTIFY UNDER PENALTYOF PERJURY UNDERTHE LAWSOF THE STATE OFWASHINGTON THATTHE FOREGOING IS <br />TRUE AND CORRECT. <br />General Contractor (Builder) Contractors Reg. No. <br />By <br />-- --- Title <br />Dale and Place__ <br />Sub-contrac r (I a lion A II.. toll Contracloes Reg. No. <br />((iinsulation as n , tc.) ( e" same as General Contractor) -- <br />L <br />Tithe � r <br />Dale and Plac <br />