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INSULATION CERTIFICATION <br />(THIS CARD IS TO REMAIN PERMANENTLY POSTED IN A READILY ACCESSIBLE LOCATION) <br />ORMANCE <br />FPLANS, <br />THIS IS TO CERTIFY THAT IN CONFORMANCE WITH THE THER MAL <br />5 -12 WAC, REVISED 1986, AND APPROVED 1 HAVE�INSPECS <br />WASHING ON STATE ENERGY CODE, CHAP. <br />CERTIFY THAT IT HAS BEEN INSTALLED IN ACCORDANCE WITH THOSE <br />E <br />F m <br />TED THE ENERGY PACKAGE AND <br />STANDARDS INTHEBUILDING LOCATED AT: <br />j A~[CC011Cii..CL-C.� Pwmn No. <br />yy 70 <br />IJ �i Cauntr BM <br />O� m 00 <br />el H <br />Aoa,M, of Rown, <br />DESCRIPTION OF INSTALLATION <br />Y <br />1 <br />O <br />Manufacturer Thickness R Value_ <br />Malarial �--- (Or trade name) <br />QQ <br />" <br />FEXTERIOR <br />tOi ' <br />IVALLS <br />ManufacturerThlCkness R Valus `�M <br />H <br />Material <br />(Or trade nam(a <br />ys cO to <br />BATTS: Thickness R Value_ <br />Manufacturer <br />to <br />5 <br />Type of Meterlel <br />(Or trade name) <br />Li9ia1 H <br />C 0 <br />_ Sq. Ft. Covered u 1 <br />SeUM �� <br />BLOWN. L1 h-AAC Thickness No.Bsgsf <br />i of Meterlel �FLRJR. Manutad rar <br />� Sq. Ft. Covered = R Value <br />WIJBs3 <br />iy <br />FLOORS ��J� L(�� JJ 7/ �urer.C�1l��ThlCkneta v Five lue 9 <br />���,,,,�,,�qq <br />Type of Material`LC� - Mr <br />tradename <br />iiJJ (Or trade name) <br />SLAB ON GRADE Thickness R Value_ <br />Manufacturer <br />Type of Materiel <br />(Or trade name) <br />Width of Insulation inches <br />FOUNDATION WALLS (it required) thickness RValue _— <br />Type of Materiel Manufacturer <br />(Or trade name) <br />(C�" <br />DUCT AND/OR PIPE INSULATION Manufacturer _ Thickness R Value_ <br />Type of Material <br />(Or trade name) <br />1 <br />HEATING SYSTEM Manufacturer _ _ Input Output --- <br />Type of System <br />❑ NIGHT SETBACK THERMOSTAT INSTALLED <br />❑ HEATING SYSTEM INSTALLED TO NO MORE THAN 180%OF DESIGN LOAD <br />_ <br />❑ GLAZING —ALL GLAZING INSULATED GLASS OR STORM WINDOWS PROVIDED <br />'�� <br />❑ WATER HEATERS—ASHRAE 9OA-80 LABELED <br />❑ WATER FLOW RESTRICTORS—ALL SHOWERS LIMITEDTO3 GPM <br />WEATHERSTRIPPED OR APPROVED BY ASTM 283-73 <br />❑ INFILTRATION —DOORS 6 WINDOWS <br />OPENINGS IN EXTERIOR WALLS CAULKED OR SEALED <br />❑ INFILTRATION —ALL <br />—OUTSIDE AIR VENT (SIX SQUARE INCHES) WITH DAMPER TO FIREBOX <br />❑ FIREPLACES <br />❑ SLAB THERMAL BREAK CREATED <br />❑ VAPOR BARRIERS —INSTALLED PER CODE <br />REMARKS (it desired) <br />' 1 1 <br />STATE OF WASHINGTON THATTHE FOREGOING IB <br />I CERTIFY UNDIPENALTYOF PERJURYUNDERTHE LAWSOFTHE <br />TRUE AND COContractor's Rep. No. — <br />General Contra�r <br />'� <br />ByTitle <br />Date end PlacQUALIPI 101 QE <br />(Insulation ApPIICaIor) Quality Plus Insulation, InGentrectoes Rep. No. <br />SUb•COnIrBCldr <br />(I aulelion, Masonry, etc.) (State "SAME" II same of General Contractor) <br />- Title <br />By ) n�(/ti <br />�_� y / <br />Date and Place <br />