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i <br /> ._ .,,-,;.. .___ __ >____.�. _ ,_- _ - ____ <br /> � : a m. <br /> w ",,�: �- - . <br /> r , I 1 <br /> � � a � � a4a �3 < <br /> � ,i � ='3 ,,�� <br /> �s�.s � �� �t �s'�`r��.i�� � . .a...._.__s ":_'�....._x_ x.'_ _�.'�...�-, o'1P�ueQi�.'�d^�F"'�����', :"�Y-s,��, ..��_..�.,��ti��; <br /> _._.�.._....�...._,._.::�»._-'"`—'- - � ._. _�_._ _.� . <br /> insuiation Certificate for Residentiai New Construction <br /> Permit#: `I nr, <br /> House address or lot number: ��-��U 3��� �y I �_`��S�{'t � i�`�� `�C�� <br /> Watls Biown or Sprayed Flberglaas or Cellulose-Walis <br /> f..:: ._�--: -j-� . <br /> Type of insulation: ) ' ° � � R-Value per inch: ,�.- <br /> Manufaciurec� ` _,_ Coverage Area: � ' <br /> R-Value: � <br /> Bag Count_ - ' <br /> � l Blown or Sprayed Fiberglass or Cellulose-Ceiling <br /> T�of insulahon: ��l. R-Value per Inch: `�a,��'� <br /> ' � ' ,: � <br /> Manufacturer. Cov�rage Area: r ,.�;,�;.f.,._— <br /> R-Valus: _ Bag Count: �� � <br /> Flat Ceiling/Attic Sprayed Polyurethane Foam(SPF) <br /> Type of insulation:_ Oensity: <br /> Manufacture�:_, instalisd Thickness: <br /> R-Value: __ R-Value of Insta�led Thlekness <br /> . Buiiding Component"installed: walis floor ceUing <br /> Singie Raftec Joist Vault�d Geiting <br /> Type of Insulation: _ <br /> Manufacturer: •-�' <br /> R-Value: � <br /> Insulation lnstaiier: <br /> __ �I�, , <br /> Company Name: 1 t:.l.r�� �►�%`= ��t}�U`�'dnstalier.,� l\ jY ��l�l Y ��i,�1 <br /> -� -, ( I�D <br /> Installer Signature: �'��-�-�U6� \��`--- Date: _ <br /> Phone Number. ���Z' _._ <br /> Washington State Energy Code Reference ht4n 11wMnv enetav vsu estulDocuments/2�12°/20Rss°/20Eneeav pdf: <br /> R303.1 IdenUflcadot�•Materiais,sysiems and equlpment shaN be identitisd in a manner that wlll anow a detertnination ot complfance wiih 1he applicabte <br /> provisions of this c�de_ <br /> R303.1.7 BuildMg thecmal enveiope insuiatioa.An R-value identificadon mark shaN be applEed by the maswfacturer to each piece of beerilding thermai <br /> envelope insWeUon 12 irtches(3(15 mm)or greater in w±dth.Altemately,ft�e insuladon fnstallers shan provide a certfEcation Iisting the <br /> type,manufac[urer and R-value of insutation instaNed i�each efement of tha buiWing thermal envelope.For hlown or sprayed <br /> InsulaUon(fibergiass and cetl�ose),the initial instalied ihidmass,setited th�ckness,settled R-vatue,instalied density,coverage area <br /> and number oi bags installed shall be listed on the certtffcation.For sprayed pn�Yurethane foam(SPF)insuiatbn,the Instafled <br /> thickness of ihe areas covered and R-value of ir�stalFed thickness shall be ilsted on the oertiflcation.The insulation insta0er shall <br /> sign,date arrl post the ce►tiflcatlQn in a conspicuous tocatfo�on the)ob site. <br /> �^. <br /> �C�V � <br /> � <br />