HomeMy WebLinkAbout2013, 09-24 Insulation CertificatePART 1 Residence Address
LOOSE —FILL
Il■ INSULATION CERTIFICATE
Date Installed
SPECIALIZED •
INSULATION,.
RESIDENTIAL • COMMERCIAL
509.489.3512
584 E. COZZA DRIVE
SPOKANE, WA 99208
CONT. L_Ic. # SPEC111988D7
PART 2 Ceiling Areas insulated (Loose Fill)
Square Feet
1 ` C.Z%
Existing
R -Value
Added R -Value
4�
No. Bags
,- (
Lbs. Bag
V— ci
Total Depth
1-7 I o
Combined
R -Value
Insulation
Type
(p44-S
2
3.
PART 3 U Wall Area Insulated (loose Fill) U Floor Areas Insulated
Square Feet
1.
Existing
R -Value
Added R -Value
No. Bags
Lbs. Bag
Total Depth
Combined
R -Value
Insulation
Type
2.
This certified that the above residence identified in Part 1 was insulated as specified in Part 2, or 3 and the installation was
conducted in conformance to applicable codes, standards and regulations at the time of installation.
WHITE COPY TO CUSTOMER • YELLOW COPY TO CONTRACTOR • HARD COPY TO ATTIC
(AUTHORIZED SIGNATURE)