2014, 03-18 Permit: BLD-2014-2201 Insulation CertificationPART 1 Residence Address LOOSE -FILL
17d9, I ,, )64h -FI "- -INSULATION CERTIFICATE
Date Installed 3 �l /fr/
SPECIALIZED .,
INSULATION/NC.
RESIDENTIAL • COMMERCIAL
509.459.3512
594 E. COZZA DRIVE
SPOKANE, WA. 99208
CONT. LIC. u SPEC111955D7
PART 2 Ceiling Areas Insulated (Loose Fill)
Square Feet
1 19L10
Existing
R -Value
Added R -Value
A 419
No. Bags
3 el
Lbs. Bag
3/
Total Depth
17 it
Combined
R -Value
Insulation
Type
Ghi-ss
2
3.
PART 3 ElWall Area Insulated (loose Fill) 0 Floo 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)