2014, 08-28 Insulation CertificatePART 1 Residence Address
-
LOOSE -FILL
INSULATIONERTIFIICATE
Date Installed
SPECIRLIZED
INSULATION,.%.
RESIDENTIAL • COMMERCIAL
509.4189.35 I Z
694 E. CozzA DRIVE
SPOKANE, WA 99208
CONT. Lic. fl SPEC111922D7
PART 2 Ceiling Areas Insulated (Loose Fill)
Square Feet
1.IX°
Existing
R -Value
Added R -Value
Cr?�
No. Bags
�
Lbs. Bag
31
Total Depth
't
Combined
R -Value
Insulation
Type
6/0-5-5
2
3.
PART 3 0 Wall 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 he 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
2
/AUTHORIZED SIGNATURE)