2013, 07-30 Energy CompliancePART 1
I/J
Residence Address
LOOSE -FILL
INSULATION CERTIFICATE
Date Installed /(7 it ?
SPECIRLIZED
I V..r� ULl`7TIONINC.
RESIDENTIAL • COMMERCIR
509.489.351 Z
824 E. COZZA DRIVE
SPOKANE, WA 99208
CONT. LIC. # SPEC111988D7
PART 2 Ceiling Areas Insulated (Loose Fill)
Square Feet
f
1. '
Existing
R -Value
Added R -Value
No. Bags
Lbs. Bag
Total Depth
H
Combined
R -Value
Insulation
Type
_
2.
3.
PART 3 ❑ Wall Area Insulated (loose Fill) ❑ 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.
(AUTHORIZED SIGNATURE)
WHITE COPY TO CUSTOMER • YELLOW COPY TO CONTRACTOR • HARD COPY TO ATTIC