2014, 10-13 Permit: BLD-2014-1793 Insulation CertificationPART -1
Residence Address
7oo.2 . E f �Alc vL
LOOSE -FILL
INSULATION CERTIFICATE
•
Date Installed %- / 3 — ti
SPECIRLIZED.-
INNSULRTIONINC.
RESIDENTIAL • COMMERCIAL
509.489.3512
594 E. COZZA DRIVE
SPOKANE, WA 99208
CONT; LIC, tt SPEC111955D7
4
PART 2 •
- Ceiling Areas Insulated (Loose Fill)
Square Feet
1/.�>
Existing
R -Value
•
Added R -Value
.�ct5-
No. Bags
/c/. •
''Lbs. Bag
3 (
• Total Depth
lL,r'
Combined
R -Value--.
.
. Insulation
Type
--
67/.4-,3
z
3.
PART 3
0 Wall Area Insulated (loose Fill) - 0FIoo Areas Insulated
Square Feet
1.
R-ValuexE
Added R -Value
.
No. Bags •
Lbs: Bag
Total Depth
Combined
Ft -Value-
Insulation
Type
2.
.
'
TRI.......a.� -
d that he above residence Idenhie d 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 thetime of installation.
WHITE COPY TO CUSTOMER • YELLOW COPY TO CONTRACTOR • HARD COPY TO ATTIC
(AUTHORIZED SIGNATURE)