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. ������ ;: ������' <br /> �� . 3a i 1 �a3�o o� l� <br /> N1101.8 Ccrtificatc r�I ` a\ <br /> Builders Name/Cornpany Date: t°� l�o,3� t� Site Address: �B� �� 1J I�C� �1 ��«���'�, � <br /> Contractor Name: a' � �", 'n l�S �+� License Number: � <br /> Location Type of Insfa//ed Type Location Size <br /> Insu/�tion R-Va/ue <br /> Makeup Air 5�� � <br /> . <br /> Roof/Ceiling _ � W5 _ <br /> --- ____ ---- - ---- <br /> Combustion Air >> <br /> Walls • �!� q <br /> Water Heating � ,,.,. ..—�.= � $- - <br /> 51ab-on-Grade � ' -- ,� ' �� ;� � , <br /> __._ _ _� a uf`�� urer�',' ` �����:: �Morie/ '.. ��,`�� <br /> Floor ► � p � � ► a <br /> D,ucts Outside�of Conditioned'S aces'` <br /> Rim]oist � - ,;i ,,� �:, �� ��. � <br /> q Interior Exterior or Integral `LOC t/On' ` ' R-l� /u6 <br /> Foundation Wall p,�pX � —--- ' . <br /> Interior Exterior or Integral � <br /> Avera e U-Factor SHGC so/arfieat ain coe�cient Passive Active <br /> Fenestration , Radon Control ❑ <br /> T In ut Ratin AFU Manufacturer Mode/ Ca/cu/ated H at Loss <br /> Heating�stem p � O _ . � <br /> T Out ut Ratin SEER Manufacturer Mode/ Coo/in Load/Heat Gain <br /> Coolin S stem � s X O <br /> T e Ln ion Continuou Venti/ation Tota/I�enti/ation <br /> Mechanica{Ventilation ,_ b L t�.� <br /> .. -— ------ - t <br />