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II
INSULATION CERTIFICATION
11
I, :Pe..-\-.e'/ \J · S~~~r1 e7 ' HEREBY CERTIFY THAT ATTIC INSULATION (Loose Fill
(Individu~l Qualifier)
or Blown-in) OF R-~ IS COMPLETELY INSTALLED OVER THE ENTIRE SURFACE AREA AS
SPECIFIED ON THE ENERGY CODE CALCULATIONS AND/OR INSULATION 'PERMIT
APPLICATION FOR THE RESIDENCE/STRUCTURE LOCATED AT:
ftt~" .s;I'l/oe/ \toM.~S
Legal Description
35'0 3> A----'\o\J. ~~
Street Address
$lc.. 010;)..- C) Itfb
Permit Number
FlE2C£/\/£O
JUN 0 1 2001
S PUblic '''I
t. LUCie "!fOrks
COlJllh.
"Y, FL
Insulation Permit
Check Permit Number Type Lis~:
Building Permit /'
Signature
{; -7-tJ1
Date
ST A TE OF FLORIDA, COUNTY OF INDIAN RIVER
was acknowledged before me this'¿ day of JÙ ry¿,
who is personally mown to me or who
and who did/did not take an oath.
, 20 f!1:by
has produced
No