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p � <br /> Date � — A_. �..�. � _ I <br /> _-- •--... ........... ................................................. <br /> . ��^ <br /> ADaiaatbnNermit/ .. .................... .....`. .... ..-....... .::.. ' : . :: <br /> .��� +f�J..Q..���D ". LOWRISF NFSIOfNTI��I :`� <br /> 1 <br /> YOwner..._...._e_....._. .. . , ..............�...y _......... <br /> . , , . . , <br /> Site Addresa ez'�_�.__....�(f�� ....tg 1!��. � � i <br /> �Assessor's Property Tax Account No. � ' � � ���� <br /> .__....--------•--__ __�.../._ ` <br /> 'PUD PLAN REVIEW N �5����TZ- { <br /> ::, . <br /> ;,.: <br /> . Site Address ..�..�..Q..�...........�'.n,�.rnS.............Z.T.Y...�r....l.................. �� <br /> ............................................................................................... , <br /> � B IdersAt,d+dresnR�u�A.�.......���.�.P►.Q�dr��...e�,..�.�Q�.....�'�/..�l�.ZiD..�.�!..Phone.�..,'�1..$-:..-�..�. .�.Q � <br /> �� <br /> ; Ciry...,.F..,1LE...I�.rii.�.T...T...........................................................Zip...�.��,�?.I..............Phone..3..5......vr...`..a�..�.1.�2:...................... I <br /> • <br /> . <br /> • PROJECT DESCRIPTION: <br /> � Q Remodel G Conditioned Sp.FL .-.�.�..�.... O MuNieFamiy /of Unfts.s......_....._....... j <br /> � FUEI„SOU�iCE: NEATING SYSTEM TYPE: ' <br /> �kctric O seboard O Hrat pump HSPF .............................. <br /> � O Oil �all heater O Olher................................................. � <br /> • O Gas O Furnace AFUE................... O TMaI installed watls or BTU's............ I <br /> . <br /> • <br /> • <br /> • • • . • . • • . . • • . . . • • • • • • v • . . • . • • . . � • • • • • • • • . • . • • • • • • • • • � <br /> , �� � , , �, � COMPONENT , I <br /> Flat Ceiiinq R..,j.$ <br /> Check one al tl�e Compfunce Option Boxes 6elow.Insert ihe values into bo:number 4.Be�ore comqetinp Mis Vaul�ed Ceilinq R........... <br /> s:Uion mfer to�he insimctio�aon bxk ot lortn. � Wall R..Z.�. <br /> Elactric-Northwest Energy Coda, Olher Fual Sourcas- Below Grade Wall: <br /> Chaptar 6 � � Washinqlon Stata Eneryy Code interior R............ <br /> �Well Insulated Fioor Systems Analysis, O P�escriptive Appmach, e�Aerior R... I <br /> Option Chapter 4 Chapter 6 Floor R..�.Q <br /> Q Well Insulated Wall O Component Performance, O Component PeAormance Slab on Grade R..�... <br /> Optian . Chapter 5 Approach,Chapter 4 Doors 6 Frame U.� <br /> O Passive Soiar Option O C^mycner.t?oint System, O Systems Analysis, Glazinp Ui. ..o <br /> O Heat Pump Option Chapter 7 Chapter 5 %Glazinq .. .....!G <br /> SolarAllowance� �.........% <br /> . Air Lrakape N75TD OADV <br /> • <br /> � • � � . . � � � � • <br /> FOR DEPpHTMENT USE ONLY � ' � ' ' ' ' � � ' <br /> AmouM o1 Payment$ .....J. ......:...�� I hereby uniy tlut Ihe strucNN W^��++II meet Ihe NWEC Famuldehyde rtQuirements•eilher IAe <br /> HUD st�nduds or rrurked'exkriof or'exposure 1' . <br /> Dare Permit lssued .....:: ,,, ' Owner or Aolhorizad Apan1: <br /> ... . <br /> . ............................................................ ................................................................. <br /> Punt Nune �P��dR <br /> Date PermA Fnaled ....... ......_`....: 7����juesaktlankixtrk uwiy wiu m�ke a prymenl to eilher Ne Euilderor oMner loroewelectric�lly <br /> ��� �� ��- h�tcd residences.Permil must be iuued by 17!l191+nA construc6on finakd�y 6/30AY in oNer to <br /> - � � awlily for prymem To lacilitale D±Ymen4 Ihe fotlowinp inlormaGon musl M Nkd ou1 eampNtdy. <br /> Iherebycetlifythatihiddwellinqv,asDuiltin ��� Maileheeklo:�ple�seD��O (ADDITIONS/RE�fODcLS NOT ELIGIBLE) <br /> wmplunce wrth ihe NWEC. <br /> . .. . . . � Name.............................................._Fed.Tax ID or SS/...................................................... <br /> .:�.-.::.:...._:......_..:........:.....................:.........._........ <br /> �`-�BuiWinp Ofliwl or AutAonxd Apent ... Address....................................._...................... <br /> :� ':...........:................:._ ..._�:...:... Ciry....................................................................................... Zip.......................................... <br /> �`D�le ;..� . � . . <br /> NOTk'M IRS Lorm 1 D99 w.11 b xnl�t O�e enE ol At�ear. <br />