Laserfiche WebLink
O5".. � ���� Activity/PrY-:mi�t # <br />FOf�M INSTRUCTION3: <br />Please read before completlnp form <br />FIII In all eheded Inlormatlon boxes that apply to your pro�ect. ��t place marks In il�s !wo left side <br />columns labeled " COMPLIANCE REOUIRED" and 'INSPECTION APPROVED". Slnce ihis torm <br />will be evaluated for Completenese, you can evold unecessery permit delays by carefully providinq all <br />required Inlormation. You may dieregerd IMormatbn requestes that don't address your part�ular <br />buildirp or equipmeM. <br />SteH membere wlll help with eeneral questions about flllinp out this lorm. However, It is your <br />reponsibillty to provlde spec!fic Informalion for heatinp systems, glazinp, insulatlon, and other <br />buildinq speciflcations. For sFecific requirements, refer to the NoAhweat �norgy Code, 1987 Edition. <br />Thls form wlll ultimately be the basis for all NWEC !ield Inspections. You can avoid problems by <br />soeklnp approval for any eubstitutions before Incorporating them into the project. The bulldinp olllcial <br />may requlre ihat you eubsta�late compliance clalms about bullding producSa or techniquea by <br />providlnp docume,�tatlon trom approved testing apencies or code authoritles such as ICEiO. <br />When your permit s issued, you wlll receive a copy ul this form. Boxea wlll be checkod under <br />"COMPLIANCE RfOUIRED" !ndlcating NWEC requlrements that muat be incorporated Into this <br />proJect. Each checked requirement wlll be evaluated by the building inspector end , when deemed <br />acceptable, marked approvad in the "INSPECTION APPROVED" column. <br />DATE/�'�"y° C <br />;?rr <br />NAMEOLon1�1o�-� O�N�r1'�— BUILDIN(i ADDRESS 66�`� ��y Q��LOT A_ <br />BUILDINO TYPE; COMPLIANCE PATH: <br />�New Residential: Single Fam. ❑ Chapter 6(< 5C00 Ft2) <br />Fiemodel Multi Fam. � Compunent PeAormance Ch#5 <br />� Addltlon ❑# Storles__ (s 3) Systems Analysis Chp 4 <br />�] Points System ChJ17 <br />Heating System Type: <br />Eleclric: <br />� Base board <br />[JHeat pump <br />potner_ <br />NWEC plan revlew: <br />Approved by <br />orced alriurnace <br />Zone heaters <br />.H . ., �e� ��.�tf��,'4�t8'Y&� 1 ��Y � � � �� i R 'PUY�'. <br />NOTE: All non•alectrlcally heated <br />dwellinga muat comply wlth fhe �.,; <br />1986 Washlnpton State Eneryy <br />Coda end ofher ordlnances of th/s <br />Juri�ccltir,tlon. <br />.. �q ' f�iY. <br />1/ <br />wEee �rnu �o <br />use only) <br />Date pape t ot 7 <br />