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., . <br />�"=� !- <br />. <br />• � � <br />( <br />Building Record <br />Atbdmsd B <br />WS� Canhe�i M <br />%`�`i�'fi���:�Mi�R'IM�M� -s',x, s �r �`.'g� <br />�t. � t i, �.:. Y�'� � AP ��.., t � r� t� _ i <br />(pease cnerd onol (p�eare checX orel <br />�New Bulldlnp ❑ Additlon over 500 nq. R. � Single Family ❑ Duplex <br />Junsdiction: r i. o�- -'• ��� 7 ❑Multilamily ❑Zero Lot Line Home <br />- ❑ Planned Unit Doyelopment <br />peasecnedone: � Ciry _ �Counry _ PertnitN _; '. �. % .__ <br />File 10 M �nemeronl �ran Pamn h <br />"'.^Y S'' v'�".r%��Ai�FlL�a ';��Q�a7 ^d+'i�T <br />A. Slle Inlormallon —�—�— <br />Address_. /t., ' � ._[iU�. if`:IL�L�:_ _ _ _. <br />City 1- i�.� IZiP ',�l �i S�? <br />� --- - <br />�ssess_or_'s Property Tax N_(orenecA/eyaieesm_pn_anJ_ _ <br />-_ 5 ,_ ._. —Ly f.:- �i. —�"�� =�" _— <br />Servicin EledriC Ulili � � ' ' � <br />. . 9 �1'-_<��--�--'-!.._— _ <br />B. Owner Informallon __ <br />Owner (wmereto-riedmatutonrecaiesuueraa�+nerq <br />Company , �: . � . t ' � , , l� �-. � - i — <br />Address J ,./L_, / �,_� � .i.�.-_ <br />Ci -- � t'r State � -7 Zj �. <br />�'_u—'_1 �' P_.J• <br />Phonn ( ,.,,.,, 1 -7_' •- � -" _ <br />Fedei al IDN or SSN ______ <br />C. If Singla Fomlly, Zero Lot Llne or D. II Multllamlly (R•1) __ _ <br />Planned Unit Development Total p ol 8uildings __ <br />. .. _ _. ._. .. . _-- <br />Tolal Condilioned Floor Area _� � l�. .— SQ�.��� Total q ol Units__ <br />Second Duple< Unit _ _ . _ .. . _ _ _ _ _sq. �'. Total_sq. fl..(aptionalj___ __ <br />, HEATEOUICE z , .:�:h�`�"�r-'.5�,'�.I <br />A. Primery Spece Heet Type <br />(c�eck one) <br />❑ Electric Baseboard <br />Q ElecVic Wall Heater <br />❑ Eleclric Fumace <br />❑ ElecCic Heat Pump <br />❑ Olher <br />B. Baek•UP Spece Heat Type <br />(cnstk�l IhelipplyJ . . <br />� None <br />❑ Wootl <br />❑ Eleclric Baseboard <br />❑ Other�spenryoewwl <br />C. Water Heet Type <br />(cn�eM on.l . _.. _ . <br />�, Eleciric <br />❑ Gas <br />❑ Other(specMeeaw/ <br />-.__�___ri��E _ —� �o��vqcwrQ���G� . �"r, <br />This building meels the WSEC Complianee Melhod Dale ol Permit Applicalion .�_. _ <br />� Eledric ❑ Proscriptive Path Data BuNding Permi� Issued .Y� �ci ".%j_ ... __ <br />❑ Other Fuals � Component Pedormance Date ot Insulation Inspection _�� �_ i __ _ <br />requlremenis al Ihe WSEC. ❑ System Analysis Date of Final InsPedion _ 1�_ �„ : 3 _ <br />1 here6y eerOry fhaf fhls buflding or addlfbn has br.rn Inapecfetl !ar fhe meaaurea reqWrea <br />by Ihe f99/ Weahington Sfele Energy Code (WSEC), Ihat If le In subsfenflel compllanre <br />w/fh fhe WSEC, end fhaf fhe WSEC checkllsf lor fhla bullding Is on flle. <br />. ._..j , 1 � _ . ..._. . _ _ / . . . , . . ... <br />, 1_.- __._ . . _ � .__ _, .,.,,,. _. <br />6qnalu�a oi OwW�rq OII¢�al or Aut�anioE Roprosenlaiivo _ Cate <br />Felum whlte �opy lo: Kalhlcen Skaar. Washinglon Stato Enargy 011ico, 809 Legion Way SE, FA41. Olympia. WA 985044211 <br />. . . . . .._ . .. _ _. <br />IYSEO � 4Yfrrte Co01 UhLtyOwner � Canary Copy JunsA�q�on � FmM Copy �— <br />lL _�� <br />