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�in�� � � � aac�r e <br />► Building Record ��+« <br />� <br />j M,��.�,. <br />]��— 3` �:i��M �r� +LY j�� A <br />ld9ase cnecM onel (Waese cnecM1 orrel <br />�] New Bullding �0 Addlllon ovor 500 aq. it. �Single Family ❑ G�plex <br />Juristliclion: ��_r ' � ❑Muflifamily ❑ZemLotLineHome <br />� Planned Unit De•±elopmen!__ _ _ ___ __ <br />easemecwwa� �CiN ❑CounN--- Permitp .;_<.i ------ <br />FileIDAI�dn� rlromPermnh <br />�a'�r ro " .�r,MMT�` . ��jR �;';".;��aF�i��4*�.A�$��.�� <br />! 3.r- _ <br />A. Sile Informallon _ <br />Addre55..�„_Iy��' _.� -�-1-<.'=—.-. <br />_ . _ .-.._--__"__ _'"-- _ <br />C1�P .' .._.;�" , .� ZIU ,�:U _. <br />A55e55or'S Property Ta_x p1a anecn kysi eesaytianl__ <br />.� � , - <br />. �i . - � � - <br />._.�...�.��------�..1"—�--' -�---- <br />ServiCing EletiriC Uiility___��-;.. __�__ ..t�. [ � _.. .. . <br />C. II Singlo Family, 2ero Lot Llne or <br />Plannad Unit Development <br />Tolal Conditioned Floor. Area __ � � ��.. s�. fl.� <br />Second Duplex Unit ___ _ . _ .. . _ . . __54 ���� <br />B. OwnerinformaUon _______ <br />Uvner fownermtinedmsmMbriecsAv�wRroaN�l _ <br />COIi�DOnY r f --- " " � : . <br />/�df053 _��L_�i••�: - � ) — <br />.�+ S�atO�(� � �l Zi <br />CiN . --1_-=-------- P— - <br />Phone ( ,. . 1 -. - - - <br />FederallDllorSSN __._____—__— <br />D. 11 Multifemlly (R•1) <br />- -- -- - - --- ------- <br />lotal p al Buildings _ _ <br />Total p of Ueits . __ , __. <br />1'olal sq, IL (optional)_ ,. _ _ _ __ <br />� IEAT SOUIICE ��'�' <br />A. Primery Spaee Heet Type B. Back-U� Speca Hoat Type C. Weter Heat Type <br />(c�eekonq (eh¢k� fM1�pp1Y1 (eMckoml __. . _ ____.__ <br />❑ Eloctric Basoboard � None ❑ Electric <br />FT] [lectric Wall Heater ❑ Wootl ❑ Gas <br />❑ Electric Furnace ❑ Eledric BaseGoard ❑ Other (sper�ryeewwl <br />❑ Eleciric Heat Pump ❑ Olher �specrrreeiowl _ _._ ___ <br />❑ Other . .. _ . <br />----��— C���i� �_�E r� _ ..:,r:; <br />This bulldlnp meets Iho WSEC Compllance Method Dale ol Permit Applicatian � �- __ _ <br />Q Elec�ric ❑ Prescriptive Path Date Buildinp Permil Issued ..: .�%__�.. ._. ._ <br />C] Other Fuels � Component Pedarmance Date ol Insula�ion Inspe�tiion � 1, .-!- ;;�; ,___ __ <br />requlremente of the WSEC. ❑ System Analysis Dato of Final Inspection _�_/a_Q� <br />I hereby cenlly fhef tAls bullding or addltlon has been Inapecfed !or fhe meesurea requl�ed <br />by fhe 1991 Waehinglan Sfa1e EnergY Code (WSEC/, fhaf If Js In aubstanflel eompllanre <br />wltfr fhe W/SEC, end Iha1 fha WSEC eheekllef lor Ihls bullding Is an llle. <br />` _.-! _ '. Y._ . _ . . - � - - . . . .-- <br />�. _ i <br />S,ina�wc orBu�MmB a��nai or AUI�o���+00 Ropmsentatno _ Date <br />ReWm whlle tapy lo: Kathleon Skaar, Wash�nglon 5talo Enorgy C'lica, B09 Lopion Way SE, PA�11. Olympia, WA 985044211 <br />lVSCO WreloCOPY lttJ,rytM^ci-Cana7Ca0Y Junstl�tl�on.P�nACapY.. ._ <br />9t <br />