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<br /> • PflOJECTOESCRIPTION:
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<br /> , �m New O AdEition , , , . O Sinple Famly /ol Storine.........:...........
<br /> ►�' � � O Remodal G Condi�ioned SQ,Ft.......:J.....�..:... O Mufli•Family /al Units.......:.................
<br /> • -- � FUEL SOUHCE: HEATIHC SYSTEM TYP[: •
<br /> 19 Elepric O Basebwrd O Heat pump HSPF ..............................
<br /> � O Oil O Wall heater O Other................................................. �
<br /> • O Gas O Furnace AFUE................... p Totat installed watla or BTU'e............
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<br /> `M�LYWY
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<br /> i FlitCeilicg R.3.�?
<br /> C� Check one o1 Ne Com0lianu 0ption BoKos Celow lnsetl the v�lu¢s inlo box nur, �r G Bulore cnmpletinp this Vaul�ed Ceilinp R�
<br /> ' seUian reler lo!�e Inslmclionson 6uk ol lonn. Wall R........�..
<br /> 1 1 EI�alrio•Norlhwost fnerpy Cod�, Oth:� ''uel Souree�• Below Grade Wall:
<br /> �I_�1 Ch�D��r 6 W�sh!npton Slol�Enerpy Code imerior R......,....:
<br /> �� O Well Ineulatef Floor O Systame Anaysis, O Pirscriptrve Ap;roach, axteriar R.
<br /> � Option ChaplerM1 (:liaptcr6 Floor A..1J..d.
<br /> �Welt inculated Wall ppCampo�ent Pedarmance, O������Donent Pedormance SWb on G�ade R.,....,.....
<br /> +� Optiun Chaplcr5 Approach,Chzpter4 DooroBFr�me U..e.�Y��,
<br /> I ��� O Paseive Solar Oplion O L'empcner.l Point System, O��Y�tems Awysis, Glatinp U.:l.C�...�-�1
<br /> O Hoat Punp Option Chapter 7 (;��p�er 5 9oGluinp 1.4.:....��
<br /> SolarAllowance ...........�
<br /> '�'_', AirLeakaye OST� OADV
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<br /> � � '=� FOR OEPAflTMENT USE ONLY: l i ' � ' � i i
<br /> AmauM o�Payment 5...................................... I hereby uiliy Nal ihe sWrhuy p�neLs will meel ihe NWEC Form+ldehyde reauiremenb-eilher Ihe
<br /> i HUD slmduds or va�ked'alerinf or'esposura 1J
<br /> � Data PermA Inaued................................... ....
<br /> Owner or Aulho•ced Apenl:
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<br /> I 1�� . PnnlNune Sipn�Nra
<br /> \ Dale Permit Flna�ed........................................ The loai junsdict��n�elatrk utllity will m�ke�p�ymenl�o eitl�er tl�e 6uilder or ovmer lor new elxlrialty
<br /> hmlM�esidenres.C^rmit must be hsued Cy 17/31A1�nd canstmcfion fin�kJ hy NJ0.9t in oMer la
<br /> QuilAy lor p�ymerl i a l�cili�le prymenl,Ihe lollovnnp inlorm�Gan must be Gllee ou�canpklely.
<br /> I hereby certily thai ihis dwellinp wae built in 'M�II ehack la:(p�c:r.e piini� ppU I'P IONS/itl!�IODf IS Nn'I' fJ.IG I 13LIi
<br /> complianca wnh ihe NWEC. ( )
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<br /> Namr.................................................Fed.Tax I�or SS/................_.__......_......................
<br /> BuiMinp Oflicul or Authannd�pent Address.......................................................................
<br /> ................................................................................... Cdy................................................................ ....................... Zip..........................................
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