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� � <br /> �� <br /> --. <br /> Building Record ��� ""�" <br /> b'ZN 1iN�,%G�� ST+ '.T� ..R��ry-:u.^���� b��al���YEt IY��'.�RRE'�T.�`f <br /> �'i E <br /> ase eheck oneJ (pl ase chedr aneJ <br /> w Build1 r�p/ ❑Addltlon over 500 sq.IL �Single Family ❑Duplex <br /> Jurisdiction:( ,7 y1 0 1" �1,��pfj'= ❑Multifamily ❑Zero Lot Line Home <br /> ❑Planned Unit Development <br /> p�eesa cneck one Citv ❑Countv Permit M �?7� j <br /> File ID N 1H dNlerent Irom PormB A <br /> �., ,r�ptp--. <br /> c� <br /> �. SRs�n�ormauonGG/� e. ownsrintormatlon <br /> Address���-,sp,GJ � �, �- Ow er oK,�e.errcmea ,�,� <br /> ---�--- --� ` � �,.�7_=���_�i)C/ <br /> Oity (,!N.)/�" 21D r COrtlpenV <br /> A6se860r'SProMr�t TBxN(oreBechle aldes fbn1; Add�93s ' �..�:; �'_.,� "� _,� ,�� <br /> 7��� � <br /> [-as.�2��- �;/�� . '� /,t�! �PJ�n�j� �'_ �r O_7'�' ' S18te�Jfl ZiP 9 .,�J� <br /> Servfcinp Electric Utility �y_( � �� Phone ( �p�� � � � <br /> �—p—._ r /�S 1.9" 7- � 7" <br /> Federel IDN or����� ,/�� �. /� <br /> C. If Sinpls Famlly,Zero Lot Line or D. M Multl}amlly(R-1) <br /> Plenned Unit Devslopmsnt Total M of Buildinps <br /> Total Conditioned Floor Area 1 ZI 5 sg. tt. Total M of Units <br /> Second Dupl_ex Unit sq_fl. Total sq.�optionap <br /> �'�'��'������� ,r���^ r a�'�'j{?`�� t;� <br /> � <br /> A. Prim�ry Spece Hest Typs B. B�ck•U gp��Hsat T <br /> (ehrokor�) (ch�ek��tMfypry) YPe C. W�►M�fTyps <; <br /> _ — ----- -- -- __ <br /> Electric Baseboard �$ None �Eleciric <br /> ❑ Eleciric Wall Heater ❑ Wood ❑ Gas <br /> ❑ Eleciric Furnace ❑ Eleciric Baseboard ❑ Other�spearyoerow� <br /> ❑ Electric Heat Pump ❑ Other/apeciryeeiav� <br /> ❑ Olher -- <br /> y' y'� '� �y� <br /> � 0. ��j�. .`R�'F�� �7�'�� :i�'„s'Jti r` �Z ����_� � <br /> L <br /> Thls buildlnp meets the WSEC Compllance MeThod Date ot PermN Applicatlon �.�-�f- r - <br /> Q�Electric 11�Prescdptive Path Date Bullding Permit Issued_�-�_ <br /> ❑ Other Fuels ❑ Component PeAormance Date of Insulation In�cNon /�-�J-q z _ <br /> requlromente of the WSEC. ❑ Systom Analysls Date of Final In�ction ti _�� . �� <br /> I heroby csrt!/y fhsf fhls bulldlny or eddlflon haa bssn/nspscNd/or fhe ms�auroa roqulrod <br /> by fhe 1881 Weahlnpfon Stets Ens�gy Code(WSEC), fhet It ls in su6sfenflal compllenre <br /> wlfh fhe WSEC,and thet fhe WSEC checkllat for thla bullding Is on/lle. <br /> — -----=--- _ --------- <br /> Sipnature ol Buildinp 011iclal or Authorized Representetive � � Date <br /> Return white copy to: Kathleen Skaar, Washington State Energy Office, 809 Legion Way SE, FA�11, Olympie,WA 98504-1211 <br /> - — — --— - <br /> WSEO�Whife CoPY UfilityKhvne��Canary CoyY�..—� � Junsdictian-Pink Copy-_— <br /> 7�92 <br />