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WP.;HINGTC)N p(�diment B <br /> �+�'� Building Record ���« <br /> ��� �oG� <br /> ,��x CLASSIFICATION _— — —__--_— <br /> � H ..____ _ _.__. . . <br /> a y ti ---- -- — -- <br /> � lP�e;Ise Chech onel (plea5r checN onol <br /> ��New Buflding ��Additlon over 500 sq. ft. ❑Single Family ❑Duplex <br /> O �Q ❑Multifamily ❑Zero Lot Line Home <br /> Jurisdiction: <br /> .q H�q n Planned Unit Develo ment <br /> P_ _ <br /> --- -- - <br /> —_ <br /> - -- <br /> H� N� ❑ Cit ❑Counl . . ... Permit#_. .. --_-- <br /> 2 plesseche�kona: - -Y-- .Y_ . - ------�----�--- <br /> _ . . __ <br /> p� �- � �� File ID k (d d,Nerenr Irom Pe�mir+Y� __. _ <br /> H <br /> � �g CONSTRUCTION _ _ _ <br /> n� o <br /> � y"� A. Site Inlormation B. Owner Inlormetion <br /> ____ <br /> H y OWnBr (avnev at nnn o�mnstnicran rere��rs unMypaymenf _ <br /> Address ----------- <br /> gyH - - ; <br /> a t7 tn City Zip Company --- j <br /> � �� Assessor's Property Tax tl !or anncn iegn�desc��pr�o�l Address <br /> o y City State Zip _ <br /> Servicing Eledric Utility Phone ( ) � - -- -- . <br /> federallDporSSN . _______._____ � <br /> C. If Single Family,Zero Lot Line or D. If Multllamily(R-1) <br /> Plenned UNl Development Total k ol Buildings <br /> Total Conditioned Floor Area sq. II. Total q of Units _ <br /> '�., ,�I Secs.�d Duplex Unit sq. fl. Total sq. fl. (optional) __________. <br /> — " HEATSOURCE _ ___ __ <br /> ! �Y� A. P�Imary Space Heat Type B. Becona PcnePk eemar appY)e C. WpflanaHeheckyons) <br /> �' (check one) � P <br /> �_� Eleciric8aseboaid � ] None ❑ Eledric <br /> �' � i 1 E�ectric Furnace f l Wood I l Gas , <br /> ❑ Electric Heat Pump �_� Elec�ric Baseboard ❑ Other�sp�r�ry beiowl i <br /> ❑ Other lspec�ryberow� �.�] Other�spec�tyoe�owi . __.----- i <br /> i- � <br /> I <br /> COMPLIANCE _ INSPECTIOIUENFORICEMENT _ ; <br /> ---- ----__ __— <br /> s i � <br /> ' WSEC Compliance Method Dale ol Permit Applicalion <br /> �� Prescriptive Path Date Building Permit Issued _ __ _ j <br /> y (� ❑ Componen;Pertormance Date ol Insulation Inspection _ _ i <br /> � �_) System Analysis Dzte ol Final Inspec�ion � <br /> i <br /> 1 horeby certl/y fhaf thls bullding or eddlflon has been lnspected lor fhe measures requlred <br /> by fhe 199/ Washingfon Sfafe Energy Code(WSECJ, thaf It!s In subsfenflal compllance <br /> with fhe WSEC,and thaf fhe WSEC checkllsf lor fhls bullding!s on /lle. <br /> gi�nipup uf BuJdmg O�Lnul or Authonrnd Represenl�lrvu Dale <br /> I <br /> i <br /> Re�urn while eopy�o: Katldr.en Skaar, Washin9lnn Stalu[nergy O�lico. N09 Legion Way SE. FA 1 i. Olympia.WA 98504�1211 , <br /> W5t0 WhdrCnPl, UIJ�ryO�anrv (:anaryCn�ry Jurisortl,un PrnhCoPY G91 � <br />