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. <br /> � ��a <br /> o �x <br /> C H <br /> � HpCtn <br /> HZ� <br /> FC c] <br /> pH 7tl <br /> rytl �� <br /> N <br /> � z� ; � Activity/P mit # <br /> a �e <br /> �Mg I�WEC Lc+wrise Re�identiai Compllance Check Iist <br /> zy� Electricell heated dwellln s, s 3 stories, Zone 1, Western Washington <br /> NH <br /> gy <br /> H <br /> nCVJ _.. . . ..... ... . ,u, . . . . .� , . <br /> ��� FORM INSTRUCTIONS: Pleaee read belore compleUap rorm <br /> �Htn A <br /> y ��' � FIII In all ehaded inlormatlon bozee that epply to your pro�ect.Ba.nGt plece marks In the two left slde ;�`� <br /> r . 1 - <br /> i �' ` columns labeled"COMPLIANCE REOUIRED" and "INSPECTION APPROVED'. Since this torm <br /> �� will be evaluated for completeneae, you cen evoid uneceseary permit delays by caretully providing all <br /> � N < •� required InlormaUon.You may dlerepard Irdormatbn requestes that don't address your paA�ular <br /> � `, bullding or equipmenL <br /> ��; 2 ` Stefl members will help with peneral questlons about Illlinp out ihis lorm. Hownv3r, it is your <br /> reponsib!Ilty to provide opecllic Inlortnation for heatinp systems,glazinp, Insulatlon, and olher = <br /> , �,�r �; bulldinp apecllications. For speclfic requlrements, reler to the NOAhwest Enerpy Code, 1987 Edition. <br /> �° s'� ' 7his form wlll ultimately be Ihe besis tor all NWEC field Inspecllons. You can avoid problems by � <br /> ���° seekinp approval for any substitutions belore incorporaling them Into Ihe pro�ecL The bulldinp olliclal <br /> may require thet you subslarrilate compllance claims about buildinp products or techniques by ; <br /> F<i' providinp documentalion lrom appra�ed testing agencles or code authodtles such as ICBO. � <br /> i <br /> ��� O When your permit Is issued, you will receive a copy of Ihis lorm. Boxes�viU be checked under ,� <br /> ��' "COMPLIANCE REQUIRED" Indlcatinq NWEC requlrements that must be Incorporated Into this , 4 <br /> pro�ect Each checkod requlrement will be evaluated by the tullding inspector and ,when deomed <br /> '"' acceptable, marked epproved In the "INSPECTION APFROVED"column. �" <br /> � � . 3�;t*, ..r�`;tiF�• �''� �"7N; xi, a - �....�,` - x�ti'. - '".,II•:' <br /> � <br /> I 1 <br /> � . . :.. . ._,..-.; .... �... . > ..�... _... ., .., _ . _...... ... � . . <br /> ' . ..,. . ....... - .. .. . .. �� �?•b,I: <br /> DATE " ' � Clty �erC _Coumy �• ow %I �. <br /> �' � � �� ���� �JI �r: <br /> 1� : NAME � °- �� BUILDING ADDRESS �a73�L."l_— OT N_ '� <br /> � �v e%e� <br /> BUILDING TYP : ,—,�� COMPLIANCE PATH: <br /> 0 � Resldential: L7 Single Fam ❑ C apler 6 (< 5000 Ft2) <br /> ' ❑ Remodel ❑ Multl Fam. Componont PeAormance ChN5 <br /> ❑ Additlon ❑ JI Storles___(s 3) � Syslems Analysls ChN 4 ; <br /> '_� � Polnts Systom ChN7 ` <br /> : ; <br /> ' i . . 'r i:!a�{Zi �a <br /> i.'Sr�a., Y.C, t' �r;' <br /> '_� H08ting System Type: NOTE: All non-e/ectrlcally heated � 'r'� <br /> �'` �r,�: <br /> dwoll/npa musf compty wlth the a� r: <br /> EleCtric: + <br /> �� []Basehoard OForced alrlumace 1986 Waehlnpfon Sfafe Enerpy �� - <br /> ,/ Coda and other ordlnancoa ol thls � •�< <br /> '_' �Heal pump ��one healers ������ <br /> �F �Olher <br /> _A � 'rA,i��. <br /> • ,.. . .,,..: .....:. .. . .. ... . . .. <br /> ,F. � ,eY..�' ,�3:- F�'�i'''�.i, <br /> ///� EE!�7PIL�0 <br /> NWEC plen �evlew: lDepanment uso only) y�.��-- <br /> Date___ ��9 �9° <br /> Approved by ---- peQe t ot � <br /> -# /�y00/1j <br /> �---- <br />