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� � <br /> ('ps , <br /> , <br /> ��� `��/TY OF Ef/E/�"�TT ,' <br /> ��" BU/LD/NG D/I//5/ON <br /> � �, <br /> ��7tl W0 9920/ (206) ,259-8910 ,. <br /> � 3200 CEOAR .y77 Ei�ElIETl <br /> wH . <br /> �� . <br /> o `�d ��s��_. <br /> o t <br /> xo w ; , . , o � • 1 <br /> . • <br /> z y g �* • ed as il lo ks,because you only use port�ons of It lor a padicular ' ' <br /> � i..�� 1 About thls tortn:This torm Isn'l as Invol <br /> g� dwelling pro�ect.Inslead ot spending lt�meos�ear Q e����s also an excel enl tppJ�lQr ea'r�n91he esldenlial <br /> �o v� condense lhe requirements lhat apply Y P 1 <br /> ��� WSEC requirements. ' <br /> 'x-3 0� Requfreme�ls are groupeo by IoundaUon,lraming, insulalion,and fina�inspeclfon phases.This not only <br /> lels you kno Use the lorm lo choose compliance opt onsl thal best suHrthe Ieconomics afnd des gn oiI y ur � <br /> requirements. <br /> proied. <br /> A dasignated deparlment ener�y specialist cy n helps ble W ith your questions.This lorm will help you . r <br /> �pmply wdh the WSEC as quickl a�painlessl as po <br /> p Respooe�blllty for IMormaUon: Although stalt members wlll help you wilh general questions about <br /> comp 9 roval Irom the <br /> lelin thls form, it is ultimately your tesponsibility lo provlde detafled IMormatfon about healing <br /> syslems,9�az1n9� �nsulation, and other bullding specilicatlons. Be sure to get prlor app <br /> Department.if you iater wish to make changes in your project. For more requirement delail, reler ro Ihe � <br /> � Washinglon State Energy Code, 1991 Edilion. <br /> � <br /> ��` hance o tion at ihe top of th8 lable. <br /> ; 3 page 1,Compllance OpQons: Select one comp� F <br /> � Pages 2 through 6,��the �h dad 6ox araa� only:Provide Inlormation and check circles lhat apply lo i . <br /> ' ��i 4 ' �aur specific pro�ed.Ba.nnt Piac:�marks in lhe tvro leit side columns labeled'CAMPLIANCE R�u^UIRED' <br /> �r a�d •INSPECTION APPROVED"or in boxes located in non-shaded areas(These are tor departmenl use). <br /> Since this lorm will be evaluated lor completeness and accuracy,you can avoid unecessary permll delays <br /> i �� �by carelully providing all required InlormaUon.You may disregard ilems that don't address your paAicular � <br /> building or equipment. <br /> � $ Compliance responslblliry:This torm will ultimatery be used lor all WSEC lield Inspectlons.When it is .-� <br /> � '� 1 lo our ro ecl.The � i <br /> checked by he Bu d i n q D e p a rt m e n t�T hi s d e no tesewhicOh WSECC qu emelnts appyu y W��Ph i�e been � <br /> � '� <br /> inspedor will Inspect your dwelling against these checked ilems and,w hen d e e m e d a c c e p l a b l e,p a c e� <br /> ' 1�' second check in lhe 'INSPECTION APPROVED'column. <br /> � ,�.� . , . , � <br /> , , . , , <br /> I <br /> �� � � . � <br /> q11 Residentia� Occupancies ,t = � <br /> OTHER heat source �Gas, oil, propane, wood, heat pumps) <br />