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��� <br />H <br />�Hf~/� <br />H�� <br />�H� <br />Hy <br />x <br />o�d <br />��g <br />�Y (] <br />H <br />'Z H <br />gyy <br />f]Cy <br />t���s+1 <br />HN <br />H O V� <br />d S.--... L)1 'L� ActivltylPe� �nit # Z'�"�L�1 <br />NWEC Lowrise Residential Compliance Check Itst <br />Elect�ice <br />FORM INSTRUCTIONS: <br />elllnas. s 3 stories, Zone 1 <br />Please read before completinp torm <br />Fill in all shaded Information boxes that apply to your proJect. �n..nGt place r�iarks In the two left side <br />columns labeled' COMPLIANCE REQUIRED" and "INSPECTION APPROVED". Since this form <br />will be evaluated for completenesa, you can avoid unecessary permit delays by carefully provfding all <br />required inlormation. You may diaregard IMormatbn requestes that dun't address your partbular <br />building or equ(pment. <br />Statt members will help with general questions about fillinp out this (orm. However, it is your <br />reponai�.iity to provide specific Infortnation for heating systems, glazing, insulatian, and other <br />bufldinp specifications. For specit(c requirements, reter to the Northwest Energy Code, 1987 Edition. <br />Thls torm will ullimately be the basis for all NWEC field inspections. You can avofd problems by <br />seekinp approval for eny substituUons be(ore incorporating them into the project. The buildinp oHicial <br />may require thet you substar�late compllance claims about buildfng products or techniques by <br />providing docu�nentation irom approved lesting agencies or wde authorities such as ICBO. <br />When your permit is issued, you will recefve a copy oi this form. Boxes will be checked under <br />"COMPLIANCE RE�UIRED" indicating NWEC requirements that must be incorporated into thfs <br />proJecl. Each checked requirement will he evatuated by the buflding inspector and , when deemed <br />acceptable, marked approved in the "INSPECTION APPROVED" column. <br />S 7 � 5 ��e.Y1r�/nG� � �iM �`�'� 2.5�� <br />DATE�'� °'City �vc��� ii Coun:� .:���,��.����r <br />NAME N1i7L�ii}t� Ca%5Tl��-��UILDING ADDRESS LOT N_ <br />BUILDING TYPE: COMPLIANCE PATH: <br />�ew Residential: ❑ Single Fam. py �e� [�, Chapter 6(< 5000 Ft2) <br />Remodel Multi Fam. � ��Component PeAormance Ch#5 <br />❑ Addition �# Stories_ (s 3) � Systems Analysis Ch# 4 <br />� Points System Ch#7 <br />Heeting System Type: <br />Electric: <br />�Base board ❑Forced air turnace <br />[]Heal putnp �SZone heators <br />� Other <br />NWEC plan revlew: <br />Approved by <br />US9 <br />Date <br />NOTE: All non•electrlcally heated <br />dwellings must comply wlth the <br />1986 Washington State EnerDy <br />Cod� and other ordlnances o/ thls <br />Jurisdlctlon. <br />WEEB APRII �0 <br />Pape 1 ot 7 <br />