Laserfiche WebLink
�r� <br />9H <br />,ozx <br />C. H <br />C xa� <br />y z t�-+ <br />� H� <br />� y� <br />Hx t <br />Cj1 O � <br />OHd <br />H^�g <br />Y. V � <br />�H� <br />h+ y <br />� <br />gd� <br />� c� r <br />t�1 <br />HO� <br />1-�' "' <br />m � <br />;_-- - -- - — _ ___ _ _ _ - <br />/ W HINGTON '�� <br />�� Building Record <br />�� <br />►:�� �, : �, : <br />� VL1f�Yif�M��Y1� %u, .t�'"'.}�y�.``4"w ir2,,;,. <br />�� �Kk <br />(please check oneJ <br />�New Bullding ❑ Addltion over 500 sq. ft. <br />Jurisdict...��: � 1�� /: ��; +' <br />� �' <br />= � ���- <br />please check one� �� LJ Cliy ❑ COl1f1N <br />(pleasa check one) <br />0 Single Family ❑ Duplex <br />❑ Mullifamily ❑ Zero Lot Line Home <br />❑ Planned Unit Development <br />Permit# 7%3r�.�% <br />Flle ID # I ildi!lereat Irom Permit A1 <br />�' ' � a y.: tt 3 1% /� ��t y� 'L". tx�"*'^ R'�5�`v i'� :+� � °i' <br />�r .u.; �> -V�1�1�#�,'�, .�y.u�w. T ,�hr'i�si <br />A. Site Information <br />Address Cfy��I� /-IPlli�ll i <br />J <br />Ci� F i' 1%-; ZiP �,�% J.a <br />Assessor'S PfopBrtV TeX # lorattach legal description) : <br />' itLi �'� <br />Servicin Electric Utili . <" ��. % I)• <br />C. If Single Family, Zero Lot Line or <br />Planned Unit Development <br />Total Conditioned Floor Area �jj��J SG_h_ <br />Second Duplex Unit sq. h. <br />B. Owner Informatlon <br />Owner /ownerarmneoraonsm,cb'onreceivesuti�iNpavmeml <br />ComPanY�i'%�t��������!� ��r^•� <br />Address 'Z/ - � b' 3 �� i <br />CiN �Ili: �� tate�'; ? i ' j� %;''/ <br />Phone ( 2b/., ). ��b7 - 7701i <br />federa ID# or SSN �/ -O %i 35 ��'.� <br />D. If Muljifamlly (R-1) <br />Total # of Buildings <br />Total # of Units <br />Total sq ft (optionaq <br />� ,.....z {,,{•, '.;� .,;t���I11�.���'�"` �.�k �g P�. :utt1 �`y-t��' °�'}���ti�� � <br />+4, R��.'.YT' Y,:� .T.{.�. ..+�Y�-..Fe <:...NeR 4AY <br />A. Prlmary Space Heat Type <br />(eneek one) <br />❑ Electric Baseboard <br />�Electric Wali Heater <br />❑ Electric Furnace <br />❑ Electric Heat Pump <br />❑ Other <br />B. Back-U� Space Heat Type <br />(check a fha( apply) _ <br />None <br />❑ Wood <br />❑ Electric Baseboard <br />❑ Other (speci7ybelow) <br />C. Water Heat Type <br />(eheck one) <br />Electric <br />❑ Gas <br />❑ OthBf (speci�ybelowJ <br />I _ .. <br />� � �� � <h +r '�+�j:1�NP�A�E < r . . ,'✓ , , �'. �' <br />� This building meets the WSEC Compllqnce Method Date of Permit Applicalion �/-��j -92 <br />i <br />' ! ❑ Electric �'�Prescriptive Path Date Building Permit Issued /' ���'"��' <br />`� ': Date of Insulation Inspection � - ? � ��l3 <br />-a- ❑ Other Fuels ❑ Component Performance <br />requirements of the WSEC. ❑ System Analysis Date of Final Inspection '� - 7 1 3 <br />�(... i <br />� I I hereby certlly fhat thls bullding or addltlon has been lnspected for the measures requfred <br />by the 1991 Washington State Energy Code (WSEC), that It Is Jn substantlal compllan�e <br />i wlth the WSEC, and that the WSEC checkl(sf /or thls bullding !s on /lle. <br />Signature ol Building Olticial or Authorized Representative <br />Dale <br />Return white copy lo: Kathleen Skaar, Washington State Energy Office, 809 Legion Way SE, FA-11_Olympia, WA 985C4-1211 <br />WSEO - White Copy Utility/Owner � Canary Copy Jurisdicfion • Pink Copy <br />7�92 <br />