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<br /> • 05'—� p S� • .. Activity/P,��,mit # —
<br /> NWEC Lowrise Residenttal Compliance Check Iist
<br /> Electricell heated dwellings, s 3 storles, Zone 1, Western Weshington
<br /> FORM INSTRUCTIONS: Please read before completing form
<br /> � F!A In ali shaded informatlon boxes that apply to your pro�ect.DQnQi place marks in the two lett side
<br /> columns labeled " COMPLIANCE REQUIRED" and "INSPECTION APPROVED". Slnce 1hls form
<br /> wfll be evaluated for completeness, you can avoid unecessary permit delays by carefully providinp all
<br /> required Intormation. You may disregard information requestes that don't address your Narticular
<br /> building or equipment.
<br /> 2 Staff members will help with general questfons about filling out this form. Howr�ver, it is your !
<br /> reponsibflfty to provide specitic information (or heating systems, glazfng, insulatfon, and other
<br /> building specifications. For speci(ic requirements, refer to the Northwest Energy Code, 1987 Edition. !,
<br /> This torm will ultimately be the basis tor all NWEC field inspections. You can avoid problems by
<br /> seekinQ approval for any subsUtutfons before incorporating them into the project.The buliding ofllc�al �
<br /> may require ihat you substantiate compliance claims about building products or technfques by I
<br /> providing documentation trom approved testing agencies or code authoritfes s�ch as ICBO.
<br /> 3 When your permit is issued, you will receive a copy of this form. Boxe�wHl be checked under I
<br /> "COMPLIANCE REQUIRED" indicating NWEC reyuirements that must be fnccrporated into this �
<br /> proJect. Each checke� ��quirement wiil bd evaluated by ihe building inspector and ,when deemed
<br /> acceptable, markc ;:-oved in the "INSPECTION APPROVED"column.
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<br /> DATE b���`�OClty � County S�ol-(-JMiSh __ i
<br /> NAME OIT/�1 Co.JSTR-ucT.a-i BUILDING ADDRE5S BUZ� /ZvrziDq LOT p 'I
<br /> BUILDING TYPE: COMPLIANCE PATH:
<br /> � New Residential: � Single Fam. � Chaptor 6 (< 5000 Ft2) I
<br /> Remodel ❑ Multi Fam. Componen! Periormance Ch#5
<br /> ❑ Addition [] # Stories_(s 3) Systems Analysis Ch#4
<br /> � Points System Ch#7
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<br /> `X�:�c.�.?y�"��h-���,,�e � �s : �, r�.�,�vR,�'�`�a`hs '�.�w
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<br /> Heating System Type: �OTE. A!1 nor electrlcelly heated
<br /> Electric: dwelllnps m:.�si comply with the
<br /> �Base board Forced air furnace Y986 Washln�rytun State Enerpy
<br /> []Heat pump �Zone heaters Cc�s end other ordlnances o/ thls
<br /> �Other T�� ,< . jur`�cdlction.
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<br /> WEE9 APRIL YO
<br /> NWEC plan revlew: (�'9Pariment use only)
<br /> Approved by_ �Date page 1 Oi 7 �
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