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� � �_p� ;3 , Activlty/PE nit � <br /> NWEC Lowrise Residential Compliance Check Ilst <br /> El�ctricall h�at�d dwNlin a, s 3 storles, 2ons 1, Westsrn W�ahin ton <br /> FORM INSTRUCTIONS: pl�u� n�d DNon eomplNlnp lorm <br /> � FIII in all cheded IMormalbn bozee thal appty to your proJact.pG.nol p�ace maAcs In the two lett skfe <br /> wlumna lebeled'COMPLIANCE REOUIRED'and 'INSPECTION APPROVED•.Slnce thls form <br /> wltl be evaluetetl lor completeneee,you can avoid uneceseary permit delays by carelully providinp atl <br /> required IMormatbn.You may diereqard IMormetbn requestes that don't eddress your paAbular <br /> buiainp or equipmem. <br /> 2 Stetl membera wlll help wNh qeneral questians about IIIIirp oul lhis form.However,it Is your <br /> repor�sibllfly to provlde specHic Inlormallon for heatinp systems,plezing,Insulation,and other <br /> . „�,Y buildirq speciliwtbns.For specNic requirements,refer to ihe Northwest Enerqy Code,1987 Edilion. <br /> � This form wlll uttimalely be the basis tor all NWEC lteld Inspectians.You can avold probiems by <br /> �F:';,a,''�� seeklnp approvel 1or any subst0utlons balore Incorporalirq them Into tha pro�ed.The buildinp oflicial <br /> may require Ihat you substaMlate compllance clalms about buildinp products or techniques by <br /> � , <br /> . provldinp documentation irom appmved testinp apencies or code authorities such as ICBO. <br /> �,",�. � 3 ��, W hen your permit is issued,you will receive a copy ol this lorm. Boxes will be checked under <br /> M�- �^—� 'COMPLIANCE REOUIRED'Indicating NWEC requirements that must be inwrporated inlo this <br /> '`,.�#��� 'r' proJeq.Eech checked requirement will be evaluated by the 6uilding inspector and,when deemed <br /> ' "�' acceptable,marked approved In the 'INSPECTION APPROVED'cotumn. <br /> x..-':� . . . . :.,,�.,,.�. <br /> DATE .f/S—`��Clry C� Counly SN�I oh�Sl/ <br /> NAMF CFfF°i1 Dl�'E BUILDING ADDRESS ��DB lnlD/i4 /1'lI LOT i_ <br /> BUILDING TYPE: COMPLIANCE PATH: <br /> ❑New Resldenlial: �Single Fam. �Chapter 6(<5000 Ft2) <br /> ❑ Ramodel Multi Fam. Component Performance Ch#5 � <br /> �Addltlon � a Storles—(s 3) Systems Analysis Chp 4 <br /> � Points Systam Chq7 <br /> .� <br /> :.�:�,� V .4, r �, .�'i�,:...,, <br /> Heating System Type: NOTE: a11 non•electnca/ty heated <br /> ElectAc: � � dwa111nOs musf comply wlth fha <br /> �Base board orced airlumace ,� ,�._� 19B6 Washlnpfon Stafe Enerpy <br /> OHeat pump �Zone heaters Cod��nd other ordlnances ol thla <br /> QOlhet . 1�'�dctloa <br /> wEE�uxa n <br /> NWEC plen �eVlew: (Departmenl use only) <br /> Approved by Date pape i o� � <br />