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���i �. <br /> Building Record ��» ""�" <br /> ��.. � . __ �Y�. ,:���f.:'A' i�"..l `� � ��� 'rl�r <br /> �/p asecnecxone) x(W�Ie�aseUeckone� <br /> New Bulldl g ❑Adtlry'1ion�ver 500 sq.fl. �oaingle Family ❑Duplez <br /> Jurisdiction• i� 0 7 -�D��� ❑Multifamily ❑Zero Lot Line Home <br /> ❑Planned Unit Development <br /> We e rneckone� �City ❑Countv Permit k 3�(OS <br /> FilelD7f�aome�em�ro venn�i <br /> -� k�.� ., /��� �� 1•4�Y � w( <br /> A. Slte Informatlon 8. Owner I (ortnetlon <br /> Address J ' 1'Jd � Owner aremedwnswcanra�atresuar amem <br /> � Z' Zi Com a 9 /v ar <br /> Assessor'sProper�,tTaxp�orattacn�aiee�ron • _ Addrs C�B_ox_s�.�loCo <br /> Cit C�vl�e-H' State(,�� 2ip 9� <br /> Serviciy Electric Utilit�� _�� P one 3olp 1 35S' �/7dS <br /> ederallDMorSSN Sd8 -�'D.l(n0 <br /> C. II Single Famlly,Zero Lot Llne or D. 1 Multlfamily(R-1) <br /> Plenned Unit Development Total f Buildings <br /> To1al_Co_nditionEd Floor Area �LD� s9.ft. Total p o nils <br /> Second Duplex Unit s4.fl. Total sg.ft. ptionalj__ <br /> _ l. _ _. T� �,,i <br /> A. Prlmary Space Heat Type B. Be •UP Space Heet Type C. Waler Heat Type <br /> (checkony (c k�� th�r�ppry) (ch�ckone) <br /> �Electric Baseboard � one ElecMc <br /> Elec�ric Wall Heater Wood Gas <br /> ❑ Eleclric Fumace Electric Baseboard ❑ Olher�speayeerowl <br /> ❑ Electnc Heat Pump Other�spearycebw� ______ __._ <br /> ❑ Other--—_ ---_ .— - <br /> _ I�IA�LIAMCE _ <br /> Thls hullding meets the WSEC Compllenee Method Date ol Permit Application �l/0=9�2, <br /> � Electric ❑ prescriptive Path Data Building Permit Issued _f-,��3 <br /> ❑ Other Fuels ��Componenl Pedormance Date of tnsulalion Inspeclion __ _ <br /> requlremenls of the WSEC. d System Analysis Date of Final Insceclion <br /> 1 hareby eertlty thaf fhls bullding or addltlon hae been Inepacfed Iar fhe measures requlrqd �� <br /> by fhe 1991 Washingfon Sfefe Ene�gy Code(WSEC),fhat It/e In su6stanflal compUan ,�n �� <br /> wlth fhe WSEC,and thaf fhe WSEC checkllsf lor fhls buflding Is on llle. �I <br /> ._ _. - _ . - -- - - - --- - ---. _..__.__--------- �� ----��V-�� �- <br /> S�gnatumolBmlEirqOlhc�alorAul�orirntlRoprosonlativo Da�o � I <br /> HeWm whito eopy to: Kalhlem Skaar_�Nashington Stato Enorgy Oflico._BW Legion Way SE,FA�11, ym , A 985044211 <br /> WSEO�WndaCoOY --� �_�'� --� � UW�ry/qvnorCana7CopY . . . Jm�sO�tion.PinkCopY <br /> 193 <br />