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Date.,_..:.z---s--`t—(— • �------ ; : � I <br /> --.__.____.__�_. � <br /> � "Appl'�ioNPermAl__---------.--___------ .::.. � <br /> ., .:. <br /> OW�e('__"�__—___.��___�__„_� "., L 0 W R I 5 E N E S I D E N T I A L •'� <br /> 22 W M Sord ___��_ ' 1 1 • • ' 1 <br /> Site Address�_____._�._._.RGF._�___._�..________. � <br /> ::: ::'����►1►�LR'I'� <br /> ::,, <br /> Assessor's 1'roperty. Tax Account_No; :.�.. <br /> ..,. :;: <br /> �PUD PLAN~REVIEW /002�C� <br /> • <br /> � She Address ........ ' -• � rty....�.�,, U. �V.19 \ , i ?' .'. <br /> � .r_�., :x�......r....I....n.....(.'...�...�.y.�.................r:.. ....{�....�....�......::...>�.!.,:,..:.....u.�:....:...:..:... [/I (� <br /> Owner'sA dresa....... 1/ t�.......'l..Y —t 1 .�.........C' t �-¢./�. .-....n...�Zi ..��..���Phone...�..L..4..�.��.5�� <br /> � ( � (� p <br /> ..:.. ....... <br /> Builder. .. .. .. Sl.�1.....�..(�/.1�.:.Y�........Address..�...U.��......r•N�.�.�....L..�........�(...�..,'............�............................ <br /> � C' .....1••�................................................................Zi . . .�U:T..............Phone..........7•.....-......�. .... �. <br /> .... .... ................. <br /> . � P � � � , <br /> . <br /> . <br /> • PROJECT DESCNIPTION: <br /> � �ew O A�ition � O Sinqle Famiy /of Stories...�.......... <br /> � Remodel VL`onditioned Sq.Ft...'.t:3 g..... �10ruRi-rFa Pty I of Units....�,�..�............... <br /> FUEL SOIIpCE: NEATING SYSTEM TYPE: • <br /> �Eledric �1 Baseboard O Heat um HSPF .............................. <br /> ; a Oil C9'�all heater O Other................................................. <br /> • O Gas O Furnace AFUE................... O Total ineWlled watts or BTU's.././,.00 0 <br /> • — <br /> • <br /> • <br /> • � � . � • � � � . � • • � • � • � • • . v • • • . . • . . . • . • • • • • • . • • • • � � . • � � • . v <br /> � <br /> �� � . , � . � COMPONENT <br /> FlatCeilinp R..�B. <br /> Check one of tAe Complunce Opbon Bozes below.I�uert the values into 6oK num6er 4.Before complelinp tl�is Vaulted Ceilinp R............ <br /> seUionrelertothefnstructio�onbockoftortn. Wall R..�..�... <br /> Eleetrie-Northwe:t Eneryy Cod�, Other Fual Souree:- Betow Grade Wall: <br /> Ch�pt�r 6 W�sh(npton Sl�t�Enarqy Code (nterior R............ <br /> p Well Insulated Floor O Systems Analysis, O�rescriptive Approach, exlerior R........ . <br /> Ootion � C�hapter 4 Chapter 6 Floor R.i�. <br /> Q Well Insulated Wall cU�Gampanent Perlormance, O Component Performance Slab on G�ade R..,,..... . <br /> Option Chapler 5 Approach,Chapter 4 Doora 6 Ftama U.3S�2]. <br /> p Passive Solar Optian O Cempener.t?oint System, O Systems Analysis, Glazinq U�.7t.7�.yB <br /> O 4eaf Pump Option Chapter 7 �• Chapter 5 NoGlazinq {�...'� <br /> SolarAllowance_!...........!6 <br /> AirLeakage �35TD OADV <br /> c <br /> o . . . . . . . . . . <br /> FOfl OEPAHTMENT USE ONLY: i • � • i i � <br /> AmauM ot P ment 5...................................... I�here'o rt'u Ihat tl�e�sttuc i�paneis�Imeet the...�'..C o� �de reGuiroments-either Ihn <br /> DatePermill sued.........».............................. HU tanda� orn�rked'exterinro�z osure.�' �'...... i.1.�. I. <br /> �.,......����............... ... S� n�Wre �........................................ <br /> Pnnl Nme o <br /> DatePermitFnaled......................:.................. Thelanljurisdicfion/electrkutiliryrviilm�Kea p�ymenttoeitherNehuilderorownerlornewelxiricaly <br /> heated residences.Pormit musl be ssued by 17/31/91 and canstruc6on fin�led 6y 6I30H2 in order to <br /> I hereby certily that this dwellinq was 6ui11 in aW��10r p�yment.To hcilihte paymmt,th�lollowinq inlormatlan musl6e nikd out canpletdy. <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> compl'wncew�thiheNWEC. Maflehec lo:(pleaseprinq (AD ITIO /R8D10DGLS �T GLIG E) I � <br /> .................._......................................................... rI /� / ' tt��,, <br /> Name... .�'�. .L�1!�!...... . IDorSSi.........�.�.�`.�..�.�...-J,.� .� <br /> BuiWinpOtfiwlorAuNarizedApen[ Addrese....�.:.�. ....�.......�f...!.(....�f...�....................... .... ... <br /> . ... I' u... <br /> ....................................................._......._................... City......... .. ... . .. . ........�.�.. .. ........1...... Zip......�.... .��.V....l...... <br /> Uate <br /> NOTE:M18SFarm1099�+ilDesentatNeenAMtluyear. � <br /> � <br /> � { <br /> 4 <br />