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(rna�f �( �{�Su� � <br /> Dale.._�' _ ri dt�__L _ �'-- <br /> _._____ _[.. _._.l_..`lVy�_. .�M.-f T ti„✓o � Q �x; - <br /> • ;�NEF(OY<'UOE:,, �, <br /> Application/PermA/...__.._.__._..._.._-r--.---._-----------....._ 3 3 �' ���3 ,3 .:.,. .;•:_ <br /> !G_�0. ._,�,�,_✓_._...__.._.. . "., l 0 W P I 5 E N E 5 I 0 E N T I A L ,: <br /> � Owncr�..�Qfr�..�_.N.._. f . ....._.._....._ . ' . <br /> / . � � • • � � • <br /> Site Address_17��l�1 c.!o���_vMyl_,�f 3_, <br /> Assessor's Pro ert _ Tax Account No. . �' ',: Of4� �kc <br /> ..,. <br /> ::•. <br /> :;:, <br /> _,._.� ._-•---------P _ Y._._.__�.��_.----•---_/-_..__ ,`;' <br /> 'PUD PLAN REVIL-W N0. I dllo <br /> ...:. <br /> , Sile Address ..... .......................�7.�GC.N�.RLM:�.....l���.r.l!!..:G..........�:.!�.f......,+....................................................................................... <br /> /� n / <br /> Owner's Address..I.W U 0 D....M.!..I..I..�/f L.k.....C�I!�.�.......City.�!i.'.�,I,1,4�!c.��........Zip.QS�.��..�..Phone...�.�.7.-Ce,bl.�..... <br /> ..... 3Nzs yk�M......P..!9.<<...s:.E:.............................................. <br /> Builder.......1'!9y.Ct,SoM�� rI..V...^.��.�..........Address.......................... <br /> � Ciry.....�Jlii��........................................................................Zip....9.e.�08.............Phane..j.�.�.:..Y.73,1........:�:;7,'r1,5`1.�, <br /> • <br /> • ....��..�.�.�. <br /> . <br /> : <br /> • PHOJ CT DESCflIPTIOH: �� <br /> ' ew O AdEilion p lY'ample Famiy �U�`'� I of Stories...y......... <br /> � Q Remodel f.) Conditioned Sp.Ft..�'.3/•••• O MuAi-Famity /af Units......................... <br /> � FUEL SOUflCE: NFATING SYSTEM TYPE: <br /> learic O Base6oard O Heat pump HSPF .............................. <br /> • O Oil �II heater O Other................................................. <br /> ; Q Gas O Furnace AFUE................... O Total installed watts or BTU's............ <br /> . <br /> . <br /> . <br /> • . . . . . r . . . . . . . • � . . . . . v . . . . . . . . . . . . . . . . . . . . • . . � • . . . . ,� <br /> • �� � • � � • � <br /> COMPONENT <br /> FWt Ceiling R.3...... <br /> Check one ol the ComDl'unce ODtian Bozes below.Insert U�e wlues inlo 6ox num6er 4.Belore complelinp this Vaulted Ceiling R........... <br /> section reter lo ihe instnuuons on 6xk ol lo�m. Wall R•�••�•• <br /> Beiow Grade Wall: <br /> Eleclric-Norlhwesl Energy Cade, Othar Fuel Sources• interior R............ <br /> Ch�pter 6 W�shington Slale Energy Code exlerior R.... .. .. <br /> Q Well Insulated Floor O Systems Analysis, O P�escrip�ive Approach, F�oa� p �� <br /> Option Ch�pter 4 Chapter 6 <br /> Siab on Grade R......... . <br /> Q Wcll Insulated Wall �mponenl Pertormance, O Camponent Periorrtiance Doors S Frame U�.`.��Z <br /> Option Chapter 5 Approach,Chapter 4 <br /> Glazinq u•'y... : <br /> C�Passive Solar Op�ion O Compener.t°oint System, O Sys�ems Analysis, �kGiuinp ��•�'� <br /> (7 Heat Pump Option Chap�er 7 Chapter 5 SolarAllowance ' <br /> ...........k <br /> AirLeakage � OADV <br /> � <br /> o . . . . . . . . . . <br /> FOR DEPARTMENT USE ONLY: ' � � � � � � <br /> �Amount o�Payment 5..................:................... I hcreby uAiry ih�l ihe slructuN panels will meel Ihe NWEC FarmaWehyde repuirements•either Ihe <br /> � � � HUD standuds or muked'ezlerinf or'ezpasure 1: � <br /> � Owner ofAolhoriiad Aqenl: <br /> Date Permil Issucd......................................... ........ . .... .............. <br /> . . � ....... �t.�0...5.�........................ Sipn�Wre <br /> .... <br /> Prinl ane <br /> Date Permd finaled......................................... rne towl jurisd�cuonieiectrk u6iiry win m�ke a paymenl to eiNer N uilder or ovmer lor newelectriwly <br /> � � he�lcd residenus.Pertnil must 6e iuued 6y 11131Ni ond constmcuon finoled by W30A2 in ordet�a <br /> � � � pu�liy lor p�Yment.To I�ciliUte D�YmeN_tl�e lol�owinp inlormofian must be f�lled out comDkleiy_ _ <br /> I hereby certify Iha�Ihis dwellinq was buiR in 'Mail chetk lo:(please Grinq (�DD 1'I'I ONS/RHP10Df:LS �0'f GL IG I Ill,f) <br /> camplunce wrth�he NWEC. ,1 I� <br /> Name...�A.�:�...!`�.��..Y4l..�h.�..........Fed.Taz ID or SS/...................................................... <br /> .................._........... / <br /> ............................................ <br /> Buildinp Olficul or AuNorited AOenl . Address....�p.��O...k'!!l.l..!-!r.......C1�.�.�l.G...... .....1�.................................................. <br /> ....._.....:.. crty.......G!��u...[.�z.E.�.i�.....W..�15.tl.�w:�..T..��...... z�P......�•�.�.L.2-............. <br /> .....................................................�_. � <br /> o�u <br /> �01f:A�IFS Gorm IM9�n M vnl�t"�e enE ot P�e�<ar. <br />