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O Mufti-Family /ol Uniis......................... �, <br /> FU URCE: HFATING SYSTEM TYPE: � <br /> lectrie OOB tioard O Hc�t pump HSPF .............................. <br /> ' O Oil all heatcr O Qlher................................................. <br /> . O Gas O Furnace AFUE................... O Total installed watts or BTtI's............ <br /> . <br /> � _ _ . . <br /> . <br /> /' <br /> . . . . . . . . . . . . . . . . . . . . . v . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> � C ,�<. 0�.�-- <br /> �, � � COMPONENT , <br /> � � ' �� � • �• � Fla�Ceilinq R............ <br /> i <br /> 1 r Vaulted Ceilin R...�� � <br /> � Check one ol the Compliance Option Baxes 6elow.Insert Ne values into hox number 4 Belare complelinp Ihis !. ' 9 <br /> �.� � � seclionrelertotheinstmchonsan6ackolform. Wall R-z••�••• <br /> I �_� � BclowGradeL4all: <br /> i Eleclric•Natthwest Energy Cade, Olhar Funl Sources• interior R............ <br /> Chapter 6 Washinqlon State Enerqy Code e�terinr R............ <br /> �I O H'ell Insulaled Floor O Systems Anatysis, O P�escripfrve Appmach, Floor R••3p• <br /> � �..,� �gi Option Ch Icr 4 Chapler 6 Slab on Grade R....... <br /> � !�� " O�4'ell Insu�cted Wall omponent Performance, O Camponent Pertormance Daors 8 Frame U.�Zg <br /> Option Chaptcr 5 Approach,Chapter 4 <br /> Glaiing Ue.�O. <br /> O Passive Solar Option O Cempener.t Point System, O Systems Anaysis, 7,Glazing ..�:1f..°6 <br /> O Heat Pump Optiqn Chapter 7 Chapter 5 , <br /> SolarAllowance��.........../o <br /> �,� AitLcakagc V�iD �ADV <br /> ,�s�av.- , <br /> � , ,, <br /> o . . . . . . . . . . <br /> FOR DEPARTMENT USE JNCi: ' ' ' ° ' � °1 � � <br /> _ � Amount ol Paymcnt$...................................... I herehy urtiy that 1he slructural Dancls will meel mc N1YEC Fortna�dehy�c vemenls•dNer Nc <br /> HUDstandardsarma�kcd'exterinfor'exD�urc1' � � ,, . � <br /> � � Owner ar Aolhorizad Aqenl: / � • <br /> Daic Pemiit Issucd......................................... ': '!F'D�' ._1^�' ;S Y `�1��' ' � � �.................... <br /> _ ..................... .........._.:.r....................... .. <br /> ........................:....................... SiQn�Wre <br /> PrinlName <br /> DalePermilFinaled......................................... Theloollurisdicoon/elatr'kuoliyMillmakeo p�ymentloeiNer�hehuiWerorownerlorneweltt�riraly <br /> healed residences.Permil must be rssued 6y 17/J1A1 md eonsirucUon fin�led hy W30N2 in order to � <br /> � � Qu+lify Icr paYmenl.To I�ciliUte D?Ymen�ihe loll. np inlorm�lian musl 6a fided out eompktely_ _ <br /> Iherehyccrtifythatthi3dwcllinqwvshuihin -Maiicheckla:(plcaseprinq (ADD17'IONS/RGDI0DGL5 NOl' GLIGIBLG) <br /> complunce wtth Ihe t�15EC. <br /> Name................................................Fed.Tan ID or SSI...................................................... <br /> .................._............................................_........... <br /> Buildinp OliKul or wthan7ed Apent Address................................................................................................................................. <br /> ...................................................._..__......_........ 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