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^ �a_p � .. <br /> � p ro � Date ...�_.._.._I_l__•�-.�.._____-----""``--- � , � �AG1, , <br /> y ApplicatTiomPermit►_.___.--•-_-•----•------ . �a w a i s e P E 5�0 E N T I A L ' <br /> : ':' <br /> , --- . <br /> y y y \ `Ll ��S_�-1�'�'-�l.?$E-cl) . , , . . i � <br /> OWnef_.=.._.__ .._...R'.___ <br /> -_"__`___"_ 1 <br /> � � � !�,z E'd,����n_�'_ � :::::.. �� o [,� �- <br /> SiteAddress.._.:.......___.__.___..__.....__...._. .,,. ' �= <br /> ..;::;. � ::;:''� <br /> o H o Asscssor's Property_Tax Account_No. — •::.. :.• <br /> _... •::�...:�:� <br /> ____......__..------_...._ —9 O%D'L <br /> �:,:•: <br /> � � � 'pUD PLAN RCVIEIV N �' <br /> � .. .... ... <br /> � � E� 7 �� �n d-1-U • ........................ <br /> .... <br /> . <br /> �y�Y .��;z-03z�' <br /> °z � o . Site Address......I.......J....:............. . ....'...:....... .......................................................................... <br /> � �... ` e'r .........Zip.../..�..........Phone.................FfM�Z.. <br /> � � !E'I:L £�� W F'-,ti�.,.�,.......J.4:t�.....Ciry....�.(1........� <br /> R Owner'sAddress............................................ 3yL ." <br /> MM . �" '1"2� ......................................Address............................................... ........................................................................ <br /> � y � Bwlder......,,��................... � <br /> p m N � Crty.................................................................................................21p.. <br /> ..................................Phane................................................................ <br /> Rcm . <br /> � � N • <br /> � H N � <br /> O <br /> • PRO CT OESCBIPTION: ingie Famiy �af Stories.........:........... <br /> . eW p 9ddition i of Units......................... <br /> � O Remodel ��Conditioned Sq.Ft..... .��••• O Mufti-Famiry <br /> � FUEL SOUHCE: HEATING SYSTEM TYPE: p Heat pump HSPF .............................. <br /> �ctric O��se6avd <br /> • OOiI Plw�un�,ier OOlher................................................. <br /> • O Furnace AFUE................... O Total inslalled watts or BTU's............ <br /> • O Gas <br /> . <br /> . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �, <br /> . . . . . . . . . . . . . . . . . . . . . v <br /> COMPONENT 7 <br /> � � ' • �� � • � �' � FWI Ceilinq p'J� <br /> � �� Vaulted Ceilinp R...�• <br /> Check one al the ComD�ianu Option Boxes below.Insert 1he values inlo boz numher 4.Belore completinp tl�is W,I' R............ <br /> 1 section reler ro�he inslrucbons nn 6ack ol lortn. Below Grade Wall: <br /> �� Electrie-Norlhwest EnerqY Code, Other Fuel Sources- interior R... ....... <br /> Waahinqian Stale Enerqy Cade eMerior R... <br /> �� Chapler 6 p�escri live ADProach, <br /> Floor R••`�••� <br /> Q Well Insuiated Floor O �ste ef 4 nalysis, �Chapter 6 Slab on 6rade R•••••�•••••• <br /> Option <br /> Q Weli Insulaled Wall amponent Pedarmanc¢, �APp���h�,Chap er q nca Ooars 8 Framo—.U....�y� <br /> Option Chapter5 Glazinp �`fO�U.39"�.' <br /> i i� O Passive Salar Oplion O C^_mpener.l?aint System, O Syslems Anah/sis, ��Glazinq •••�•••••���0 <br /> ChaDter7 Chapter5 gaw�pllow�nce •••••••••.'� <br /> O Hral Pump Option Air Leaka9Q STD OADV <br /> . <br /> __ o . . . . . . . . . . <br /> J �0 • ' � � � <br /> � . � . � <br /> 1 I FOfl UEPAHTMENT USE ONLY: <br /> �I AmouM of Payment 5...................................... I hemby uni1y tlul Ne stmcWral D����II mect me N'NEC FamuWehYde R7uiremen5-eiNer Ma <br /> , HUD s�mdards or nutked'exlennf or'exp�ure 1' <br /> � Owner or Aulhonzed l�enl: <br /> '� ................................................................... <br /> DatePermillssued........................................ .................................................................... �onamre <br /> ��� PontName p <br /> ..................... hwted ms�dences.Pennd musl M issued hY 171'11�1�nd constiucEon fimkd by 6I3092 M arder lo <br /> DatePermitFna�ed.................... Theloraijunsdicrion/electrkuolirywiumaKe� �ymenitoeilherthebuilderorovmerlornewelcUnca <br /> awlity tor paymen�.To f�cili�le D�Ymml,tl�e loilavnnp inform�Uon musl be filka auleanDk��Y_ _ <br /> -- — — -- — — — — — <br /> — — — — — — — — <br /> Iherebycetlifythatlhisdwellingvraa6uittin Mailchackto:(Dkaseprinq (A�D17'IONS/RED10DL1.5 N07' ELIGIBLE <br /> compliance wnh the NWEC. <br /> .............. .. ................................................... <br /> Name................................................Fed.Tax ID ar SSi...................................................... <br /> . . .... .. ........................................... <br /> BuiMinO���°f��odted AAent <br /> Address...................................................................................... <br /> ........................................ <br /> ............._.__.._......._. <br /> ....... City........................................................................................ Zip.......................................... <br /> Da@ <br /> NO1E:M IRS iom�1099 rn9 W un��t 0+e enE ol tl�e yeu. <br />