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_ _ <br /> W��H,IENGTON . A�� <br /> �� Building Record ,�o�,��# <br /> ��� <br /> �pl ase check oneJ (please check one) <br /> New Building ❑Ad�d't�tfon over 500 s ft. �Single Family ❑Duplex <br /> Jurisdiction: ��/ .C✓,Fa.Q� ❑Multifamily ❑Zero Lot Line Home <br /> ❑Planned Unit Develo ment <br /> ureasecheckone: �City ❑Countv Permit# c��� <br /> � FiIB ID#f!ldiHerent lrom Permit A1 <br /> A. Site iniormatton B. Owner Informetion <br /> Address 3o T(/ Owner fownerattlmewcauo-ucson,c�cervesu6T,Mna,,,pa„U <br /> � — <br /> Ci Zi aCZ3 Company ni1�� <br /> ASSeSSOr'S Pfo E?rt I T8X# (orattach leoal descripfion)• - � <br /> �� Address � — <br /> --�`� ` ' S'P�� '�i� Ci n� State i9 Zi <br /> Servicinq Electric Utilitv ��t 6� Phone ( ^ � <br /> Federal ID#or SSN <br /> C. If Single Family,Zero Lot Line or D. Ii Multifamily(R-1) <br /> Planned Unft Development Total#of Buildings <br /> Total Conditioned Floor Area /'Sa 7� sq ft Total#of Uniis <br /> Second Duplex Unit sq ft Total sq. ft. (optionall <br /> A. Primary Space Heat Type B. Back-Up Space Heat Type C. Water Heat Type <br /> (eheek one) (eheek al)that epplyJ (eheek one) <br /> ❑ Electric Baseboard None Electric <br /> ❑ Electric Wall Heater ❑ Wood Gas <br /> • ❑ Electric Furnace ❑ Electric Baseboard � OlhBf(specitybelaw) <br /> ❑ Electric Heat Pump ❑ Othe�(specilybelowJ �) <br /> ❑ Other - � <br /> -7 --- <br /> � <br /> ° ' �� ' _�'�C�f01�i� ^ <br /> Thfs buildfng meets the WSEC Compliance Method Date ot Permit Application /y� <br /> (� Electric ❑ Prescriptive Path Date Buildin Permit Issu - - <br /> 'b'Other Fuels ❑ Component Pertormance Date of Insulation Ins ect n -aS- <br /> requlrements oi the WSEC. ❑ System Analysis Date of Final Ins ection - <br /> Z — - S <br /> /hereby certlfy that th! bulld/ng or additlon has been lnspected lor the mea res requ/red <br /> by the 1991 Wa hi n State nergy Code(WSEC), that it is!n substantial co !lance <br /> •�h e WSE , d hat k/ist/or thls bu'di�g!s !le <br /> G- S� <br /> ignaWre of Building 011icial or Authorized Represenlalive Date � <br /> Return white copy to: Kathleen Skaar, Washington State Energy Olfice, 809 Legion Way SE, FA•11, Olympia,WA 98504•1211 <br /> WSEO•Whife Capy Ufilitv/Owner-Canary Copy Junsdrelion•Pink Copy <br /> 7•92 <br />