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, . ~ Permlt # � �'L21 <br /> � WSEC Lowrise Residential Compliance Application <br /> „ <br /> Please ptuvide lhe appmpriate inPommOon. . '; . , ' ' ` ` <br /> Dete•Q � icati nN sessofe PropeA Tax Accountl/ <br /> Ske Address:_ll�i � c.la.� �v�� ,. , <br /> ����Owner <br /> 8ulldere Address;l�L.j��Cfty. . . . ' � � hone:�'�(�-7�51 <br /> ddtBSe. .:. _ .. <br /> 'Cily_- 1�Ie�� � � � r�. �t�n� P SZ"1 —t.Stol ,. <br /> _._ . : . ,,�. T�._ hone <br /> . . . ,. <br /> ,: . . .. ,:. _. �_ <br /> Jo6 Type Occupancy: Compllaeco Appmach. <br /> ;�New � �� �¢;Slnple Fam. . p Pros�xlpthre ChR 6 , `: <br /> ".Q. Remodel • p,.MuNI Fam p <br /> O Cort�onerrt PaAormance ChMS ' <br /> _Q;Additlon ' , NSlorfes--fsS) � D:SyetemsAnalyelsCh�k4 <br /> x Unlis " . .'Q.Polnte'Sy�tam Ct►f7 <br /> EbctMc Heatlnp System Type: <br /> d 8asehoard Q WaU heaters '` Q For�ed AIr r:; Q Heffi pump : QOthe� <br /> � IIRy: . �Pupet Power C,Seettle Clty Llpht Q Snohomish PUQ. >..Q WA:Watx Power : <br /> QTanner Electr(c OTacoma Cqyllpht . `Q PacBk.Power3,Upht. <br /> _. _ �� <br /> The bca!%uNsdictkNelectric utillry wiU malce a Frayment to e/ther L'+e twilde�or owner lor new elect�aty heafed ' <br /> residences. To +Oltate payme►�, Me loUcwinp iMormation must 6e��+rovded ���--'', <br /> 0 <br /> �Ow�st or Aultarized Apte: ' <br /> „� <br /> `Prlrrt Name :g��. <br /> � ,�: <br /> Mall chedc to(pfeaae prfnt): ''' � <br /> `Name. ,._:,,. ' _, .� ' ;,,'� ,,',Fed.7ax ID ocSSlt - „ : ,` • <br /> Address_ _ r,ty. ��, <br /> ._ ' <br /> ::Note:M 1RSForm1099.wi!!be sent afMe endolthe year � <br /> (For D�p�rtm�ntb Only) ' <br /> Amoum ot / 5; <br /> l �aymem s e=te tinal lnspsctbn comeleted• ',: <br /> / ��. <br /> �o'the best of my knowledpe,thls dwelllnp wae bulft In aubstandal compllance.wRh the NWEC. <br /> Bulldinp OHlcial or Authortzed ApeM Dete�� <br />