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<br /> ` � �� C/TY OF EL/E�TT
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<br /> 3200 CEOAR 5T. Ef�ERETT, I/�q 9820! (206) Z59.B6/O
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<br /> � 1 ' About thls fortn:This form isn't as involved as ft looks, because you only use poAions o( il for a particular ,:
<br /> ��• � -� dwelling proJect. instead ol spendin�time searching through the WSEC, thts fortn will help orgaNze and '
<br /> condense the requirements that apply to your proJect. It Is also an excelleM tool for leamtng the residential :a
<br /> WSEC requirements. �;
<br /> Requirements are grouped by foundation, framing, Insulation, and ((nal inspectton phases. This not only :
<br /> '� lets you know what you need to do but also when tho Inspector will be checking for particular ;`
<br /> requtrements. Use the fortn to choose compliance options thai best sutt the economics and design ot your :>
<br /> projed.
<br /> ' '-�� A designated department energy special(st can help you with your questions.This form will help you i
<br /> " comply wilh the WSEC as quickly and pafniessly as possible.
<br /> � 2 � Responslbillty tor Iniormatlon: Although staff inembers will help you wtth general questions about '_'
<br /> ° �� completing this torm, it is ultimately your responsibiiity to provide detaiied iniormation about heating �,
<br /> . „^��r� systems, glazing, tnsulation, and other building specificatlons. Be sure to get prior approvai from the ;��
<br /> ��: Department,il you later wish to make changes in your project. For more requtrerent detail, reter to the ;�:
<br /> '�; . � Washington State Energy Code, 1991 Edition. � �'
<br /> �:
<br /> � 3 � Page 1, Compllance Optlons: Select one compiiance option at the top ot th8 table. >
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<br /> �Na q �?` Pages 2 through 6, In the shaded box areac onlv: Provide intormation and check cfrcles that apply to '
<br /> � � •rour s ecific r
<br /> ,`�z.,,�,., � p p oject.Do_pQt plac�narks in ihe two left side columns Iabeied'COMPLIANCE REuUIRED" :
<br /> � • and "INSPECTION APPROVED"or in boxes bcated in non-shaded areas (These are 1or department use).
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<br /> ������ "�� Since this(orm will be evaluated for wmpleteness and accuracy, you can avoid unecessary pertnit delays =i
<br /> � by caretully providfng all requfred inlortnation. You may disregard 'Rems that don't address your particular r.
<br /> building or equipment.
<br /> � ��5 �` Compllance responslblilty:This form will ultimately be used for ail WSEC ffeid inspections. When ft is s
<br /> � retumed with your permit, relevan! boxes under the 'COMPLIANCE REQUIRED"column will have been '
<br /> checked by the Building DepartmenL This danotes which WSEC requlrements appty to your project.The ;z
<br /> :: inspector will Inspect your dweiling against these checked items and,when deemed acceptabie, place a "
<br /> � a
<br /> second check(n the INSPECTION APPROVED"column.
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<br /> Al1 Residential Occupancies
<br /> OTHER heat source �Gas, oil, propane, wood, heat pumps)
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