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<br /> ' Date........<_.�... .�.�...�7...�..........................`
<br /> ApplicationlPermitt............................................................ t : �iQ
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<br /> Owner.................................................................................. NIYEC COh1PLIANCE ''•, �awnise flE5I0ENTIAL ..
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<br /> Site Address........................................................................ �fA'f�7��L S
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<br /> Assessor's Pro�erty Tax Account No: � •�• !t UF✓«
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<br /> r,PUD PLAN REVIEH N0: OS U�3 % �ij REQUIRED '`�' �
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<br /> � ��O Moisture Barner � 0� Perimeter Insulation R- Q O 4'Gravel Base
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<br /> � o . � Inspectofs Initlals...... ........... '
<br /> • DaleAppmved...... .... _��^u.. ....�4
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<br /> � Qt7 WindowNoor U-value �115o1e Plate��aulked Q �tructcral Panels-Formaldehyde ��
<br /> � ��(see reverse) Q 16"OC OStandard Framing �
<br /> �C�"Window/DoorSealed �p�herPenetrationsSealed �24"OC OfA�'ancedFraming
<br /> � � (�16"OC O�'I�n' ermediate Framing ;
<br /> • 'Q�U!'t'Wmhing/Electrical Penetrations (f���eat/Non-Heat Recovery Ventilation (�(�Crawl Space Ventil tion
<br /> • (�C7Recessed Lights-Dbl IVall �j''
<br /> • Inspector'slnifials.. �....
<br /> . • Date Approved y:.c.9.%........ y
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<br /> . � Wall R•....�t....... ttic Ver�!Baflles --e-6-Nneewa4l�R—..................
<br /> � �Vavlted-Ceilings R-.................... ��or Barriers-Walls,Ceilings,Floors � �
<br /> Inspector'slniGais....,... ...i� ,
<br /> • �ate Appraved...... .�. ..
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<br /> � ec nical:
<br /> • W a�t rstrippingNapor Barrier. Insulafinn:
<br /> � Heatere Q�1'Fxterior poors �ttic insulation R-��.
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<br /> • �room/Kitchen Exhaust Fans �vWindows ' Flaor I��ulation R-..?�J.........
<br /> � ��,,/ Duct Work ��ctriral SHitches aud Outlet Plates �O �uct Insulation R-.......a3........ :
<br /> � Vd"O'`echanical Ventilation System (� /Attic and CrawlAr,cess �ipe Insulation R-....................
<br /> � �(a'�take and 6chaust Openings �Q,/'�nd Cover(6 nilJ ��ic Hatc6es Baflled
<br /> �_ O/M, aintenance and Service Panels (j i PVA Paint
<br /> C�'C�lentilation Controls eFlaces/Waadstoves:
<br /> P�um ng: D O 'replaces-doors
<br /> Indag�Air Uuality: ��4 ot Water Heaters(ASHRAE 90g-1980) �O Flue mpers ry
<br /> �C�a'�f.AA. Iniormation far Hameowner et �Q�'g/ot�mhoards R•10 Q O Combusti air `£
<br /> Q C9"Radon Manitoring 011er (�CYShower Heads(2.75 gpm)
<br /> Inspector's Ini6als�._�'�'
<br /> . �ateMProved.............�...�..y �
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