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<br /> ' � ,�: Activity/P- rmit #
<br /> �S1lVEC Lowrise Residential Compliance Check list
<br /> Electrically heated dwellings, s 3 stories, Zone 1, Western Washington
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<br /> F� ORM INSTRUCTIONS: Please read before completing torm �'
<br /> � _ .. ;.
<br /> ' , � Fiil in all shaded iniormation boxes that appiy to your project.RanQt place marks in the two left ide �,
<br /> �-�^J columns labeled " COh�I�LIANCE REQUIRED" and "INSPECTION APPROVED'. Since this form �'
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<br /> will be evaluated tor compteteness, you can avoid unecessary permit delays by caretully providing all ��
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<br /> ` , required intormation. You may disregard intormation requestes that don't address your particular _�
<br /> building or equipmer�t. �'=
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<br /> fl Sta(t members will help with general questions aboui filling out this torm. However, it is your �.
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<br /> reponsibility io provide soecitic intormation for heating systems, glazing, insutation, and other �:
<br /> building specifications. For specific requi;ements, reter to the Northwest Energy Code, 1987 Edition �
<br /> This torm will ultimately be the basis for ail NWEC field inspections. You can avoid problems by s�
<br /> seeking approval tor any substitutions be(ore incorporating them into the project.The building oHicial �
<br /> may require ihat you substantiate compliance claims about building products or techniques by xs
<br /> providing documentation irom approved testing agencies or code authorities such as ICBO. �
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<br /> ,� 3 � When your permit is issued, you will receive a copy of ihis form. Boxes will be checked under ;::
<br /> � 'COMPLIANCE REQUIRED" indicalir�� PJWEC requirements that must be inwrporated into this ��3
<br /> project. Each checked requirement will be evaluated by the building inspector and ,when deemed
<br /> � � acceptable marked approve� m lh INSPECTIQN APPROVED column
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<br /> DATE �i City County ,�;
<br /> NAME1�1lkrM2���'�l.lC.� 9UILDING ADDRESS LOT #_ �
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<br /> BUILDING TYPE: COMPLIANCE PATH: �
<br /> �New Resiuentiai: ❑ Singie Fam. � Chapter 6 (< 5000 Ft2) ��s
<br /> Remodel Multi Fam. �Component Performance Ch#5 H;
<br /> ❑ Addilion �# Stories_(s 3) � Systems Analysis Ch#4 �,
<br /> 0 Points System Ch#7 ��'
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<br /> ` Heating System Type: ;< '�,� NOTE: A/l non-electNcaliyheated� ���;x
<br /> Electric: '� � ' ' dwellings must camply wlth the
<br /> []Base board �Forced airiumace ` ��� 1986 Washington State Energy ; � '
<br /> OHeat pump [�Zone heaters ;a�.K ; Code and other ordinances ol thls � '�
<br /> >�MaRa� � �y�`
<br /> �JOther '� .;> lunsdichon ��
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<br /> WEE4 APflIL Va
<br /> NWEC plan revlew: (oepanment use oniy)
<br /> Approved by Date page i ot �
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