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<br /> '`r' NWEC LowriSe Residential Compliance Check list i
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<br /> rxy� Electrically heated dwellings, s 3 storlos, Zone 1, Western Washington
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<br /> y v,H �� FdRM INSTRUCTIONS: �''`P'l'ease read betore compieting torm
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<br /> o� r � ," Fill in all shaded informafon boxes that apply to your pro�ecL Dn.nfll place marks in Ihe two left side
<br /> o �-y+� �� ," - columns labeled 'COMPLIANCE RE�UIRED" and "INSPECTION APPROVED". S;nce �his form =`:'
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<br /> � �o will be evaluated tor completeness, you can avoid unecessary permit dolays by carefully providing all �'
<br /> H" � required information. You may disregard informalion requesles that don't address your particular
<br /> a y� �. building or equipmenl.
<br /> o v~i H ! 2 I, Statf inembers will help with general queslions about filling out fhis form. However, it is your � �
<br /> �—••� p y p p g y g g, insulation, and other
<br /> � ty cn re onsibilit to rovide s ecific informalion tor heatin s slems, Iazin �
<br /> � �t, building specifications. For specilic requirements, retst lo the Northwesl Energy Code, 1987 Eddwn ,�
<br /> z y y This torm vrill ultimately be the basis for all NWEC field inspections. You can avoid problems by s�:
<br /> y o� seeking approval for any substitulions before incorporating them ir.to lhe project. The Guilding ofticial �
<br /> may require that you substanliato compllance claims about building products or techniques by �
<br /> providlnQ documentation from approved testing agencies or code authorities such as ICBO. ia��
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<br /> � ,3 � W hen your permit is issued, you will receive a copy ol lhis form. Boxes will be checked under
<br /> �-� COMPLIANCE RE�UIRED" indicating NWEC requiremenis Ihat must be incorporaled into this `�<
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<br /> project. Each checked requirement wii!be evaivatod by ihe building inspector and ,when deemed ;;
<br /> 0, }C acceptable, marked approved in the "IMSPECTION APPROVED"column.
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<br /> a �� � DATE -2S"y� Clty County - ���i,,
<br /> �� �. NAME �n�'-���� BUILDING ADDRESS �� r ���x�r/ ��'�LOT # '�'`n
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<br /> BUILDING TYPE: COMPLIANCE PATH: ���'+>
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<br /> z;� ❑New Residential: ❑ Single Fam. [] Chap�or 6 (< 5000 Ft2)
<br /> ;� ❑Aemodel ❑ Mulli Fam. ❑ Component Performanca Ch#5 `<
<br /> �' m Addition � k Stories_(s 3) ❑ Systems Analysis Ch#4 :_
<br /> � Points Syslam Ch#t7 ��
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<br /> + 4,� Heating Systsm Type: NOTE: All non-electr/cally heated
<br /> Electric: dwellings must comply wlth the
<br /> OBaseboard ❑Forcedairiumacu 1•986 Washingfon State Energy
<br /> �Heat pump '[�one heaters Code and ather ord/nances o� thls ., ,
<br /> ` �Othor Jurt�dlctlon.
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<br /> WEE9 APNIL i0
<br /> NWEC plan Ievlew: (�9Partment use only) .
<br /> Approved by _L�ate
<br /> Pape 1 of 7
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