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� Q �—;-`O��L Activity/�-armit #
<br /> NW�C Lowrise Residential Compliance Check list
<br /> � c�� Electrlcally heated dwellings, s 3 stories, Zone 1, Western Weshtngton
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<br /> � � FORM INSTRUCTIONS:
<br /> Please read balore completlnq form
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<br /> '� y]y 1 Fill fn ail shaded intormatfon boxes that apply to your project.i�p_np�placs marks fn the two lefl slde
<br /> coiumns labeled 'COMPLIANCE REpUIREO' and "INSPECTION APPROVED', Since this lorm
<br /> y y M will be evaluated for compleleness,you can avoid unecessary permit delays by carelully pmviding all
<br /> � x � required inlormation.You may disregard inlormation requesles that don't address your parti„ular
<br /> o Qy d building or equipment.
<br /> Q;�� 2 Stalf inembers will help with general questions about Iilling out ihis lorm. However, it is your
<br /> � �„� reponsibility to provide specilic information for heating sysiems, glazing, insuiation,and other
<br /> � H buildinp specifications. For specific requirements, reler to the Northwest Energy Code, 1987 Eaition.
<br /> �y This form will ulUmately be the basis lor all NWEC field inspections.You can avoid problems by
<br /> g y seekinp approval lor any substitutions belore incorporating them into the projecL The building offic� '
<br /> �� may require that you substantlata compllance claims about building products or techniques by
<br /> � providing documentation Irom approved testing agr.ncies or code aut�iorities such as ICBO.
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<br /> y 3 When your permit is issued, you will receive a copy ol this form. Boxes will be checked under
<br /> � 'COMPLIANCE RE�UIRED" indicating NWFC requiremonts ihat must be incorporated intn this
<br /> proieq. Each checked requirement will be evaluated by the building inspector and ,when deemed
<br /> acCeptable, marked approved f�;lhe "INSPECTION APPHOVED"column.
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<br /> IClty �<<-�7���� COunty Silo/for,i C�!", „ ;.
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<br /> NAME�?r1� ,�'l�2/RnIC BUILDING ADDRES5 I1�<> GlZ.q>,Jp J/
<br /> � LOT �_
<br /> 1� BUILAING TYPE: COMPLIANCE PATH:
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<br /> ❑New Residential: � Single Fam. i:: p,�yvX ❑ Chapter 6 (< 5000 Ft2)
<br /> (� Remodel ❑ Multi Fam. � Component PeAormance Ch#5
<br /> . [� Addition ❑ q Stories_(s 3) Syelems Anatysis Ch# 4
<br /> �� � � � Poinis System ChA7
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<br /> I Heating System Type:
<br /> ��I NOTE: A!1 non-al+ctrlcally heated
<br /> � Elur,tric: dwelllnpa must comply wlth the g '
<br /> \ []Base board �Forced air furnace 1986 Washlnpton State Eneryy
<br /> �Heat pump Zone heaters � CoAe snd other ardlnances o/ thls
<br /> �Other jurisdlcNon,
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<br /> �.SSVY.6ba .::a!9[��nnY//tY.i3!�W�' � F. '£�('..�+�i�'i') 9,4,$.`}' / � � .
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<br /> WEES APRIL�0
<br /> NWEC PI811 �BVIeW: fDepartmenl use onty�
<br /> Ap�roved by Date_ )
<br /> Page t o1 7
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