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1�.■ • <br />l,i_� 1 <br />'1.1�� <br />.. � <br />..� ., <br />� <br />Building Record <br />r abae one� <br />N�w BulWinp Additlon ov Spp �y, ft, <br />Jurisdiction: <br />ak+se dreac o�s: Ciri ❑ Countv <br />" : I►�TTl�r',�i7L//.� <br />� <br />��.'/. • � / <br />. ..: <br />ir���,*;����r�6- <br />: . . : _// �/1� . � <br />C. M Slnpk Famlly, Z�ro Lot Lins or � D. <br />Pl�nnsd Unit D�valoom�nt f <br />A. Primery Sp�ce Hsat Typs <br />(cMck on�) <br />❑ Electric 8aseboard <br />�Iectric Wall Heater <br />❑ Electric Fumace <br />❑ Electric Heat Pump <br />❑ ane� <br />Ffrst Duplex Unit <br />�1 <br />NB60 Oona�ct 1� <br />(Mease dredc one) <br />0'S�nple Family ❑ Duplex <br />❑ Mumfamily ❑ Zero Lot Line Home <br />❑ PIan�U I� <br />Pertnit N <br />File ID i� (H dHMrx�t Irom Permit K� <br />B. Owner Inform�tlon <br />a . ,,; <br />���� <br />Atdchn�nt e <br />• � <br />. / <br />..: %i1.1*,fa;fr��rf,!�� <br />, , : �� �_ /�� y <br />-- � J -I./, �/i/I��I7 / <br />. � <br />. <br />B. ��rY � Fle�t TyPe <br />t!w <br />❑ None <br />❑ Wood <br />❑ Electric Baseboard <br />❑ Other (specirybebw) <br />E. If Multih <br />ft. Total N of <br />C. Water Heet Typs <br />(M�ek orN) <br />-0'€ectric <br />❑ Gas <br />❑ Other (sfxciybe�ow) <br />���..���� <br />WSEC C pllance AAethod Thls bulldinp msets the Date of Permit Application l,l-/� -� �j <br />� riptive Path ❑ electric Date Buildina Permit Issued �-/- <br />❑ Component Pertormance ❑ other fuels Date of Insulation Insoection 7- -�S <br />❑ System Analysis roqulrementa of the WSEC. �ate of Final Inspection ���� S <br />I Mro6y csrdly that thla bulldlny or add/f/on hss been /napsctsd /or the measures requl <br />by the 1991 Wash/ngton Sfats Eneryy Code (WSEC), that !f /s !n subatantfel compllartce <br />ydth ths WSEC, an�llhat ths WSEC checkllst /or thla bulldlny !a on llle. <br />. Y, n <br />of Bulldinp Otticial or Authorized Representative <br />Date <br />Return camry copy to the servicing electric utiiiry to trigger WSEC compliance payment <br />Retum white copy to: Kathleen Skaar Washington State Energy Office P O Box 43165 Olympia WA 98504 3165 <br />WSEO Whde Copy UhLtyNwner - Canary Copy Junsdicfion • Pink Copy <br />12•92 <br />