Laserfiche WebLink
��� <br />p�x <br />9Hf~i� <br />� <br />�H� <br />�H� <br />yl�H <br />�Q� <br />O 1�-yi <br />Hrg <br />�.. � <br />zH�yy <br />r r-i H <br />gy <br />O G❑ Vi <br />�y� <br />HOW <br />� <br />i <br />I �� <br />. � <br />�r=�� <br />... , <br />..� ., <br />; -� <br />Building Record <br />,:a <br />��# <br />AitaChnflnt B <br />K n r <br />3: . . .. . ���' . ' .�T�^�t t�fe1. <br />(piease check one) <br />X�3New Bullding ❑ Addition over 500 sq. ft. <br />Jurisdiction: ^varott <br />pleasecheckone: � Cify ❑COUf1ty <br />(pleaso check one) <br />�Single Family ❑ Duplex <br />❑ Multifamily ❑ Zero Lot Line Home <br />❑ Planned Unit DeveloPment <br />Petmit # 3�G6'� <br />FilO ID #(it diBerent lrom Permit M <br />�{'':.c i' �...4'r F � .'��!'t,."��� '�;�tF �sv"�b'-�n *�hi�s.. ��� <br />A. Site Informatlon B. Owner Informatlon <br />Address 7915 crant tx. Owner /ox+�eratw�eo�construc�on�¢ceivesuh'i�rypeymenp __ <br />,Teffrr� ;aitdi <br />CitY tvarntr Zip q-„{,� Company _ <br />Assessor'sPro er Tax# orattacn/egaldescnprion): Addr055_ 5�06-1/2 3ra �vo n1� <br />Ci _ ynattic Sla[B i4A Zip 991n7 <br />Servicing Electric Utiii PUD91 of sno N ___ Phone ('06 ) 536-Y791 <br />Federal IDl? or SSN <br />C If Single Famlly, Zero Lot Line or D. If Multitamily (R-1) _ <br />Planned Unit Developmant Total # of Buildings <br />Total Conditioned Floor Area /Z s.cLft_ T_otal # of Units <br />Second Duplex Unit___ sq_ fl. Total sg. N._�ptional) <br />j"5;;,'.s.my�v�x�.p;, , , :��.,e .::�T�eN� -� �`<'c*'�'�fi <br />i��YAYL � � � '� �. � � �. <br />A. Primery Space Heat Type <br />(eheck on�J <br />� Electric Baseboard <br />❑ Electric Wall Heater <br />❑ Electric Furnace <br />❑ Elechic Heat Pump <br />❑ Olher <br />3. Back-Up Space Heat Type <br />/check all tAa� apply) <br />❑ None <br />� Wood <br />❑ Electric Baseboard <br />❑ Othef(specilybelow) <br />C. Water Heat Type <br />(cheek one) <br />� Electric <br />❑ Gas <br />❑ Other/specitybelow) <br />FI I ] M a <br />This building meets the WSEC Compliance Method Dale of Permit Application_�'j -�/, _)�_ __ <br />❑ Eiectric ❑ Prescriptive Fath Date Building Permit Issued /-: �-�'''�__ <br />❑ Other Fuels �Component Performance Date of Insulation Ins ection �" � <br />requirements of the WSEC. ❑ System Analysis Date of Final Inspection (c -��_ <br />I here6y certlfy that fhls 6ullding or addltlon has 6een lnspected for fhe measures requlred <br />by the 1991 Washfngton State Energy Code (WSEC), that !f ls In substant/al compllanre <br />wlth the WSEC end thaf,the WSEC checkllst lor thlsqullding Is on Ille. <br />— —� /�'�.�;� /` i ��y' -------/- —�— � — -- <br />G_ i__�—! r./1.4T 1—'rl�— �— <br />Signature ol Building Ofhcial or Authonred Repmsnntative Date � <br />Return white copy to: Kathleen Skaar, Vdashington State Energy 011ice, OC <br />---- ------ - � -- - - --- - --- ----- - --- � -- - -- <br />WSEO - Whi1r Copy U(ilityiOwner - Canary Capy <br />Way SE, FA-i t, Olympia, WA 98504-1211 <br />Juristlic(ion - Pink Copy <br />i 92 <br />