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.—.-.-. <br /> p�ment B <br /> � Building Record �o��— <br /> � �^ RDH K^�y"q<i`D�S .... �� ������. . <br /> � ca � �r. `��� .. y�r �������.g���� �a. � �.y�.��y/�■ v � ° - <br /> �.\""�?!���\,��a�`1���`�����C�II.���'x�a�Ca�``�\:.�dcr�N7r,4K��lE <br /> 3 �a�`A� <br /> 'dease check oneJ <br /> (pl check orre) <br /> New Buildin�Addftion over 500 sq.ft. ❑Single Family Duplex <br /> Jurisdiction � ' " "� ❑Mukifamily ❑ZeroLotLineHome <br /> ❑Planned Unit Duvelo ment <br /> oi�ase chedc one• <br /> CitY ❑Countv PermR ik �2� <br /> Fle ID k i�diderentlrom Permit <br /> v�e+ �LK.ia K..�: �.�� ta�� +t �`������ �,`� ' . <br /> `T' 'ni � C �£.:� \�W,..�'1:.: <br /> � '���� �'nti�'(ION , F w . � <br /> �r�a�., z .��.�. <br /> . �, .. <br /> B. Owner Infortnation , <br /> A. Sfte Information • � ��x�� <br /> OW�ef (owneratEmeofcrosCu� <br /> Address <br /> Zi G Com an � <br /> Cds ve re Address � <br /> Assessor's Propertv Tax N a+nec�b �dBS� 'tlO" � ��� f�,p�j p�y; Stat Z� - <br /> �772_=�1 " - Phone ( 2 ,� � �l�f�- 99 //-/ _ <br /> Serv�cinq Electric Utilitv ' <br /> E. It Multifatnily(R-1) <br /> C. It Single Family,Zero L.ct Line or D. Duplex Sq n Total 11 of Buildings <br /> Planned Unri DevelopmeM Frst Duplex Unk <br /> TWaI Conditioned Floor Area .tt. Second Du lex Unit <br /> ,n, Total#of Units <br /> r.: : � �"'�. ���sP��°�'d�}°i;99�4 <br /> , ��s; z.� a��s3������'�. �'�ti,;di+���sti� ',, Ci:Q <br /> � <br /> a�\Z.�\n.����1..��� �� z n �iyy i, i I F. ;,, �� : <br /> \\:. ' <br /> H�� C. Water Heat Type <br /> � A. P�mk oryrn�e Heat Type B. ���,it�YJ ElectricM) <br /> Electric Baseboard ❑ None ❑ Gas <br /> ❑ Electric Wall Heater � W0� ❑ Other(spedheebw) <br /> ❑ Electric Fumace ❑ Etectric Baseboard <br /> ❑ Electric Heat P�rp ❑ Olher(speety eeawl <br /> ❑ aner �` 4,.� <br /> Nf . � � <br /> ��; �'�Q�,a �'� ��,'i;•,� <br /> ��:..;� ` � <br /> °������M Date ot PermR ApPlication - <br /> WSEC Compliance Method This bullding meets ihe .�-- �_ i_ <br /> Date Buildina Permit Issued i, <br /> ❑prescriptive Path � e���� Date of Insulation Ir. ection <br /> �Gomponent Pertortna�ce ❑ other fuels Date ot Fnal Ins ection <br /> ❑ System Analysis requirements of the WSEC. <br /> I hereby cerfify that this 6uilding or addltion has been lnspected for the measu�s requlred <br /> ththe 91 EC,a jn�ha ShetWSEC�eckllst�rEhls bullding!s onf(leantial compliance <br /> `_' �( <br /> � Signa of Building Offidal or Authorized Representative <br /> oace <br /> Return canery eopy to the servlcing electric ulility too'fg ee PWO.Box 3165n01 Pmy aBWA 985043165 �z�9z <br /> Return whka co y to:Kathieen Skaar,Wash(ngton Stete Energy �urisd�ceon•aink copy <br /> - WSEO•White Copy UN/iry/Owner-Canary CaPY <br /> � <br /> ��— <br />