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i <br /> ; � AttaCt�t�tt B <br /> W/�SHINa1DN * + <br /> STAN� guilding Record ���#----- <br /> � <br /> ��,,, _ �� <br /> y r 7 CLAS8IFICATIUN � . , ��' <br /> ;�r.. <br /> �,; ____----- <br /> ,p�7. � ipiease dr^ck one) <br /> 9 y y . ,(please check one) C Additlon over 500 sq.ft. <br /> [�Single Family ❑Duplex <br /> H �g w [�New Building _.. ❑Multitamily ❑Zero Lot Line Home <br /> K �� .lurisdiction: __ . —�— ❑Planned Unit DeveloQment, _ <br /> H� - - - � - - ��� � � -- <br /> O �.o -- ----- - - - - Permit 71 ' <br /> °j y H � Olease check one -�-- Q City ❑COun�---- -`.� _ .._ —�-- <br /> y r File ID#��dile�entlrom Permit <br /> t7 O� . . . • " �� �- Uri��N___-_- Y. <br /> J— �� B. Owner lntormalion <br /> ��g A. Sltelnformation --- �,a�nmeorcn�sm,cr�on�s�^m'��'"'�- - <br /> ri — , ��,.���� . Owner_(_ <br /> aH� Address_,�,'-�_ :'«�� 111.,.-. - , _ �- - -- =7' `� . I - <br /> '' Cqmpan <br /> r r+�z-7 - _- Zip i �� --- ' ' � <br /> � cn �'' H- �- AddreSs i '— ' -- -- <br /> ra P�- 1• State =!�Z�` � ' � <br /> C �(n Assessor's Propetl�T�a)x#(��attacn�cqa�descn ion City_,, � � — ,_,, , , > <br /> � �y ( . . ;., .r . _ -_, —1'� '..- . . .. Phone -- � � � � � . <br /> 7, y N Servicing Electric Utiliry '� � Federal IDH or SSN _ __ _�� <br /> y o v� <br /> D. If MultHamlly(R-1) <br /> C. If Single Family,Zero Lot Line or Total k oi Buildings _ <br /> Planned Unit L�evelopment Total#of Units _ ------ <br /> sq. fl <br /> Total Conditioned Floor Area 1< •'J Sq f� Total sq.fl. (optiona�) _ __------ <br /> IPx Unit ' - - <br /> Second Dup . - - ; <br /> � .,� ` IIEAT SOURCE —_- <br /> � - -- _ <br /> - - -- <br /> �"" � _ C. Water Heat Type <br /> B. Back•U Space Heat Type ��neck one� _ <br /> A. Primary Space Heat Type ��heck elPihel app�Yl <br /> �' i' (check one) [� NO�C �� EIBCifiC <br /> � � �_� Eledric Baseboard ❑ Gas <br /> [� Wood <br /> I � Eleciric Wall Heater ❑ Other �svecitybeiowl <br /> Electric Furnace ❑ Eledric Baseboard <br /> �, ,� ❑ Other(sr��rybeiow! <br /> I ❑ Eleclric Heat Pump <br /> ❑ Other <br /> � CaMPLiANCE _ ___ _ �NtPECTI�NF01tCEMENY �; <br /> This building meets lhe WSEC Compliance Method Date ol Permit Application i, 9- <br /> � � j�pre>criptive Palh Date Building Permit Issued /..� ��' � � s' <br /> � - �Electric Dale of Insulation Inspection . _ �_-�,.:. - <br /> ❑ Other Fuels ❑ Component Perlormance Date of Final Inspection _ . ___ __ ._ �--'-�--- <br /> � ( ' requirements ot the WSEC. ❑ System Maly,is - � <br /> 1 hereby cerUfV that th)s building or adCJode(WSEC), Ihat�isrin substanUal compllan uered <br /> by the 7991 Washington State Energy <br /> � wlfh the WSEC,and thaf the WSEC checklisf for lhls buJlding Is on lile. <br /> / ' � � _ <br /> /i f ! .. ., . _ :. n,i�: ' <br /> SignalJre of 0uiid�ng O��ic�el or Aulnorfzed Represe��lairve <br /> ReWrn whi�r, copy lo: KatlJc��n Skaar. Washm�ton S�atc Cnergy Ofhco, �09 Legion Way SG FA-11. Oly�p���WA 9Cop ���� <br /> ubory o:;nrr crinaiy cnpy ��'r <br /> W5f U WIi�1�.(-o;�y' <br />