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� � _ � l 3$' Activity/P- •mit # —
<br /> NVIfEC Lowrise Residen��ial Cornp�' �r�ce Check I�st
<br /> Electrically heated dwellings, s 3 stories, Zone 1, VPestern Washington
<br /> FORM INSTRUCTIONS: Pteaae read before compleUnp torm '
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<br /> � Ffll in all shaded information boxes that apply to your proJed.I�tznoi p�a�e marks in the two lett s(de
<br /> coiumns labeled "COMPLIANCE REQUIRED" and "INSPECTION APPROVED'. Since this form
<br /> will be evaluated tor completeness, you can avoid unecessary pertnit delays by carefully providing all
<br /> required in(ormation.You may disregard iMormation requestes that don't address your paAicular
<br /> buflding or equipme�t.
<br /> 2 Staff inembers will hela with general questions about filling out this torm. However, it is your
<br /> reponsibility to provide specitiC information for heating systerc�s, glazing, insulation,arxJ other
<br /> buildinp specitications. For specific requirements, refer to the NoAhwest Energy Code, 1987 Edltfo:i.
<br /> This form will ultimateiy be ihe basis for all NWEC field inspections.You can avoid problems by
<br /> seeking approval for any substitutions be(ore incorporaling them into ihe proJect.The building official
<br /> may require that you substantfate compliance claims about building products or techniques by
<br /> providing documentation irom approved testing agencies or code authoritfes such as ICBO.
<br /> 3 ; When your permit is issued, you will receive a copy o(ihis torm. Boxes will be checked under
<br /> "COMPLIANCE REQUIRED" fndicating NWEC requiremems that must be incorporated into this
<br /> project. Each checked requirement will be evaivated by the building Inspector and ,when deemed
<br /> acceptabte, marked approved in the "INSPECTION APPROVED"column.
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<br /> DATE � '��° �Ity:; , _County J�CI}�vMlS�f� '
<br /> NAME Lt�E 1 F�Ua I"�~EEUILDI�:u ADDRESS LOT A_
<br /> BUILDINC�T.YPE: � COMPLIANCE PATH:
<br /> �New Residentlal: �Single Fam. � Chapter 6 (<5000 Ft2)
<br /> ❑ Remodel Multi Fam. Component PeAormance ChpS
<br /> ❑ Addition ❑ # Stories_(s 3) ❑ Systems Analysis ChM 4
<br /> � Points System ChM7
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<br /> H,eating Syst�m Type: NOTE: All nomelectr�cally Aearod
<br /> Eleciric: dwel(Inps must comply wlth the
<br /> GBaseboard OForcedairfurnace 1986 Washlnpton Stete Era►Dy
<br /> �Heat pump [�Zone heaters Code and other ordlnance� ol thls
<br /> ��Jther furisdicNon.
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<br /> WEES 11PIIIL�0
<br /> NWEC: pla►1 �eV!@w: (Department u:,a onl��)
<br /> Approved by Date page 1 ot 7
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