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�N Building Record « A`bi9 °s <br />��RAM <br />a�aP�►nN �: <br />(Grease check one) <br />❑1Z Building/ -] Addition over 500 sq. ft. <br />Jurisdiction:l mu e� &YA"a <br />please crack UlCity ❑County <br />A. Site information <br />Address 7-70- s ax-- -x— _ <br />city /NAOl Zip10/ <br />Assessor's Property Tax # (orattarh legaldesciplionl: <br />Servicing Electric Utilityy��I _6 <br />C. If Single Family, Zero Lot Line or <br />Planned Unit Development <br />Total Conditioned Floor Area 2208 sg. <br />(P'ease check one) <br />O'Single Family ❑ Duplex <br />❑ Multifamily ❑ Zero Lot Line Home <br />❑ Planned Unit Development <br />Permit # <br />File ID # (B mtterent In, Permit al <br />B. Owner Information <br />Owner foararal Grrewcaaoucion recaMes utraamn) <br />Com an— -- <br />Address /TLf j4 <br />cit StateV/1 Zip 9%n/ <br />Phone <br />Federal IN or SSN <br />IV,�'x,V1 i`-' ) -- <br />Second Duplex Unit sq \ I <br />M NW <br />A. PriMmckry Space Heat Type B. Bi [/,yt,y /�j _ ._�(, Heat Type <br />❑ Electric Baseboard O !1 _ r--� �n 0 r1 <br />aElectric Wall Heater (.-'/fin 1�1� /V �1P7 <br />❑ Electric Furnace ❑ E� -/- G./,,��_ �-� ts#e"Noau"', <br />❑ Electric Heat Pump ❑ ( ,i/�� r`'l/`�d/t�- . <br />❑ Other __ �A <br />COMPLIANCE il.v^.aa <br />This bu)Iding meets the <br />Electric <br />❑ Other Fuels <br />requirements of the WSEC. <br />WSEC Compliance Method <br />Date of Permit Application <br />Date Building Permit Issued <br />7-to-Y'i <br />Prescriptive Path <br />❑ Component Performance <br />ElSystem Analysis <br />Date of Insulation Ins action <br />l <br />Date of Final Inspection <br />/ L - - <br />1 hereby certify that this building or addition has been Inspected for the measures required <br />by the 1991 Washington State Energy Code (WSEC), that It Is In substantial compllanre <br />rG/th a WSEC, and t I the WSEC checklist for this building Is on file. <br />signature Tiding Ciftal or Authorized Representative Date <br />Return white copy to: Kathleen Skear, Washington State Energy Olfice, 809 Legion Way SE, FA-11, Olympia, WA 98504.1211 <br />wsE0-"no copy Lgtigy TunerCanary Copy Junsdcon• Pink Copy <br />1.9z <br />