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-�T... __ . <br /> �• �� � � <br /> Building Record � ��« � g <br /> �(a-r �IG i QL� — Ov�r z,00a .r p- <br /> �ase cneck onel rv se oneck one) <br /> Nsw Bulidl Additlon o r 5G0 sq.ft• �ingle Family ❑Duplex <br /> Jurisdiction: � c - ❑Muftifamily ❑Zero Lot Li Home <br /> ❑Planned Unit Develo m t <br /> �ned�o�,e: ci ❑co _ Pertnit N '�/..a�� <br /> File ID# ndMerent rrom ermx <br /> A. Site Informatlon B. Owner In rmation <br /> AddreS3 � � r �_ OW�Br ax retMmeda caonrec�eAaesueY e en <br /> :t !,;C. � v � o. <br /> Ci �/t Zi G� Com ' <br /> sessor's Pro ert r Tax#�attach�eoei descdc�l: � Add s / '� S�- - <br /> - 1 n lcn� � 1� /-)d�-- Ci -U State J Zi r«1 v,r <br /> Servicing Electric Utilib ��A 1� <br /> �— 119 _�Olr _��.�- �" - <br /> ederal IDM or SSN <br /> C, I}Sinpls Femlly,Z�ro Lot Line or D. M Muftihmlly(R-1) <br /> Planrnd Unft DsvNopment otal N of Buildings <br /> Total Conditioned Floor Area �a�Cs sa•n• tal N of Units <br /> Second Du lex Unit . (t. To I s . ft. o tional <br /> p p��g�q��Type B Back•U� �Heat Ty C. Weter Hset Typs <br /> (cMck a tM (cMdr on�) <br /> ❑ Electric Baseboard rt� None Electric <br /> ❑ Electric Wall Heater K.x Wood ❑ Gas <br /> � Electric Furnace ❑ Electric Baseboard ❑ Other�speciryoeawi <br /> ❑ Electric Heat Pump ❑ Other�specirynewwl — <br /> ❑ Other __ <br /> � �� � "�� � � `�� � � � [ <br /> This building mests the WSEC Complia�cs AAstl�od Date o(Pennit Applic ion t � �3 <br /> Date Building Permit I ed �=,1! -�3 <br /> �. Electric Prescriptive Path Date of Insulation In c'on - LT Z-- <br /> ❑ Other Fuels ❑ Component Performance Date of Final Ins ion �- <br /> rsyairements of the SEC. ❑ System Analysis <br /> 1 y certlfy that thla bu11d! or addlNon hea been lnapscted for fhe msas a requlrod <br /> by e 1991 Waahlnpton St ne►gY Cods(WSEC), that It/a In su6stan8al co Ifance <br /> � � � w h he WSEC,an hat EG c Ilat lor fhls by�(Idlny la on Hle. <br /> / r�. � /c...�� <br /> �P <br /> Signature,.bf Building OFficiel or uthorized Representative Dale <br /> Ret n wlilte copy to: Kathleen Skaar, Washingtm State Energy ONice, 809 Legion Way SE, FA•11, Oiympie,WA 98504-1211 <br /> WSEO-White Copy Ufility/Owner-Canary Copy Junsdicfion-Pink Copy <br />, 7�92 <br />