Laserfiche WebLink
o��a.._.=�1�-'-!�'-�-----------j -__ <br /> AppliwtioNPMmh/'_�_"__"__.. <br /> ••• � '� � � -� '�..., LOWNIlE NFSIOEMfI�L ;: <br /> Owner.U_L�t.�_�1.�.�ei'_�__Li_`..._�.._.._. <br /> � ' . . � � ' ' ' ' ' 1 <br /> SiteAddress_ti��t��.e_=.:_________—._.._.. <br /> :;.. <br /> Assessor's ProLcrty.Tnx Account No. ��� � � <br /> _._.___'._.'__'__ ..........—__ ;. <br /> 1'l1U I'I,AN RIiVIGK N ' �� �� "/ ) <br /> • <br /> ,. <br /> � .---� . <br /> SAe Address.....,.,.�.,e.�vr..��` ' <br /> , ......m................................................................................................................................................................. <br /> Owner'�Addresa..............................`..,............................................Ciry....................................2ip....................Phone................................... <br /> � Builder.I:1�..1\�!�....1...��4).1...\.Y-......1..�..c�:�...Address......................................................................................................................... <br /> � City.................................................................................................Zip....................................Phone...................................................,............ <br /> • <br /> . <br /> . <br /> . .w� <br /> • <br /> • PR0.IECTUESLflIPT10N: <br /> � Q New O AdLition , . OSinple F�miy /ol Slaries....I.....:........... <br /> � � Q Femodel CrConditioned Sp.Ft.!....�.:._'...:� O Mulli�Famiy I ol Units......................... <br /> FUELSOURCE: HFATIlIGSYSTEMTYPE: ' <br /> p�Elearic O Basebmid O Neat pump HSPF .............................. <br /> ' OOiI O�Wallhrater OOlher.............................. <br /> � ................... <br /> , O Gan O Furwce AFUE................... O TMaI insulled wans or BTU's..........,. <br /> . <br /> • <br /> . <br /> .����....����.��.���. v •����......��.���...�����..... v <br /> �� � , �, � COMPONENT -- ( <br /> • . FL�t Ceilinp R.r.'..'.... <br /> CheckoneolNeCompluna0plianBoseshelowJmenNeviluesinloEoanumbei/.&Iorzwmpelin0�hs VaultedCeilinq H..�........ <br /> sedionrdertatlieinsvuctlomanbxkolfortn. �y�p p..:_'`,_�^� <br /> Below Grade Wall: <br /> Elaetrie•MMhw�:l En�rpy Cod�. Oth�r Fu�l Sourr�t• interior R............ <br /> LA�DIu 6 Wuhinpton St�U En�rpy Cod� <br /> �Well Insulated Floor O Systems Anatysis, O PrescriD�ive Apprwch, wterior fl.........,.. <br /> Option Chapur4 Chapter6 Floor R�,C..S_�. <br /> SlabonGrade R......... <br /> O Well InsolalM Wall p"�Cemponent Pedormance, O CoTpanem Pedarmance ��,,�'o� <br /> Option CAapter 5 Apprwch,Chapler 4 Doora 6 Frame U.i.�.:.... . <br /> OPassiveSolarOption OC^mpene^t?oint5ystem, OSystemsAnalysis, ���np U..�u.S.. <br /> O Hea�PumD Option Chapter 7 Chapter 5 XGIuinO .1!.:,C16 <br /> SoWrAllowance ...........!4 <br /> AirLealwpe (93TD OnoV <br /> . <br /> o . .. ....... <br /> FOHOEPAflTMENTUSEONLY: � ' �' � � � <br /> AmouM ol Payment 5...................................... I herzEq uniN�+��e slmcNril p�nek WI meet IAe NWEC iorm�NehyGe rtpuirtmenb•eithe tl�e <br /> HUO sbnE+rCs ar maheE'e.tennf a'e:posure 1J <br /> Date Permd issued......................................... <br /> Owner ar 1lulhor¢�E Ap�nl: <br /> ..................................................................... ................................................................... <br /> PnnlNvne 5�0n�Wrt <br /> DatePe�tOdFwled......................................... Theloolh'�KtlmhbcUkutilirywillmokea y�ymenttoeiNerNehuiMerorowneilornewelxtriratty <br /> n.alM rzsidenes.Peimil must Ee"ssuM Ey 17/3191�nA wnsUuctlon fin�kd Ev 69092 in arEer to <br /> awlrty lor wVmenl.io I�w�lam prymm4��oAowno��orm�uan musl Ee Nkd oul canDMldy. <br /> IAere6ycertilythatlhiedweliinpxaebuillin �Mailcheekto:(okueD�nO (AUDI7'IONS/RI'.NOUL'I.S N01' IfLIGi61,li) <br /> comD�wnce anh tAe NWEC. <br /> ................_............................................_........... <br /> Name................................................Fed.Taz 10 or 55�...................................................... <br /> BuiMin0011iwlorAuNonteCPOen: Addrcss................................................................................................................................. <br /> .....................................................—_........_....._. Ciry........................................................................................ Zip.......................................... <br /> D�p <br /> M02:M INS Poim 1p99 w�M s�m tl m�m0 d'M Wr. <br />