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( 1 <br /> �� • . i <br /> Building Record ��« �"'°"`° <br /> � _�_ , . _ _. _.,�. � <br /> � y tt e�.�cunw ,, � ; -���A��' i <br /> (pfeasn check oneJ (please checM one) � <br /> �t1ew Bulldinp ❑Adtlillon ovnr 500 nq.fl. ❑O Single Family ❑Duplez � <br /> Junsdiction: %' - � �, i .'J-,`�_ ,_ ❑Multilamily ❑Zero lot Lina Home <br /> __.__. ____ . __ �Planned Unit Deyelopment _ � <br /> �ep aseMxka•.er Q-Ciry ❑County PermitF �.�i_ I <br /> Fil6 ID k�NOr9erenllrom Permit p � <br /> ' . .�aC ,g� *"" -:dTP't � <br /> �+` ^':��6�"�lsxr:.s�&.� �"r`�V�t• v`� r- t#:i�s5�.�.. ,_ � - i <br /> � .�f5 <br /> A. Site Inlormellon B. Owner Inlormallon ��'� <br /> Address ,:�'[;:��� '. ��/�L _ Owner rw�nc+ermrxo�rortcounan�erniesanrycar,n� '� <br /> --- — -l—�-- - ,—�— � <br /> Ciry :_:i„ �. -tZ---Z-�i�.Y?Q� Cmm�arv--- �. - )!: ;. ,�. � ; <br /> Asseasor's Prope�Tez�o�attecn revamasa�r�on_ AdEress ,_' � °-�t l '� ��, <br /> i; <br /> �.,:,��-U�.���=.�'..__LJ�;. �__ Ciy�, ,' i �Iv State ,;y 2io y:���'l: I <br /> Servici�Electric_UJili�y__�,;: ; ,.. /�i_,r: Phone ( �';' / 1 '����� - '"!��, i <br /> Federal ID#or SSN <br /> C. If Sinple Famlly,Zero lot Line or D. If MuIllfamily(R•1) <br /> PlenneA Unll DevelopmeN Total p ot Buildings , <br /> Tolal Conditioned Floor f+�ea � <br /> �(7�J___sg.(L. TotalpolUnits _ <br /> Second_Dupiex Unit .___ _sq,ft._ Tot@I sq.It.(optional)__ <br /> . I�AT� , : �4�.. �1 <br /> A. Primery Space Heat Type 8. Baek•UP Space Heat Type C. Water Heet Type <br /> (check one) (clreek el Ihal epplyJ (check.+ne) <br /> _. . . _— _ _.__ . _ --__- __ ._—_ - . .._ ..- _ '—_ � <br /> ❑ Electric8aseboard ❑ Nune �-Eledric <br /> �'Electric Wall Healer ❑ Wood ❑ Gas � <br /> ❑ Eleclric Fumace ❑ Eledric Baseboard ❑ Other�specrty,.ebw� I <br /> ❑ Electric Heat Pump ❑ Other�sPearyoemw� �� <br /> ❑ Ofhn_r <br /> ... ��. _ _ �,. • �� _y� I <br /> Thla building meets 1he WSEC CompllenCe Method Date ol Permii Application �, ���. 7`? ' <br /> Elec�ric ❑ Prescriptive Palh Date Building Permit Issued t.�F�%�" ��i�_ �, <br /> ,-,,� e_''__' <br /> ❑ Olher Fuels LY Componenl Pedormance Date ol Insulation Inspec!ion__ H—++`,��_,'_�� . <br /> rnquireme�rta of�ha WSEC. ❑ System Analysis Date ol Fnal In�ection i ! i J-�:.j�_ � <br /> I hereby certlty thef fhls bullding or addlNon hea been lnapectetl lor fhe measuree rpulred , <br /> by fhe 1991 Weahington Stefe Energl'Code(WSEC�,tbet If la In au6sfenUal compllenre � <br /> , <br /> . wlfh fhe�SEC,and fhaf the WgEC cheekllat lor fhls bulldlnp Is on llle. � <br /> . ._ _. _ _.`- _.__—_ _.. .____._ .__. .__ . _.____'. . _—_. I <br /> S�igna�ure�BwN:�ng Olfmial ar AwnorirnE RepresonlaUve �a�e ' <br /> Re�um white tapy to: Nathleen Skaar, INashington Stato Energy Olfice. 809 Legion Way SE,FA41, Olympia,WA 98504�1211 � <br /> WSEO�Whrte Copy UfiLty,pvnw-Canary CopY ✓unsOMron-PinF COpy '� <br /> )9t I <br /> . . �. . . . �.-.... - <br />