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J <br /> L:) la'l� �yl <br /> Ax)x I <br /> � y� WASHINGTC)N '� � At18ChnflM B <br /> y � " � Buil�ing Record ��« <br /> o x o co� <br /> '� � H �oG�a�n <br /> yz <br /> � �. _ _ __. � CLA�difICAT10M �'� �. `' � <br /> - <br /> H C7 .. � . . . . - - , <br /> OH <br /> � O <br /> j py g (please check one) (please check one) _ ti, <br /> H" � �New Buildfng ❑Addltlon over 500 sq.tt. �Singie Family ❑Duplex <br /> a y� Jurisdiction: �erett ❑Multifamily ❑Zero Lot Line Home � <br /> � <br /> Planned Unil Development <br /> g� y �X iCity ❑Caunty Permit# 37H00 '� <br /> �„� please check one <br /> O l7 CA FiIB ID�(ildiHerant hom Permit A1 'j <br /> �+ *� p�� ee��x^rv g <br /> yby �,�„a_i,trs:� .:�,;'gt's`" t�..i� �.YYwO�n�c��T't v�t� a ^T�'���SY.�".:"�'Y ,..,A . . <br /> ''�$�4"& <br /> HO (n i <br /> A. Site In(ormetion B. Owner Informatlon <br /> Address �-� �� ��•YlZ K2� Owner (amerarn'mearca,sm,crbnreceivasufiMyoarmenU <br /> F^c (Nor�n "ch�il�) � <br /> CIIV �arattm WA ZIp �P203 COitlpBfly NSC . <br /> Assessor'si'ropertyTax#�orattacnieaaldescdurmn): Address ro twr. 3�7a <br /> _ �,_ Ewiett gfatQ WA Zjp 90203 - <br /> Servicinp Flectric Utilit� Sno cb eo� _ Phone ( �nG ) 3AR-P309 . <br /> Federal ID#or SSN <br /> C. If Single Family,Zero Lot Line or D. If Multifamlly(R-1) <br /> Plar..�ed Unit Development Total#of Buiidings <br /> Tolal C mditioned Floor Area ►9 I� sq,ft._ Total#ot Units 'd <br /> '�1 Secoi�+�����=x Unit sq fL Tota1 sq.�optional) <br /> �aI ; l�AT SOURCE _ .. ,...� _. ..- .,� '. <br /> � , A. Prfmary Space Heat Type B. Back-UP Space Heat Type C. Water Heat Type <br /> 1 ' (cheak oneJ (check al that applyJ _ _ (cheek oneJ . <br /> � ❑ EleclricBaseboard �None �Eieclric : <br /> '�' � Electric Wall Healer ❑ Wood ❑ Gas <br /> ❑ Electric Fumace ❑ Electric Baseboard ❑ OlhB�(specitybelow) <br /> ��� ❑ Electric Heat Pump ❑ Other�spec��yeoiow� _ I <br /> � ❑ Other _ _ _ _ <br /> �� <br /> � %COMPLIAMCE INSPECTIOtUENFORCEMENT '� <br /> — <br /> '�' This bulldfng meets the WSEC Compllence Method Date of Permit Application �"L <br /> ❑ Electric ❑ Prescriplive Path Date Building Permit Issued �i („/�JZ <br /> ��' ❑ Other Fuels �Component Periormance Date of Insulation Inspection [���. - '� Z <br /> requirements ot the WSEC. ❑ System Analysis Date of Final Inspection _ - i `> � <br /> ' 1 1 hereby cerN/y fhat fhls bufldln�or addlNon has been lnspected/or the measures requlred � <br /> �' by the 1991 Washington Stafe Energy Code(WSEC), that it(s!n subsfantlal compllanre � <br /> y�lth fhe WSEC,and fhaf the WSEC checkllst/or fhls bullding!s on/lle. <br /> ;�1 ' a <br /> �._--` �- � -- �—�-- — <br /> Signatu"ro ol Building Olfidal or Authorized Represontativa Date <br /> Relurn whtlo copy lo: Kathleen Skaar, Washington Stato Energy Oflico,_809 Legion Way SE.FA•11. Olympia,WA 98504-1211 <br /> WSEO-Whifc Copy Ufility/Owner-Canary Copy Jurisdiclion�Pink Copy <br /> 7 92 <br />