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� s��?� ACtivlty/Pf rlt # <br /> NWEC Lowrise Residential Compllance Check Iist <br /> Electricell hsated dwellln s,s 3 storles, Zone 1, Weatern Weshin ton <br /> FORM INSTRUCTIONS: plaaso re�e betors completlnp lorm <br /> �:< <br /> � FIII In eil sheded Infortnallon bozes that epply to your projeq.pu.Lnt plece merks in the���two ie�t side �- <br /> columns lebeled'COMPLIANCE REOUIRED'end 'INSPECTION APPROVED'.Sinca this lorm <br /> wlll be evelueted lar compieteness,you can avold unecessery permit delays by carefully provitlinp all ���- <br /> required Inlormation.You mey dlsrepard IMormatbn requeatea thel don't address your partkular <br /> bulldirq or equipment. <br /> 2 Stafi members will help with peneral questlons aboul flilinp out this form.However,fl Is your <br /> reponsi6111ty to provide speciflc Infortnallon for heatlnp systems,glezinp,Insulation,and other <br /> buildirq speclllcations.For specllic requirements,refer to the Northwest Enerp/Code, 1987 Editlon. �: <br /> This lorm wlll ultimatety be ihe basis for ali NWEC Iield Inspections.You can avoid problems by <br /> saekinp epprovel for any substitutions before Incorporatirp them into Ihe pro�ect.The bulldinp o�ficiai <br /> may reqvlre thet you substantlate complience clalrr�s about bullding producls or technlques by <br /> providinp tlocumentation Irom approved testinp apencies or code authoritles such as�CBO. <br /> 3 � When your permlt Is Iscued,you will receive a copy ol this lorm. Boxes will be checkod untler <br /> 'COMPLIANCE REOUIRED'indicating NWEC requlremems that must be Incorporatetl into this <br /> proJed.Eech chedced requirement will be svaluated by Ihe building Inspector and,when deemed <br /> ncceptable,narked approved In the 'INSPECTION APPROVED'column. <br /> >$ <br /> DATE ' �Clty �� . .. Counly ���/1w4�SH �. <br /> NAMEi�-«�'�� E'����� BUILDING ADDRESS LOT N_ <br /> 9UILOING,,,___T,,,(((YPE: ,,,,,,___,,,/// COMPLIANCE PATH: . <br /> ¢tNew Residenllal: y0.Single Fam. Chapter 6(<5000 Ft2) ,;,: <br /> ❑Remodel O MWtI Fam. Component PeAormance Chp5 � <br /> ❑Addltlon ❑ A StoAes_(s 3) Systems Analysis Chp 4 ��: <br /> � Polnls Syslem Chp7 ?� <br /> ��$¢ r,:� <br /> �:� xil .Sy`pF...F�' , ad� <br /> Heatlnp System Type: NQTE: Au non•eiectrlcaity naered A° <br /> Eleciric: d dwo111nD�mwf tomply w11� fhe <br /> �Base board qForced alrfurnaco R�� 1986 Wa��lnpfon Sfafe Enerpy <br /> �Heat pump �Zone healers Wi1��� � �' Cod��nd other ordlnences of fhla <br /> D Olher 1���� <br /> WEE!AVRIL�0 <br /> NWEC plen revlew: (Depahmen�use only) <br /> Approved 6y Date pape t of 7 <br />