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<br /> NWEC Lo�nrrise Residential Compliance Check iist
<br /> ��s Electrtcal:y neated �'wellings, s 3 stories, tone 1, Western Washington
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<br /> ' ����f��'' Please reed belore completlnp lorm "
<br /> ,."a zo FORM INSTRUCTIG�NS ;�>,d �f�r
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<br /> � H� � Fill in all shaded Infortnation bozes ihat apply to your projecl.i�nrmot place marks in the two left sid� ,�
<br /> h �r~" columns labeled'COMPLIANCE REOUIRED" and "INSPECTION APPROVED". Since this form
<br /> � o� ":_,' will be evaluated tor completeness, you can avoid unecessary permit delays by carefully providing ali ,,�
<br /> p i.i3.,g � � �'- required inlormation.You may disrepard inlormation requestes lhal don't address your particular 3�.
<br /> , ' building or equipmenl.
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<br /> z r-�� 2 r` Staff inembers will help wilh general questions abovt tiiling aut this form. However, it is your `�,
<br /> r H y ��: roponsibility to provide specitic Information for heating systems, glazing, Insulation,and o:her ;
<br /> gy H E building specifications. For specific requiremeNs, reter to the NoAhwesl Energy Code, 1987 Ediiion. ;;
<br /> � b� � � This torm wiil ultimalely be lhe basis for all NW EC field inspections.You can avoid problems by (
<br /> ` : seeking approval tor any substitutions before incorporating them into the pro�ect.The building official
<br /> � �� may require ihat you substantiale compliance claims about building producls or techniques by
<br /> .z-7 0� providing documentalion lrom approved testing agencles or code authoritles such as ICBO.
<br /> j 3 [; When your permil is issued,you wiil receive a copy ol Ihis form. Boxes will be checked under
<br /> �•� 'COMPLIANCE REQUIRED" Indicaling NWEC requfrements Ihat musl be incorporated into this
<br /> , project. Each checked requirement will be evaluated by the building inspeclor and ,when deemed ��,:
<br /> acceptable, marked approved in the "INSPECTION APPROVED"column. � i
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<br /> '' DATES '-f-9a Clty � County n � �,
<br /> NAME �4'' �9'' � BUILDING ADDRESS /�Z Z�� T `� �✓LOT k_ ?':
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<br /> BUILDING TYPE: COMPLIANCE PATH: �°
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<br /> E� ❑NeW Residentlal: � Single Fam. 0 Chapter 6 (< 5000 Ft2) ,.
<br /> �- ❑ Remodel ❑ Multi Fam. Componont Pertormance Ch#5
<br /> � Additlon ❑ N Srories_(s 3) � Systems Analysis ChN 4 t
<br /> � Polnts System Chq7 ^'�
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<br /> � ' � Heeting System Type: NOTE: Au nan-slectrlcalry heated
<br /> '� Eleclric: dweflings must comp/y wlfh the
<br /> 1966 Washington State Energy
<br /> OBsse board OForced air furnace Code and ofher ordlnances of thls
<br /> . ' OHoat pump [�Zoneheateis turtadictloa ;
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<br /> WEEe APPII YO
<br /> NWEC plan revlew: loepanmont use oniy)
<br /> Approved by D�te pepe t o1 �
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