Laserfiche WebLink
1 • <br />� ��.. <br />., <br />.. .. <br />r■ <br />Building Record <br />(pl e check oneJ <br />New Bullding Additl�n over 50� gq• n• <br />Jurisdiction: � t'. �-fr <br />i�_� rr %cs_L � <br />Ip ease cneck ane: Ciry ❑ County <br />A. Site Iniormation <br />Address �J 22�n – ' <br />�•... ..on ��I-Y� Zio � <br />ASS85SOf'S Pf0 8rt Tdx # or attach le al descn fion : <br />�4��� - <br />Servicinq Electric Utility O <br />C. If Single Family, Zero Lot Line or <br />Plenned Unit Development <br />Total Conditioned Floor Area /2 � sq. tt. <br />Second Duplex Unit f� 36 Sq• tt' <br />A. Primer� Space Heat Type <br />(cheek ens) <br />❑�. rElectric Baseboard <br />li� Electric Wall Heater <br />❑ Electric Furnace <br />❑ Electric Heat Pump <br />❑ Other <br />� �Y.,h � . <br />(please check one) � <br />❑ Single Family Duplex <br />❑ Multitamily ❑ Zero Lot Line Home <br />❑ Planned Unit Development <br />Permit# ��/� <br />File ID #(il dinerent Irom Permit XI <br />B. Owner Informetion <br />� ., ... <br />i�/i/i�/.i%i�� <br />. .. ���� <br />' .. • t/JL/—y�����/r/. /.t �i <br />�i. i .r«]�ii/i�.i� r ' <br />.,. �. , / , /' <br />D. If Multifamlly (R-1) <br />Total # ot Buildings <br />Tola! # oi Units <br />Total sa ft (optional) <br />B. Beck•U� Space Heat T�rpe <br />(eheck e tM1at epply) <br />None <br />❑ Wood <br />❑ Electric Baseboard <br />❑ Olh2f (specilybelow) <br />^��M' a � -��' �:�"�f'a .�r. <br />This,-b,/�lld�ng meets the <br />LJ Electric <br />❑ Other Fuels <br />requirements of the WSEC. <br />WSEC Compllance Method <br />❑,�� escriptive Path <br />L�l Component Performance <br />❑ System Analysis <br />C. Water Heat Type <br />(c k one) <br />Electric <br />❑ Gas <br />❑ Othef (specilybelow) <br />������IcA� � ,� <br />Date ol Permit Application 7�/ � <br />Date Building Permit Issued �/J�'%�T. <br />Date of Insulation Inspection ih�'��"a <br />Date oi Final Inspection / � /�/ �'�—Mff <br />! hereby certlty that th(s buflding or addition has been inspecied /or the measures requi <br />by the 1991 Washingto tete Ene,r,xg Code (WSEC), that !t Is !n substantlal compliance <br />w!t the WSEC nd , the W heckllst for thls butld7ng !s on Ille <br />_,�. _ Dr : , , �i�=�-- /� , /c —�'c l _— <br />OHicial br Aulhbrized Representative <br />oai� <br />Return white copy to: Kathleen Skaar, Washington State Energy Office, 809 Legion Way SE, FA-11, Olympia, wn anau• <br />WSEO - White Copy <br />Utility/Owner- Canap� Copy Jurisdiction - Pink Copy <br />7 92 <br />