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G <br /> Da�e-------� —1� � ____ . ,�:�,�%�. . � <br /> _ .--� -------- . -�n�ta coo��,,r <br /> � - • :;; <br /> APPlicationA'ermit/.------------- ----------- .::. <br /> /I '�. lOWpiSE FESIOEMiIAL ' <br /> Owner_(���L����.�--�/�.5�` <br /> Q � � . i � • 1 <br /> SAaAddress_���Q_.__..T1GJ�AIr.�--�.L.v. :>:. � oif KF <br /> ^ ,:.:.. .;:;' r "' <br /> �Assessor's Property_Tax_Account .No__�Q �'7 � ���`�7���.5 ''::,.;. � <br /> 'pUD PLAN RCVIEW N0. OS�'I�O /3G ����40� '"`"� <br /> � D . T l9-� � ,. i¢d . .. . .. <br /> ... ... ................................ <br /> � Si1e Address ......... . J �. .... .....1 ....................�........................................ ... ............ ... ... <br /> , ��3................. ...... • �� _Zy� <br /> Owner'sAddress......... . ? ✓L!Q�.?�......Zip.. ���Phone.. .. <br /> . .. cm�...�..... ........ � �. <br /> ,S�Ail��.................................... .... ........................... <br /> � Builder. e�2/!r/LiL���......:.Address...��...../.�yb....................................................................................... <br /> /�� �R�.......... ..........�......... q o <br /> � C'rty...(,f�'•�'�^•..:'•'•d..t.�.......�G.�.��.............................Zip....�'/�f..�.............Phone...._�../...�...�GJ..�.�.................. <br /> • <br /> • <br /> • pp0'iCT OESCHIPTION: inqle Family � /ot Storics..........:........... <br /> ' Q New ddition <br /> � /ol Unils......................... <br /> Q Remodei G Conditioned Sa.Ft........I..L. O�ufli•Famiy <br /> � FU OURCE: HFATING SYSTEM TYPE: p Heat pump HSPF .............................. <br /> Electric O Baseboard <br /> • O Oil O Wall heater O Other................................................. <br /> . Q Gas O .rnace AFUE................... O Total inslalled wa�:�r oiL"s............ <br /> � _ <br /> � . <br /> • �. . . . . . . . . . . . . . y3g . .� . . . . ,� -�S <br /> . Y . • . s . • . . • <br /> �-(aS Q C i'7(.Jw�- T�n R" Z� ����.=w <br /> COMPONENT , <br /> • �� � • ' . � . � F4�t Cei�in� R.'...��..�. <br /> Vaulted Ceiling H......l.j... <br /> Check one al Ne Complianu Oplion Boxns below.Inser�the vilues inta boz number C.Belore completin�Ihis �yall R-•�•�•••• <br /> - section rzler lo�he inslrvc�unsnn back ul lorm. <br /> Below Grade Wall: <br /> Electtic-Northwesl Enerqy Cade, Other Fuel Sourca�- interior R............ <br /> Chapter 6 � Washinqtan Stale Enerqy Code ¢�erior R....i....... <br /> Q Well Inaulated Floor O C S�e er 4 nalysis, O Chapter�6 Q ADPr���h Floor R•�J� <br /> Oplim Slab an GraAe R............ <br /> Q W!II Insulated Wall omponent Pertormance, O Approach,�Chapter 4anCe Ooors 6 Frzme U.:..`.?��• <br /> Optia• Chapter5 Glazinq U..-..y� <br /> O Passive Solar Option O Compener.t Poinl Sysiem, O Systems Anaysis, •�Glazinq •+��•��^ <br /> Q Heat Pump Option Chapter 7 Chapter 5 SolarAllowance .� <br /> .......... e <br /> AirLeakaqe C�STD OADV <br /> � , <br /> o . . . . . . . . . . <br /> — , . , . „ , <br /> FOR DEPAHTMENT USE�NLY: <br /> AmouM ol Paymenl S........ ............................ I hereby ceeiry Mat Ihe stmcNral Dmels w(II meel tlx NWE oimaldehyde r�rements-dlher Ihe <br /> HUO standaids ar nurked'eKterinf or'ezposure i' <br /> 0 ner at Aulhori ed Rqenl: <br /> Date Perme Issued...:.. ................................ � Sr.�............... . .. .... ... .t/..'•'•�•`•...^....� <br /> ,/ ...... <br /> ..A..Q./. . l....E�:y..'.. , «� <br /> Ptint Nun[ <br /> DalePermitFnaled.....:....:......................_.. Theioaiiurisdicuonhiectrwuoiirywinm�kea y�YmenitoeilherlhebuilderorownerlorneweleclricalN <br /> � � hraled residences.Permii mus�be iuued by 17/31A1 and consinx6on finiled by N30A2 in order�o <br /> � � � pwliry lor p�yment.To lacili�le prymen�ihe lollavnnp inlertn�0on musl be filkd oul canOklely_ _ <br /> Iherebyceeifythatihisdwellinqwas6wYin -Mailcheck�o:(ple�sepdN) (qDDITICNS/RGtdODGLS �OT GLIGI6LG) <br /> compl'unce wnh the NWEC. <br /> Name................................................Fed.Tau ID or SS�...................................................... <br /> ........._......._........... <br /> .............................._........... <br /> B��Idinp ONiwl or Autharited Apenl Addfess................................................................................................................................. <br /> .........................................._......�_. <br /> .....�........ City........................................................................................ Zip.......................................... <br /> D�@ <br /> HO1F.ti+IRS Fam t D�S wn pe vnt�t nr en:N�e�e�r. <br />