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HxC�� <br />[s1 C�i <br />C�H <br />9 H fn <br />� <br />K�n <br />H� <br />�HKJ <br />H�C <br />�H�V <br />H�g <br />c�� qo <br />z H t�1 <br />z <br />HH <br />8 `� <br />��� <br />r <br />th <br />zr3cn <br />H O C/� <br />I/� � <br />� � � <br />��� <br />� <br />Activlty �ermit # <br />NWEC Lowrise Residential Compliance Check list <br />Electrlcelly heated dwellings, s 3 storles, Zone 1, Western Washington <br />, v ��,. < :.�.--:r:�.:.--:+::z <br />y �� <br />��w .. . . .. �ri�.�t ? . . <br />ORM INSTRUCTIONS ��}��` Pleese read before compleUng form v <br />� S�`i :� ,.4..._ . "'�. <br />I Il side <br />�--�-^^^^^^^^"'"'" � laco marks In tho lwo 0 <br />FIII In all shadod Inlormatlon hoxes that apply to your pro�nct. f]nnol P <br />columns labolod " COMPLIANCE R[DUIFlED" and "INSPECTIO n� de aOs b Dca oifully provldi A all <br />wlll be evaluatod for compleloness, you can avoid unocessary p Y Y <br />roqulrod inlormatlon. You may disroflard Inlormalion roquoslos Ilial don't addross your particular <br />bullding or oquipment. <br />Slalf inembors wlll holp wilh flonoral queslions about lilling oul lliis form. Howevor, it is your <br />reponslbiilly lo provido specilic Inlormalion lor liealinp systems, glazing, Insulalion, and olher <br />bullding specilicalfons. Far spocilic requiremenls, rofer lo tho Nortliwosl Enorqy Codo, 1987 [dition. <br />Tlils lortn W�fovelmor alny ubslll�u�lions bofolro Incorporltl � 0 Pliom Inlo Il�o p o� cl�Tlierbuild ng olliclal <br />sooking app roducts or lochnlyuos by <br />may raqulro lhal you subslanUalo compllanco claims aboul bulldlnfl p <br />providlnp documontallon Irom approvod loslinp aponclos or codo aulhoiillos such as ICBO. <br />When your permit Is issuod, you will rocoivo a copy ol Ihis lorm. Boxos will be cliecked under <br />pro ecl EactCcheck�od roquDire oinl'wil��l bo o a ualod by I�ie'bulldfnc� Insp clor�andratW tlon`deem� od <br />accaplable, marked approvod In lho "INSPECTION APPROVED column. <br />.-... � i? Clly �'bi'"li i COUllly ,� �-,",,,_-, <br />DATE i� 73� Z <br />�-,�- • �� r„ „iu� LOT #.,. 4 <br />Hp��E F � �� i: �/,+.�.j I„ BUILDING ADDRESS -_ '�— <br />DUILDING TYPE: COMPLIANCE PATI1: <br />Resldonllal: �.Q Slnflio Fam. ❑ Cliaplar 6(< 5000 F12) <br />❑ Now Com onent Perlormance ChN5 <br />�Ramodel ❑ Mulll Fam. � P <br />p Storlos_ (s 3) [v�� Syslems Analysls Cht! 4 <br />� Addlllo� � Q polnls Syslom Ch!!7 <br />Heating System Type: <br />Elacldc: <br />�j�aso board ❑Porood alr lurnaco <br />D�io�� P�mp •j�'Zono lioa:ers <br />[]Othor <br />NWEC plan revlew: <br />Approved by <br />. ., .:, .. .,, � . , . �.. , . <br />, , �s( , <br />NOTE: All non-electrlcnlly heafed , � -. <br />wlfh tho ; a; <br />dwollings musf comply �;•r <br />1906 Wnshinglon Stnte Energy �a; <br />Code and oU�er ordlnancos of fhls �4 ,, <br />Jurl�dlctlon. 3 L _ �i� ''. <br />}.`�3T� "a.ijXtji) 5 3wY� `4� 1 Y''nni3%.� <br />WEEB API11L 00 <br />USO OI11y� <br />Dnte ppgo 1 of 7 <br />