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.. z ..`� � <br />Date.........��...�......7.' ,� ................................................ <br />AppliwtionlPermit/ ............................................................ �IiGC CODIPLI,\NCE <br />Owner.....�Y..!:21.''.7.........5..%/i/.^':C'7Z-- ..................... � i <br />� ` ��=y(_ �, ; <br />y . ,. _ <br />l; I L..... �.�(�.-.�.�N!.�....L.I..`�..:...... �' � (._(��� r� <br />Site Address ...,� ............. <br />.assessor's Pro�erty Tax Account No: --- <br />. .. .. .. .. .............. <br />.................................. ........................0 . .. . �j REQUIRGD <br />�PUD PLAN REVIL-li N0: US ll G03 <br />• � <br />• <br />. <br />• <br />. <br />• <br />• <br />• <br />• <br />. <br />. <br />. <br />. <br />� O Moisture Barrier <br />� O Perimeter Insulation R- <br />LOWa SE RESIOEYi�A� <br />1 • 'J�HN <br />,�� � f, :. <br />���� <br />� ... <br />Q Q 4' Gruvel &�sr. <br />InspectoYs ".nitials .................... <br />Date ADDrored .......................... <br />� i 0 Structural Panels � Formaldehyde <br />rJ �I,ySilllSole Plates Caulked <br />Q�/WindowlUaoN•value �1G"OC �tardard Framing <br />-/ (see reverse) <br />D�Window,DoorSealed �O�mherPenetrationsSealed 024"OCOAd����edFramin�� <br />�16"OC OI crmediate Framing <br />r <br />� �umbin�/Electriwl Penetrations �� <br />��¢at/Non•Heat R¢covery Ventilation Q O Crawl Space Ventilation <br />QCy7cecessed Lights-Cbl ri'all InsDeclorsPii6als .................... <br />Date MDrr�ed .......................... <br />-� � � � � <br />Q (�ali R • . �,3.._... ..... <br />� pNaulted Ceilings R - .. �••� ••••�• <br />Mechanfeal: <br />� p'�Ieaters <br />Q athraomlKitchen Exhaust fans <br />Q O� D/uct 1Nork <br />� �'Mechanical Ventilalion System <br />Q id'�ntake and Fxhau: t Openings <br />0 O� �Maintenance and Service Paneis <br />Q (y Ventilation Controls <br />Indoor Air �uality: <br />Q PSI.A.�. Information 1or Homeowner <br />� C°fRadon ManAorng Otter <br />��y nnic Vent Baftles <br />Q�por Barriers - W���s, Cei� ngs, : loors <br />Wea arstripDinqNaporBarrier. <br />0 Exierior poors <br />� �Windaws <br />� p'Electriwl Switches and OiM1let Plates <br />Q 92'Attic and Crawl Accesc <br />�Q Ground Cover (6 mil.) <br />� VJ PVA Paint <br />Plum6ing: <br />Q O Hot Water Heaters ;ASHRP.E 90g <br />Q O Boriomboards R• 10 <br />Q O Shower Heads ('2.75 Cpm) <br />� O Kneewalls R . .................... <br />Inspecior's In,Gals .................... <br />Date AGD'ove! .......................... <br />Insulation: 3 5 <br />� (9�Cttic iasulation R - .................... <br />QOFIcorinsulationR-.. •••••• <br />Q O Duct Insulation R••••.3 •••••••••• • <br />QQ'(�!pe Insulation R • .................... <br />� Q p.nic Hatches Baftled <br />FireplaceslWoodsfnves: <br />� O Fireplaces • daors <br />1980) � O Flue damDers <br />Q O Combustion air <br />Inspector's Ini6als .................... <br />Date PDDraved .......................... <br />