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� C '7 <br />e� n <br />>� <br />C��+ <br />."� H !/� <br />C" <br />H �3 <br />y zH <br />K � C7 <br />� <br />O y� <br />oyc <br />��g <br />c� � c� <br />r C <br />z � ._ <br />r�� <br />� -_ <br />�J U_ <br />0 <br />c� r_. c: <br />3 C :' <br />C7 _ <br />�� c i: <br />�� � <br />�� <br />� <br />i j <br />Activity/P mit # <br />NWEC Lowrise Residential Cc�mpliance Check list <br />Electriceliy heated dweliings, s 3 storles, Zone 1, Western Washington <br />FORM� TIONS �� ,�, Please read before completing form <br />a4�d3r:, <br />1� � Fill in all shaded InlormaUon boxes that apply to your pro�ecl. I�Ilnnl place marks in the htio Ielt side <br />�—� columns labe�ed " COMPLIANCE RE�UIRED" and "INSPECTION APPROVED". Sin�4 this form <br />will be evaiu•.ted tor completeness, you can avold unecessary permit delays by carel��ly providing all - <br />requirP' ��:. �mation. You may disregard iniormation requestes thal don't address your particular <br />j building or eqc'oment. <br />�/ <br />n <br />Sto I members v ill help wilh gereral quest(ons about tilling out lhis farm. However, it is your <br />reponsibilily to p,ovide specilic information lor healing syslems, glaziny, insulation, and othor <br />building specification:. For specific requiremems, refer to the Northwest Energy Code, �987 Editinn. <br />This torm will uttimately be the basis lor all NW EC fiold inspections. You can avoid problems by <br />seeking approval tor any substitutions betora incorporating them Into Ihe projecl. Tho building official <br />may require Ihat ycu substanliate compliance ciaims ahout building products or techniques by <br />providing documenlation Irom approved testi��g agencies or code autherities such as ICBO. <br />When your permit is issued, you will receive a copy o1 this lorm. Boxes will bo checked under <br />'COMPLIANCE REQUIRED" indicating NWEC recuiremenls that must bo incorporaled into this <br />project. Each checked requiremenl will be ovaluatod by ihe building inspector and , when deemed <br />acceptable, marked approved in tho "INSPECTION APPRQVED" column. <br />DATE •5 L S �7� CIt <br />nt <br />NAME��.��_' ��01' 1`^'� BUILDING ADDRESS �L•'-" ����5�✓��`��' �/� LOT #_ <br />BUILDING TYPE: COMPLIANCE PATH: <br />� New Residenlial: � Singla Fam. ❑, Chapter 6(< 5000 Ft2) <br />Remodel b Multf Fam. � Component Perl�rmance Ch#5 <br />�Additlon ❑� Storios__ (s 3) Systems p.�alysis Chil 4 <br />� Pain!� System Chp7 <br />� ° � IE,'�eating System Type: <br />+ Eloctric: <br />OBase board �Forced air furnace <br />OHeal pump [�Zore healers <br />� Other <br />NWEC plan revlew: <br />Approved by_— <br />NOTE: All non•olectrlcaUy heated ��1 <br />dwellings must comply wlfh fhe b <br />axs , <br />� ,;: <br />1986 Washington Sfate Energy z. <br />Code end other ordlnances ol fnls �k�, <br />Jurtadlctlon. � " <br />� <br />wEEs �rpll oa <br />U5� OfllY� <br />Date_ p�g� t ot 7 <br />