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Permit Number: C I� D7�o3 <br />General InformaUon <br />Address: �iZyiZ RVCKE2 AV� <br />Check the box for the applicabie: <br />Job Type: <br />Hsetlrq Fuel: <br />Hestlrp System: <br />❑ New I�dd'Aion ❑ Remodel <br />[)"Electric ❑ LPG (Propane) ❑ Gas <br />❑ Forced Air QRoom Heaters ❑ Hydronic <br />Condilioned Sq. Ft.: <br />❑ Other Fuels <br />❑ Other <br />16 <br />Qualification Optlor►S <br />There are 2 different qualification options, one is bas��d on a Prescriptive Approach, Chapter 6, and the <br />other is a Component Approach, Chapter 5. Chapter 6 approach includes a Table of options, one of which <br />you will seled for your particular design. Choose a compliance option that best suits the economics and <br />design of your project. The Chapter 5 Qualfication Fortn is a second complia�ce approach and allows a <br />builder more flexibiliry for altemative methods of construdion. The Chapter 5 and Chapter 6 Window and <br />Door Schedules provide an outline to assist you through the spec�c calculations and requirements for <br />doors and class. Chapter 5 irKeracUve fortnats ere availeble onN�e � www.enerGY.wsu.edu <br />Responsibility for i�ortnetlon <br />Afthough designated Department staff members will help you with general questions about completlng this <br />fortn, it is ultimately your responsibility to provide detailed infortnation about heating systems, glazing, <br />insulation and other requested buiiding specifications. Since these forms will be evaluated for <br />completeness and accuracy, you can avoid unnecessary pertnit delays by carefully providing all required <br />information. Disregard items that don4 address your particular building or equipment. <br />Design Changes <br />Be sure to get prior approval from the DepaAment if you wish to make changes in your project duri�g <br />construction. <br />COdB BOOkS <br />For more detail, refer to the 2009 Washington State Energy Codo, this oode may be obtained, (or free, <br />from Washington State University's Energy Program websfte (www.enerqv.wsu.edu). This website <br />includes forms, useful links, and downloadable versions of ihe WSEC. <br />�PermN Servioes. Dawson Buildin0� 9651 NE 182nd Stree1. Pha�e (425) IB6-8152. FAX (125) 4862489. Fa more Ydortne6on. <br />pleaw conlecl e P�mmil Technidan. PertN1 irneke and iawianoe han e�e Mon1eY tlxa9� F�idaY. 9:00 am - 4:0 0 qn. <br />Cnv of BaM� �rRmeins ero required ta rtwsl iMakes. <br />Pepe t of 9 <br />ERective 1f2612011 <br />