1716 SCENIC DR 2018-01-02 MF Import

Building Record _i r, •• r (pease one) w Building Addition ovV 500 sq. tt. Jurisdiction: please check one: CIN ❑ County A. Site Informationel _ �--�— Address / w/ D DY/ CiN Assessor's Proloertv Tax# or allle aldescLion z i I Servicing Electric Utility C. If Single Family, Zero Lot Line or D. Duplex Planned Unit Development F First Duplex Unit A. Primary Space float Type (check one) lectric Baseboard Electric Wall Heater ❑ Electric Furnace ❑ Electric Heat Pump ❑ Other 9a�se check one) Single Family ❑ Duplex ❑ Multifamily ❑ Zero Lot Line Home ❑ Planned Unit Development Permit 7-/ File 10 # (if dillarent from Permit #) B. Owner Information • B. Secondary Space Hoe Type (Check esf W401Y) ❑ None ❑ Wood ❑ Electric Baseboard ❑ Other (specify below) E. If Multifa ft. I Total # of C. Water Meet Type (check one) ❑-Ere ❑ Gas ❑ Other (specify below) (for HM Pump Only) WSEC Compliance Method This huilding meets the Date of Permit Application Prescriptive Path ❑ electric Date Building Permit Issued ❑ Component Pertcrmance ❑ other fuels Date of Insulation Inspection 7 - r -A - 9,f__ ❑ System Analysis requirements of the WSEC. Date of Final Inpection 5r -16 -4S I hereby certify that this building or addition has been Inapected for the measures required by the 1991 Washington State Energy Code (WSEC), that It Is In substantial compliance / 1thh time 1WSEI nd thaylhrWSiT checklist for this building is n fl n re of Building Otfici uthorized Representative Date I Return canary copy to the servicing electric utility to trigger WSEC compliance payment Return white copy to: Kathleen Skaar, Washington State Energy Office, P.O. Box 43165, Olympia, WA 98504-3165 WSEO - White Copy Ufility/Owner - Canary Copy Jurisdiction - Pink Copy 12.92