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<br /> - ' Q�-Q � p f � � Activity/Pb-�•mit #
<br /> NWEC Lowrise Residentiai Compliance Check list
<br /> Electrically heated dwellings, s 3 storles�, Zo�e 1, Western Washington
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<br /> FORM INSTRUCTIONS: �����
<br /> Please read before completinp lorm
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<br /> 7 Fi1i in all shaded inlormation boxes lhat apply to your project.lln.n�t place marks In the two lelt side '
<br /> �" columns labeled ' COMPLIANCE RE�UIREO" and "INSPECTION APPROVED'. Since this form
<br /> � will be evaluated for completeness, you can avoid unecessary permit delays by carelully providing all :�.
<br /> required inlormation.You may disregard intormation requestes that don't address your particular
<br /> buiiding or equipment. i
<br /> 2 Sl�;' •iembers will help with general questions about filling out this form. However, it is your
<br /> � reponsibility to provido specific iniormation tor heating systems,glazing, insulation, and other
<br /> buildfng speciflcations. For specific requirements, reter to the Northwest Energy Code, 1987 Edition.
<br /> This form wiil ultimately be the basis for all NWEC fiold inspeclions. You can avoid problems by �
<br /> seeking approval (or any substitutions before incorporating them into the project.The building official s
<br /> may require that you substantiate compliance claims about building producis or techniques by �
<br /> providing documentation fr m approved testing agencies or code authorities such as ICBO. �
<br /> ; 3 ° When your permit is issued, you �vill receive a copy ot this lorm. Boxes will be checked under `�.
<br /> �,�•��;w 'COMPLIANCE REQUIRED" indicating NWEC requirements that must be incorporated into this
<br /> � project. Each checked requirement wili he evaluated by the buiiding inspeclor and ,when deemed �
<br /> acceptable marked approved in ihe INSPECTION APPROVED column �
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<br /> DATE 7-ZS-1'�Clty �.2'���-` j/ County YJVJ�Cf'I(SIT �it'°
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<br /> NAME �"ARb 14.1C-! r'nli�q�-��UILDING ADDRESS -���r ����+�/=�T ��LOT #_ .-�
<br /> BUILDING TYPE: COMPLIANCE PATH:
<br /> �New Residential: ❑,Sfngle Fam. [�, Chapter 6 (< 5000 Ft2)
<br /> Remodel Q( Multi Fam. �] Component Performance Ch#5 -
<br /> ❑ Additlon �] p Storfes�" (s 3) ❑ Systems Analysfs Chp 4 ,�-
<br /> � � Pofnts System Ch�7 �
<br /> 4+/�:e-<
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<br /> Heating System Type: : NOTE. au non-e�acrricauy heared "" �
<br /> Electric: .k„ �r,;;? dwelllnps must compty wlfh the
<br /> • : OBase board Forced air turnace „� 19B6 Washlnpton Stafe Enerpy � g
<br /> �Heal pump �Zone heaters � � Code and other ordlnances ol thls �:�
<br /> � �Olher , ;. lu�isdlction. �
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<br /> - WEE9 APBIL o0
<br /> NWEC p18n Ievlew: (Depariment use only)
<br /> Approved 6y Date '
<br /> Pago 1 of 7
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