Laserfiche WebLink
� <br />- _�,% <br />Date ---�—�� ---`- �----•-----� �--- <br />Applicatian/PermA I ------_------�--------- <br />Owner_�_G—'�G.�. `_I=.UL_Lt-------.---- <br />Site Addres: __� �—U---_X ¢1U i..s;=�_ �5: `, <br />Assessor's Property Tax_Account_No � <br />`___`_: ��::�,., .,,, ���q1oiS.� <br />gaao <br />Site Address ............................ <br />o��r� aaenss <br />� <br />. l 0 W R 1 7 F 11 E 3 I D�� f M� T 1�. <br />Zip .................... Phone <br />. �.n r/o <br />c , T d'Lr , i ,�-- -, �......,.... ................................�---......._.. <br />BuilaerN� 2�.......+. S..t1.f. .. C ....... .. ....:. .. aaaress ........... .......................................... <br />Ciry..�.���...�.�.� a�..l�..�.�:.%:.� ............................................... Zip .....p.b....a�.....�.C�..... Phane ....�a.. `�.7. .�..-.,�.,�'..i... ��.................. <br />PpOJECT DESCHIPTION: <br />O New <br />Q Remodel <br />FIIEL SOUflCE: <br />O Ekdric <br />dLilion ,(,� q <br />G Condilioned Sq. Ft. ...f... � . �••• <br />HEATING SYSTEM TYPE: <br />Q Baseboard , <br />' O 00 O W�U hrater <br />� Q Gas C9'FurnaceAFUE ................... <br />mple Famiy <br />O MuRi•Famity <br />/ of Stories...�...':........... <br />I ol Unita ......................... <br />O Heat pump HSPF .............................. <br />OOther ................................................. <br />p jotal instalied waUs or BTU's ............ <br />. <br />. <br />. <br />. � <br />.............��...... v ...............�..�........... <br />. COMPONENT , <br />• � � � � , � • � F�«����o a.38. <br />� � '' Vaulled Ceiiinq R........... <br />�eck pM o10� Compfunu Opfion Baces below.lnserl tl�e wlues into Ooc number /. &lore complelin0lhis Wall R•� Z•J• <br />� sKtion nkrto the inslnxoonsan huk ol lo�m. Below G2de Wall: <br />El�el�le - Nwlhwest Enerqr Code, <br />Ch�pl�r 6 <br />Q Well Insulated Floor O Systems Anaysis, <br />Option �� C pter / <br />p WeA In�ulated Wall C'TComponent PeAormance, <br />OD�w� • Chaptet 5 <br />p passNe Solar Oplion O C^mpener.t?oint System, <br />O Hwt Pump Option Chapter 7 <br />Dale Permd Fnated .... . ••• �•••• <br />,.. I hereby certily Ihat Ihii dwellinp wae buiR in I <br />complWnce wrth Ihe NWEC. <br />..::..... ......... <br />Bmkinp Ot6cul or AuNonaed A 7eN �� <br />......:.. <br />......... ......... <br />ate <br />Olher Fu�l Soutcec - <br />Wuhinqlon SI�U Enerqy Code <br />Q Prescriptive ADProach, <br />Chapter 6 <br />Q Component PeAormance <br />Approach, Chapter 4 <br />p Systems Anaysis, <br />Chapter 5 <br />interior H............ <br />exterior R............ <br />floar R...� <br />Slab on Grade R............ <br />Doors 8 Frame U.......� <br />Giazinp U..•..�� <br />XGlazinp .�.�....'� <br />SolarAllawance/ ...........% <br />Airlakape �STU OADV <br />.......•. <br />I herehy u�iN b�� �e strucNnl D�^�� �^ll meel Ihe NWEC FormaWehYde «Quiremen6 • eilher IAe <br />HUD sundads or nurked'exlerinf or'e:posure 1' <br />Ownei or Aulfiod[ed Aqenl: <br />............................................................. <br />..................................................... �Qn�Wre <br />Pnnl Nune <br />h led resdenas. Permilrmusll� fssued bY 1��q1 �nd c� nstnx0'on fin�kd Ov e613092 in order la � <br />pwlity lor p�Ymenl. To I�ulilale D±Ymml, Ihe lollowinp inlormouon musl 6e Nkd out cdnDktdy_ _ <br />Mailchecklo:�Dkosev�np (ADDITIONS/RC�tODELS NOT [LIGIBLE) <br />.�'--- ................ Fed. Ta�c ID or SS/...................................................... <br />Addrzss <br />Ciry....... <br />N01F' A� IRS fom 1099 �'� M u�l 1i De en0 d P! Vur. <br />