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U S — � j � � Activity/P� mit # <br /> NWEC Lowrise Residential Compliance Check list <br /> Electrically heated dwellings, s 3 stor�es, Zone 1, Western Washington <br /> yC�H <br /> � t+r'1� ._ _ . . . .. <br /> _.._ . . . .. ,. -.�c 1��.sx.. aY'3� . .. S..'°,e�. ._9 ::�.......: <br /> � �N FORM INSTRUCTIONS � Please read betore completing form <br /> � ym , _, ` r: <br /> r+ � 3 � �` Fill in all shaded inlormation boxes that apply lo your proJed.Rano!place marks in the Iwo 13ft sido <br /> K � o� � columns labeled"COMPLIANCE REQUIRED"and "INSPECl10N APPROVED". Since this (orm <br /> o x o L o ; V will be evaluated tor completeness,you can avold unecessary permit delays by carelully providing all <br /> '� �+'� Y;� required inlormation.You may disregard intormation requestes that don't address your particular <br /> � z� building or equipmenl. '` <br /> o H � � I 2 I Stah me �bers will help with general questions aboul tilling out thfs(orm. However, it(s yocr <br /> � �g �� �`^� raponsibility to provide speniic informalion lor heating sys�ems, glazing, insulation,and other <br /> �" � � "' ' b u i l d i n g s p e c i l i c a t i o n s. F or ,,,acific re quirements, reler to the Northwest Ener g y Code, 1987 Edition. ,� <br /> z H� ' This lorm will ultlmately bo lhe basis lor all NWEC field inspections.You can avoid problems by " <br /> � y z ` seeking approval lor any substitutions belore incorporating them into the pro�ect.The buflding oflicial '� <br /> g yi3 may reqWre that you substantiale compliance claims about building products or techniques by ? <br /> �d y s groviding documenlation irom appioved lesting agencies or code aulhorities such as ICBO. <br /> `M <br /> ��r �- z <br /> ta � 3 � When your pennit is issued,you will receive a copy of this form. Boxes will be�,heckad under <br /> y O vi �'•J "COMPLIANCE REQUIRED" indicating NWEC requlrements that must be incorporated into ihis <br /> project. Each�hecked requuement will be evaluated by the building inspector and ,when deemed <br /> C� ar.ceptable marned approvod in the 'INSPECTION APPROVED"column. ! <br /> , <br /> ^,.:xsx..xe """:;`t .!•-. • <br /> ' � <br /> ��� <br /> ,..< , :w .,._o.,. ., � „ _ ., ,...., - �... - <br /> DATE/0 3- 5�..CIIy ,.CtiU�-�-� County ,. �Niuf�LM'�S .._ . . <br /> ��i <br /> Jt <br /> , �� <br /> NAME �'7u:-ilA£�— h<<� BUILDING ADDRESS 3J � � SN�vt7 S %LOT ti_ <br /> BUILDING TYPE: COMPLIANCE PATH: <br /> I+ �t�lew Residential: Sinylo Fam. 0 Chapler 6 (< 5000 Fi2) <br /> (� �Romodel � Mulll Fam. �Ccmponent Perlormance Ch#5 < <br /> 0 Addition ❑ t! Storios__ (s 3) Systems Ar�alysis ChN 4 <br /> � Polnts System Ch#7 <br /> � � — <br /> , ��^ Heeting System Type: NOTE: All non•olectrlcally heated <br /> '� �' dwallings must comp/y wfth tAe <br /> Electric: 198G Washln ton State Ener <br /> � �� Z�= OBase board [�Forced air tumace A gY <br /> xrt OHaat pump �Zone heaters Cade and other ordlnences of th/s <br /> ° JurladicMon. ' <br /> ��� �Other <br /> r �.: : �h� ;� <br /> y...--/ <br /> WEE9 APHIL DO <br /> NWEC plan revtew: (oepanmont use oniyj <br /> Approved by _Date <br /> Pnqe 1 of 7 <br />