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��� <br />��x <br />C H <br />9N� <br />r <br />y�H <br />ft c� <br />H� <br />Ox0 <br />'i7H�J <br />V7 H <br />H tg" <br />�.��1 O [�7 <br />OH� <br />H�g <br />n � c� <br />ay�i <br />rHy <br />g�' <br />H <br />O C7 G7 <br />���1 <br />HO� <br />1 <br />� <br />WCI�CRY� <br />CO�E <br />PR�GRA��I <br />. <br />Building Record <br />wseoco�act# <br />Attxhment B <br />ClASSIFICATION � <br />_ � <br />(pMase check oneJ (please check onel <br />`�'+ New Building ❑ Additlon ovcr 500 sq. lt. �Single Family ❑ Duplex <br />.;_•isdiction: � �7 �- .' r �.4 , ' ' ❑ Mullifamily ❑ 2ero Lot Line Home <br />❑ Planned Unit C`eveloCment <br />City ❑ County Permit # � � �� ' `�� f <br />please check one: - <br />Pi10 1 D#(if di�lernt from Permi� #� _ <br />.—�–._ - ' Tu�. <br />� � ,�"� � �.��: ��� _ CON�TRUCiION � ( � <br />A. Site Iniormation <br />Address , : _/�' �� -- `= <br />CiIY ,' - � � "- �7` :' ZiP � �— - <br />Assessor's Property Tax ti /or artacn /egal descripGon)__ <br />._��i-�_==�J� �—_—% -- <br />Servicing EleclricUlility _,___ ___ ,_� �! _J_. ___ <br />B. Owner Informatlon <br />OWnBf (o�mnrafh'moolronshuc0onmativesuM�MParment) <br />- � � - <br />Cumpan5, <br />Address_;1L_/��r i'� .� <br />Ciry -=1 �— -'7 StatelU,� Zip �«,-� <br />Phone (-� ) :.�3 - Dr:',=� <br />Federal ID# or SSN <br />C. If Single Family, Zero Lot Llne or D. I( Multlfamily (R-1) <br />Planned Unit Development Total N of Buildings <br />Total Conditioned Floor Area_ .,� i'�� _ sq, fL Total � of Units <br />Second Duplex Unit ___ __ sq fl. Total sq. tt._ {oplional� _ _ <br />_ , <br />-- ----- - H�AT �OURCE --- -- ---- <br />� <br />A. Primary Space Heat Type <br />(cAetk one) <br />❑ Eler.tric Baseboard <br />(� Electric Wall Healer <br />❑ Electric Fumace <br />❑ Eleclric He2t Pump <br />❑ Other <br />B. Back-U� Space Heat Type <br />(check el fha(xpply) <br />❑ None <br />❑ Wood <br />❑ Electric Baseboard <br />❑ �fllBf (specilyb��low) <br />C. Water Heat Type <br />(cAeck oneJ <br />� Electric <br />❑ Ga� <br />❑ Olhef(specitybelow) <br />CO�+IIPLIANCE __INSPECTIONIENFORCEMENT_ � <br />This bullding meets the WSEC Compliance Melhad Date ot Permit Application - __ __ <br />�.Eleciric ❑ Prescriptive Palh Date Building Permit �,ss.�ed _,_ _ � '�,�1�. _ <br />❑ Other Fuels ❑ Componenl Performance Uate of Insulation Inseection__ � y-- >�= j 1 � <br />requiremenls of lhe WSEC. ❑ S; stem Analysis Date ot Final Inspection �7 -� ��' �� 5�. �� � <br />1 hereby certlfy that this b�rilding or addlfion has been lnspected /or fhe measures requlre <br />by tf�e 1991 Washfngton State Energy Code (WSEC), thaf !t is (n subsfantial co�npllenre <br />wlth fhe WSEC, and that fhe WSEC r,hecklist /or fhis bullding !s on 111e. _ <br />� / <br />,. <br />� ' { '-_`�. � � , . � . ' "._ _. <br />— _:�.. _ .._" '__" _ ' ' '.__._.... _ . ." "—_._—_. .___. __ .. .. _ _. <br />Signalym oi Buatling Oliir'.al or Amh nzed R�presentalive ���a <br />4 <br />ReNm whito copy lo: Kalhleen Skaar, Washington State Energy 011ico, 809 Legion Way SE, FA-11, Olympia. WA 98504-7211 _ <br />WSEO - Whdc Copy Utility,Owncr - Canary Copy � Jurisdic(ion - Pmk Copy <br />7 92 <br />� <br />