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� <br />x C'~�7. <br />r1y > y <br />'��"�H <br />9 Hx (/� <br />y z �-�+ <br />� H� <br />oxo <br />�H� <br />� �' r <br />e� o � <br />H t7 <br />�/1�g <br />y�Y Cp] <br />7., H 3 <br />E�y�z <br />E' <br />�yH <br />f] Cy �+ <br />��� <br />HON <br />Datu........_�`�..%�}._�..�I_�.____........_.__..........._..._.. _....._. <br />Application/Permit A ....__.._...--._......_._...------....--..--------�- <br />Owner _..�t.l_I_.�_ �.I.�GT r?1._. �`�...�� �--- ....................... <br />7� 5� �."._....t...Sk%.....Eli_--+.... <br />SiteAddress .............7......._.............. � <br />Assesso:'s Property_Tax Account No. <br />� —� ) <br />� Site Address �r.�:.7........:�:-�..`....�.....-,Cxt. 5.�............ f_.l5.�....� .................................... <br />Owner's Address .............p..................................... ........................ Ciry.................................... Zip <br />BuilderWS!`�:b`...�.?w..--�'...�.-..G�S-..:,?....... Address ..................................................... <br />. .Zp <br />. <br />rt y ................................... <br />............................................................. <br />. <br />, <br />. <br />• �mo°ra�s' <br />• PROJECTDESCHIPTIOH: <br />� O New p-Additian <br />�p Remodel �nditianed 54. ft..`.? 7.�...... <br />FIIEL SOUHCE: HEATING SYSTEM TYPE: <br />O Electric O Basehaard <br />� C Oil p Wall heater <br />• O Gas O Furnace AFUE ................... <br />Phone <br />G+-Sio'gle Family <br />O Multi-Family <br />r o� stories.....! ....:........... <br />d ol Units ......................... <br />O Hea7 Pump HSPF .............................. <br />OOther .............. .................................. <br />Q?otal inslalled watls or BTU's ............ <br />• <br />• <br />• <br />.•..•..••••.•••••••••��•.•.•••••.•...••••....•....... <br />Check one oi Ihe Complianu ODoon Bo:es be�ow. Iriseh the values into boz numher E. Befare complelinp this <br />seUion refer lo Ihe instrucnom nn back ol lorm. <br />Electric - Narlhwesl Enerqy Code, <br />Chapter 6 <br />Q Well Insulated Floor O Systems Anaysis, <br />Option Chapter4 <br />p Well Insulated Wall �ponent Pedormance, <br />Option Chapter 5 <br />O PassNe Salar Optian O C^mpener.t Point System, <br />O Hrat Pump Option Chapter 7 <br />FOH UEPAHTMENT llSE ONLY: <br />D te Perm'rt I sucat.§ ...................................... ', <br />Date PermA Finated ......................................... <br />I hereby cenify that ihis dwellinq was buiR in <br />campliance wrth ihe NWEC. <br />.................. _............................................»........... <br />Ouiidinp Ofikul ar Authonzed AAent <br />Olher Fuel Sources - <br />Washinqtan State Enerqy Code <br />Q Prescriplive Appraach, <br />Chapter 6 <br />O Component Pedormance <br />Approach,Chapter4 <br />O Systems Anarysis, <br />Chapter 5 <br />COMPONENT <br />Flat Ceiling R. �.� <br />Vaulted Ceiling R............ <br />w�u R...l.�..� <br />Below Grade Wall: <br />interior R............ <br />exterior R............ <br />F!aor R..�.�.?. <br />SIa6 on Gmde R. ......... <br />Doors 8 Frame Us.:��. <br />Glazinp U.� 3.7. <br />%Gluinp �i'..�i.% <br />SolarAllowance ..........?/o <br />AirLeakage CD51D OADV <br />•.�.��.�. <br />I hereby certily tlwl tl�e sWCNr�I Danels vrill meel tlie NWEC Parmaldehyde reQuiremenLs • eilher the <br />HU� standa�ds or marked'eztennf ar'exposure 1' <br />Owner or Authoraed Aqenl: .,•?i % 6y <br />_�/ <br />�O N I� S �.:sz....�,�j� r- ..............:. <br />.�..,..9 .:........................................................ �,�......... <br />Pdnt Name SipnaWre <br />The loral junsdicGon/electric uGliry wiu maKe a yaymer.t to eitl�er Ne huilder or ovmer br oew electdwlN <br />heated res�ences. Permit must 6e ussued by 12/3191 �nd consiNcbon finaled hy 6I30r9"� in order lo <br />qualiy lor paymenl. To lacilitale paymenl, the IulWvnnp inlortnauon must be filled oul comp�ly_�1 <br />--- ---- -- � — -- <br />Mail�thP�ck�o:(pteasepdnq (ADDI'PIONS/RI:DIOUGI.SlNQ1�Et:iCiITLG) <br />Name ...___�`..'.:'-:,.....�c ....... Fed. Tax.ID orSSF.� .................................................. <br />� <br />AdCress ...................._ ..,.-.:................................,............... <br />_. <br />,-- ' -� <br />Ciry..:,._.. r .:::....................................................................... <br />NOiE: M Iq5 fartn 1049 will Ea sent at Na mE ol Ne yeir: �" <br />