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.' � p �— _ �-- . act�v�ty�Pe�-�,�t # <br /> � NWEC Lowrise Residentlal Compliance Check Ilst <br /> El�ctricall h�ated dwellin s, s 3 storles, Zone 1, Westorn Washln ton <br /> FORM INSTRUCTIONS: Pl�a�� n�d bNon compl�tinp form <br /> 1 FlII In all ehaded IMortnetbn boxee that apply to your pro�ed.Dn.00t place marke In the two leit eide <br /> columna lebeled'COMPLIANCE REOUIRED'and "INSPECTION APPROVED•. Since thls torm <br /> will be evaluated for completanees,you cen avold unecessary pertnR delays by carefully providing all <br /> required IMortnation.You may disrepard IMortnatbn requestes that donR address your paA�ular <br /> bufldinp or equipmerU. <br /> 2 Stett members will help wilh�eneral questbns about fillinp out ihls form. However, k Is your <br /> roponsibllrty to provide specifb IrHortnatbn for headnp syetems,ylazinp, Insulatbn,and other <br /> buildirp specMk:atbns. For specH�requirements, reter to the NoAhwest Enerpy Code, 1987 EdUbn. <br /> This form will ultimately be the basis for all NWEC field inspections.You can avoid problems by <br /> saeklnp approval tor any wbetRutbns betore inooryoratirq them IMo the project.The buildinp otticial <br /> may requlre that you substaMlate compliance claime about buildinp products or techniques by <br /> providinp documeMetion from approved testinp ayencles or code autho�ties such as ICBO. <br /> 13 - When ,your permk is issued, you will receive a copy of thia torm. Boxes w(II be checked under <br /> 'COMPLIANCE RE�UIRED"ind�atinp NWEC requiremer�s that must be Incorporated into this <br /> project. Eech checked requiremeM will be evaluated by the bulldinp Inapector and ,when deemed <br /> acceptable, marked epproved in ihe 'INSPECTION APPROVED"column. <br /> DATE "� " Ity �� County a M�S <br /> " NAMF T�`+ - �B�T��d gUILDINO ADDRESS y�19 Z3� /}'I�. W•LOT I <br /> �� , <br /> BUILDINO TYPE: �.,( COMPLIANCE PATH: <br /> 0 New Resldemial: �Single Fam. �Chapter 8(<5000 Ft2) <br /> �addnion� ❑ M Stofle m,_(s 3) SystPems Anelysls ChN 4ChM5 <br /> � Points System ChM7 <br /> Heetln� System Type: NOTE: All non-al�ctNcally haatad <br /> Electric: dwalllnpa muat compl�r wlth tho <br /> OBase board Forced alr fumace 1888 Waahlnpton St�ta Enarpy <br /> OHeat pump Zone heaters Cod� �nd othar ordlnancos o! thls <br /> D Other �' <br /> w�as�rnu ro <br /> NWEC plan revlew: (DepaAmeM use only) <br /> App/oved by Date pap� t ot 7 <br />