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Dalo.--_------------------------- - - n.r,.:. <br /> . C r(,.0� ' � � <br /> . ,, <br /> App11ca11oNPermil/------------- • - " :' !�: <br /> IOWRISE�� NESIOENTIAI <br /> Owner�__�_�-�-------------- - � <br /> 1 1 ' � � ' � - <br /> S%e Addre�s-----------------.__.___._.__---�..__. ;;. > .�• <br /> , <br /> :::. ... <br /> �----- <br /> .,.; <br /> ' .5.� $..o�..`.�.. �...�..`�l....�..!/:'.G'....��.:..�.....`.!:.� !�+t\ I Z.�..�i.C.51..5�:.�..��v,C r(f7` <br /> � SNe Addrese ......... .... ........ � �f�S=id 3% <br /> . ........... <br /> Ownersnaa«5/s�...�.�1....r3o.f�l./...�/..l�f..l.�� ....��a.13.:� ...o.l�....z� �/1.�(..�...Phona................................... <br /> � Builder....��.7. ..�Q�..,iru�x�9:'.......................Address..............`5�..}.US.�....�..Q...1`��(...F✓..:.(.:l��d.....(.'��:�........................... <br /> / Y <br /> � CI .� F1` -�l/ W ,� .........ZIp......CI...��L..............Phona.......�`�..5......:..•`,�Gl.�..`.�........................ <br /> � ty..... �.. .. ..... .........�............... ............................ <br /> • ,�, <br /> . <br /> . <br /> � � , <br /> . <br /> • PROJECT OESCflIPTION: � <br /> � '�New O Addlllon � O Sin�la Fanily /ol Slades....2..:........... <br /> � p Remodel G Condillanca Sq.FI.I...�.��.�.. O MuIII Famity /ol Units...../..G?.............. <br /> � fUELSOUflCE: IIEATIHGSYS'fEMTYPE: , ' <br /> �Eledric �Base6aard O Ilcal pwnp IISPF .............................. <br /> • O 011 Q Wall hc,:cr O 011wr................................................. <br /> . O Gas O Furnaae AFUE................... O Tulal Inslalled walls or BTU's............ <br /> • ,�- <br /> � exuttnwt�acutrrlm¢xaxs <br /> • <br /> • � � � e � � � � � � � � � � � � � � � • � • � � � � � � � � � � � � � . � � � � � � � � � � � � � � • � <br /> -wmtn's1. <br /> COMPONENT X <br /> �•� �� � • � � • � • FWt Ceilinp �..5.1�... <br /> Chtck ene of Ihe Compll�nu OpNon Bwes 6elow.Inseit Ihe values Inlo 6ox numher 4.8aloie camplelinp Ui�s Vaulled Ceilinp R•..'l..c�••• <br /> teGlan mler lo the Inslmc0ansan 6uk ol loim. w��� R"L�"" <br /> Oelow Giadc Wall: <br /> Elecirle-Narthwesl Enerqy Code, Olher Fuel Saurcas- inleriar R....(../... <br /> Chopler 6 Waslilnqlon Sl�le Enarqy Code exterlor R....!..�Z... <br /> Q Well lasulaled Floor O Syslems Analysis, Q Prescripliva Appioach, Floor R••����• <br /> Opllon Cliapler 4 Chapler 6 <br /> SL�b on Grade R...y..4?... <br /> �YYxll Inaulaled Wall O Componenl Padarmance, O Componenl Pedonnance Doore 3 Frama U•..r.,e.�•� <br /> Opllon Chapler 5 Approach,Chaplar 4 <br /> Glailnp U..�....0 <br /> p passive Salar Optlon O C^mpenenl Polnl System, O Syslems Analysis, y,Gluinp ���•k.'�• <br /> O Heal Pump Opllon Chapler 7 Chaptcr 5 Sowr Allowance " <br /> .........../o <br /> AirLeakape O STD OADV <br /> m • <br /> o . . . . . . . . . . <br /> FOH OEPRRTMEHT USE ONLY � � � � � �� � � � � � <br /> -: t ` The lor�l�wisdictlon/electrk utiliry vrill make a GiYmenl Io ei�er tlie buiider ar owner lot new elxlrkalM <br /> r rk <br /> Amomd o��'aymenl S �• �••••��' hcaled residenas.Po�mil must he issued by 17/31N1 ond can tlon finoled 6y 6I�Of921n oNer lo <br /> ..; ?f � .. qmliy ler p�yment.To lacililale p�yment,We lollowinp inlo/i atl n musl6e filled aut complelel , <br /> Dafe i�ermd leeued ;: .._.!.,-; Own^r ar Aulhad:ed Aganl:, = / /�/J� <br /> _ ......�.ft.✓..'.1e�......�....�[Sd�l............... ...� .��-e�2:7.G�.....k.�. <br /> D�In Permh Flnaled ..: .. ' ..: <br /> PdnllJvne 5 �l <br /> i '; r ,: ; I he�ehy ce�liy Uul he slmcWnl p�nels will meel NWEC FortmWehyde reQuhemenls•elUmr tl�e <br /> +9 .; �, •' � IIUUslatd�idsormaked'aleiiofor'exposurc . <br /> I here6y cehily thal thla dwel�inp was 6wft in Mall eheck lo:(pleue pdN) /� <br /> compllance wAh�ha NWEC ; . �'�? � <br /> i: : Name.�.BY..`:.ieS.....�.....C.�.�.�.Fed.T�ID or SSI............�....y6..`.:�.C..<.:..�.... <br /> ,. s = <br /> .. .� ��..:: .. .. . <br /> BuildlnJOtlkulorAulhadtedAQent i : Address..y�.�.�.........��....�.r.............../•�.�....!��........................................................ <br /> .:: <br /> ....:: ..,...:..:_._ .....�.:......: Cily.......su.u3.:���[..... ................................... Zip...l.Gq�..Q.�................ <br /> I1�I1 . `� rw•�.trrxrnmxar+r�r.'•.-•r•,� � .�;�. � :•.�.••�'�y�...n�rrrrtmrqm..�r.�wnar.wnmm�ramnwvar+m+.r.., <br /> I <br />