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✓ -~ � 1 � : Activity/F �mit #
<br /> NWEC Lowrise Residential Compliance C���ck list
<br /> Electrically heated dwellings, s 3 storles, Zone 1, Western Washington
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<br /> FORNi INSTRUCTIONS: • "� Please read before completing torm��� ;����� �
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<br /> � , Fill in all shaded iniormatlon boxes that apply to your f�roject Da.nQi place marks in the two left side •
<br /> columns labeled " COMPLIANCE REQUIRED" and "INSPECTION APPROVED". Since this form
<br /> will be evalualed tor completeness, you can avoid unecessary permit delays by carefully providing all
<br /> required intormation. You may disregard fniormation requasies that don't address your paRicular
<br /> building or equfpment.
<br /> 2 Staii members will help wiin general questions about tilling out this form. However, it is your
<br /> � reponsibility io provide speciiic iniormation for heatinp systems, glazing, insulation, and other
<br /> building specitfcations. For specific requirements, reter to the Northwest Energy Code, 1967 Edition.
<br /> This torm will ultimately be the basis tor all NWEC tield inspections. You can av�id problems by
<br /> seeking approval tor any substitutiens before incorporating them into the projoct. The building official '�
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<br /> may require that you substantiate compliance claims about building products or techniques by ?
<br /> providing documentation from approved tesiing agencies or code authorities such as ICBO. ;y
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<br /> ° 3, , When your pormit is :ssued, you will receive a copy oi this form. Boxes wiil be checked under >,�!
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<br /> "COMPLIANCE REQUIRED" indicating NWEC requirements that must be incorporated into this ,;.�
<br /> project. Each checked requirement will be evaluaied by the building inspector and ,when deemed ��
<br /> , acceptable, marked approved in the INSPECTION APPROVED column �\
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<br /> DATE ' -ZY-"GCity � �y \ / County �'n1 "i{t�/4�SH � �
<br /> NAM[ ����^� Q�`/ �''�5(. BUILDING ADDRESS �3%U /S-� S!. LOT #— �;A�^^
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<br /> , BUILDING TYPE: � COMPLIANCE PATH: �<�:
<br /> -,{ Cha ter 6 < 5000 Ft2 iE�
<br /> �New Residentfal: y� Single Fam. P ( � �es
<br /> ❑ Remodel Cl Multi Fam. �Component Performance Ch#5 <�;`.
<br /> [] Addition ❑ # Stories._(s 3) '� Systems Analysis Ch#4 s;�:
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<br /> � Points System Ch#7 ;;i�
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<br /> HeSting System Type: �' ��'�� NOTE A!1 non electrlcnlly heated � �
<br /> Electric: � • dwellings must compry wlth the 5•
<br /> , [)Baseboard �Forcedairfurnace 1966 Washington State Energy �*
<br /> Code and ofher ordlnances of thls �
<br /> �Heat pump Zoneheaters tur6s�ctlon. �? ��
<br /> �Other `�xy� �„� P� y
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<br /> WEES APHIL VO
<br /> (Department use only)
<br /> NWEL' plan revlew:
<br /> Approved by Date Page � ot �
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