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-�� ,--. <br /> _, , <br /> � Building Record \ ��« "`�""` � <br /> � � �� ;,��; � � . � ;������s■ <br /> lp�esaa check one) fP�eese eneck orre) <br /> ❑New Bulldin �Addillon ovsr 500 sq.fl. 0 Single Family ❑Duplex <br /> Jurisdiction: � Z�__��'�'l: ❑Multitamily ❑Zero Lot Line Home , <br /> � ❑Planned Unit Develo m�ent <br /> esae chsdc one: C`�VNY_C�Coun Perm�t� �7 .S 9 <br /> Flle ID N(HdlMerent hom PermltMl <br /> A. Sits Inform�tlon B. Owner In}ormetlon <br /> Address ���G � ' �;�__ Owner wvnereremedoonstrucncn u�x emenr <br /> urtJy� L41d le v <br /> Citv '. �fi /1.t" Zip �,���� Com en <br /> Aesessor's Pr�erty Tax k loranacn i aidencdpncn): _ Addresa / =ff/ _ �� <br /> [�� - �g�g.. � 2 City�,�t�_state(.�N z� � <br /> Servlcing Electdc Utllitv � ._�o;J��_+�— Phone ( 2G(o 1 .3 i 3 - �/Sti _ <br /> Federel IDA or SSN �3G '3G • �'S�L_ <br /> C. If Slnpls F�mlly,Zero Lot Llne or D. M MuItlMmlly(R-7) <br /> Plannsd UnH Devslopment Total k of Buildings <br /> --r-- <br /> Total_Conditioned Floor Area ___�,�2 sg_fL Total M_of Units <br /> Second Duplex UNt_ __ sq.ft. Totat s_q.ft.�optionelL <br /> , !�'�"`' ������i�•`�`�'��"G' > , � <br /> A. PHmary 3pacs Hsat Typs B. B�ek-U� SPace Heat Type C. Water Hsat Typs <br /> (cMek oroJ (cMek� fh� MP�YI (eh�tk ony --- <br /> �leciric Ba�sboard ❑ None �Eleciric <br /> ❑ Electric Well Heater ❑ Wood ❑ Gas <br /> ❑ Electric Furnace ❑ Electric Baseboerd ❑ Other�speciryoerowl <br /> ❑ Electric Heat Pump ❑ Other�speciryberowl — __ _ ___ _ _ _.— <br /> ❑ Other -- ----- - <br /> .i `P Y.y r Y° � <br /> 4�'�:�y � .., , <br /> •-- <br /> Thls bulldinp meets ihe WSEC Compll�nce Method Date of Permit Application �Q/-� _ <br /> ❑ Electric ❑ Prescrlptive Peth Date.Building Permit Issued ,�f 3��__ <br /> �� � <br /> ❑ Other Fuels ❑ Component Performence Date of Insulation Inspection _�1 I__L3 __ <br />;I roqulroment�of the WSEC. ❑ System Anelysis Date of Final Inspection i a� ti3 __ <br /> I he►sby certly thaf thls bulldlnp or sddlflon hes been Mapsctsd lo►fhs mosauroa roqulr�d <br /> by the 1H81 Weshingfon 5fate Enerpy Code(WSEC), fhet If la fn subsfanNel compllan�e <br /> � j� w/th fhe E¢,anQ fh�f the W�EC checkllaf for fhls bulldUy la on/lle. <br /> _ _ <br /> � � / / � ,� _/G- ---`. _�- �,— <br /> f���C'� � ', �� ' t._-�•.'%'7 � -� ___ -- -- _ <br /> Signetura o1 Buildin OHicial or Aulhorizad Rapreaentative Date <br /> Return whlte copy to: Kethleen Skaar, Weshington State Energy 011ice, 809 Legion Way SE, FA-11, Olympie, VA 98504�1:11 <br /> ._.. .— ----- - - � � � --- <br /> WSEP- Whlfe Copy UfilifyAJwner�Cerrary Copy Ju�sdidion R�nF Copy <br /> 771 <br />