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CaTDN <br /> Building Record ��» A"'a"�'` ° <br /> ��,'�,,,�;,�'.:� � ;� �'� ci7��noN � <br /> � S <br /> (pleese cAeck onel (p�ease check one) <br /> �Nsw Building ❑Addltion over 500 sq.ft. �Single Family ❑Duplex <br /> Jurisdidion: Cicy of Everetc ❑Muitifamily ❑Zero Lot Line Home I <br /> ❑Plenned Unit Development <br /> pbese Med�o�ro� �City ❑CounN Permit p ,3(0�y� . � <br /> File ID ll(i!dlnerenf Irom Penrrlt MI � <br /> . .,w.,'ap� iYr' .. <br /> � ., � ;,:��;"��:, <br /> A. SNs Informatlon B. Owner Information _ _ <br /> Address ni iin t, oi CF Owner �amerernmeormrxwcnonreoehesun�wraarmerrU <br /> Larry ticCauley <br /> CIN everett ZiP Company _ <br /> Asaessor'S PropertY Tex p(or ettach�epal deaa�pNonl' Address Pp AQY aa� <br /> Cit�_yl��tevens State WA ZID 98258 <br /> SeNICI�g EIOCt�IC Ulfllty cno Co P[ID #1 _ Ph0�9__ ( 206 355-2079 <br /> Federal ID#or SSN /=Q 9�7_�_. <br /> C. If Sinple Femlly,Zero Lot Llne or D. If Multlfamily(q-1) <br /> Plannsd Unit Dsvelopmant Total#ot Buildings _ <br /> Total Conditianecl Floor Area 165.� sq.ft. Total q ol Units <br /> Second Duplex Unit sq.it. Total sq. k1optionap _ <br /> �iiEnT� ,.;�A�� ���� <br /> A. PHmary Spacs Heet Typs B. B�ck-U Spece Heat TypB C. Water Heet Type <br /> (cMtk orN) (opNon�PeMck dl fhwf�pP/y) (opflon�l,oMck on�) <br /> � Electric Baseboard ❑ None � Electric <br /> Electric Furnace ❑ Wood ❑ Gas <br /> ❑ Electric Heat Pump ❑ Electric Baseboard ❑ Olh@f�apecily bebw/ <br /> ❑ Other �spedty bxbwl ❑ Other(speary oebw) <br /> . �'�!� <br /> WBEC Compli�nce Method Dete of Permit Application 3-5-92 <br /> ❑ Prescriptive Path Date Buitding Pe�mit Issued (�- 2�.-�IZ <br /> ❑ Component PeAormance Date of Insulation Inspection q - /5- 4� <br /> ❑ System Analysis Date of Final Inspection �--$'_9 3 — <br /> I heroby cerflty fhet thfs bulldlnp or eddlNon has been Inspected/or fhe msasuros roqulred <br /> by the 1881 Weshlnpton Sfate Enerpy Code(WSEC), fhat!f Is In aubsfantlal compllance <br /> wlfh fhs WSEC,and that fhe WSIEC checkllet for thia building!s on lfle. <br /> r� i_�'--'u�— -------- <=� 2-l�- <br /> Siqn6Wi W Buildinq OHiciel w Authorized Reprasenlativa Dale <br /> Retum white eopy to: Kalhleen Skaar Washington Siate Energy OHice, 809 Legion Way SE, FA�11. Olympia.WA 98504�1211 <br /> WSEO�Whife�opy UfilityiOwner�Canary Copy JunsOichon�Pink CoOY 6-91 <br />