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���/4��: • <br />a1r� �_ <br />.: ' .. <br />l�� <br />Building Record <br />��� <br />i ...�.uL."',7� <br />� � - L �.�:::�.��.L ,1l.i �1. ' - , . ' <br />.�a. ���. .;� .x�.. ti..` ''.� ,r� <br />(please check onsJ <br />��(ew Building ❑ Additicn over 500 sq. tt. <br />Jurisdictlon: ��p,�gtf' <br />�ase cneck one: � CItY ❑ CountV <br />(please check one) <br />❑ Sfngle Family C�.puplex <br />❑ Multifamily ❑ Zero Lot Line Home <br />❑ Planned Unit Develooment <br />Permit # 39006 <br />FIIB ID #(If dlHerenf hom Permtf Xl <br />J ' � � - �.: . - -- — ' �':: I <br />�_ i!ti�.�:A9.�ti.�:ili� r" � <br />,:� � <br />A. Site Intormallon <br />Address� J I� /2/s� $ Q [F <br />CItV ��Prp� f.�Vi Zip �,P'yU� <br />Assessor's Properiv Tax # loranach �eAaidescriarionl: <br />Servicinp Eleclnc Utility �1,�1, tt �n <br />Sr.okonus 1ti Cc, <br />B. Owner Information <br />Owner fox+ierarBmedcroshucBon�ecglvesuf�NnarmenU <br />l�,if Guch,�poil <br />CompanY <br />Address ���( ��(�� <br />CEN l. wn �,nct� State WYt' Z�P Q��+ <br />Phone ( adJp ) 7S8-G�j� <br />Federal IDq or SSN <br />C. If Single Femily, Zero Lot Line or D. I} Multi}amily (R-1) <br />Planned Unit Development Total # 01 Buildings <br />Total Conditioned Floor Area oLl 38' sq. ft. Total q af Units <br />Second Duplex Unit sq. ft. Total sq ft(optional) <br />A. Primery Space Heat Type <br />(eheck one) <br />❑ Electric Baseboard <br />� Electric Wall Heater <br />❑ Electrfc Furnace <br />❑ Electric Heat Pump <br />❑ Other <br />B. Beck-UP Space HeatType <br />(ehsekel tha�epply) <br />U None <br />❑ Wood <br />❑ Electric Baseboard <br />❑ Other (spedry be�ow) <br />C. Weter Heat Type <br />(eheck ons) <br />❑ Electdc <br />❑ Gas <br />❑ Other (spec�tybebw) <br />�,1' ( � � � ��.�� . ��l,�.il�!.����.�i�.���.��a.L�u-I' r <br />This bullding meets lhe WSEC Compliencc mathod Dale ol Permft Application �Z.�� 42 _ <br />8 Eleclric '� Prescriplive Path Date Building Permil Issued is - �l-Qi <br />❑ Othar Fuels ❑ Component Periormance Date of Insulation Inspection �-� fS-43 <br />requlrements ot the WSEC. ❑ System Analysis Date of Final Inspection � p-,�7 -4T_ <br />I hereby cerff/y hat fhls bullding or addlflon has been Inspected lor the measures requl <br />by fhe 1991 hington Stafe Energy Code (WSEC), that It !s In substantlal compUance <br />W!1h the E, aq� ie EC checkllst lor fhls bulld g Is on Ille. <br />. <br />/_ � . . JF,C i. .-�.�� .� -E; � <br />ol B,Ildin�'OIIlcial or Au;horized Represonlalive <br />De�e <br />Return wYlle copy to• Kathleen Skaar Washington Slalo Energy Olfice, 009 Legion Way SE, FA-11, Olympia, WA 98504-1211 <br />W5E0 • While Copy Uliliry/Owner � Canary Copy Jurisdicfion • Pink Copy <br />7 92 <br />