702 58TH ST SE 2016-01-01 MF Import

- --- -- Date EIIEROY OH;,' ADDlication/Permh 77 7 10 WA 15E AE a 10 E N T IAL Owner----------------�–•---�1----y–g--- Site Address-7g• 't—.__-5.&Vt Assessor's Property Tax Account No. ,O x 'PUD PLAN REV E OS I ado aym 58xx Cq0`! (' �g2o'' SheAddress .........................................................................:.......... .................:...............................................................................:.r........ knOwner's Address............................................................................Cry....................................Zip....................Phone................................... 0 H� Builder.... � LT-'Address..............................................................3.7..............Jul.. .................. 00 tori • City........ .............................................Zip..............................,.....Phone...........T .6 .: ..................................... z�j • 0 " Ga. o •oj�L; SCRIPTION: ` q ' O Addition �� Ingle Family I of Stories....yO Conditioned Sq.Ft..—............. O Multi-Family /of Unita....... .E: HEATING SYSTEM TYPE: co t7 W O Ba eboard O Heat pump HSPF ...._...._....._......... CZi Wallheater O Other......................__...................... to O Furnace AFUE................... O Total Installed wads or BTU's............ H O rA ....r:. ENERGY 11E COMPLIANCE OPTIONS COMPONENT QQ Flat Ceiling ILIOR4 .. Check one of the Compliance Option Boxes below.Insert the values into box number 4.Before completing this Vaulted Ceiling R... ...tt... �• r_ section refer to the Instructions on back of Ion. Wall PI. a... Below Grade Wall: Electric-Northwest Energy Code, Other Fuel Sources- interior R............ Chapters Washington Stale Energy Code '�. O Well Insulated Floor O Systems Analysis, O Prescriptive Approach, exterior R....,r�...S.y _ Option Chapter 4 Chapter 6 Floor R............ O Well Insulated Wall WComponent Performance, O Component Performance Slab on Grade R........yy.. Option Chapter 5 Approach,Chapter 4 Doors b Frame U.L�t.ZB O Passive Solar Option O Component Point System, O Systems Analysis, Gluing U.. ../... � O Heat Pump Option Chapter 7 Chapter 5 %Gluing jAn...% Solar Allowances—// . ....b Air Leakage ISTD OAOV E I FOR DEPARTMENT USE ONLY: COMPLETE FOR ELECTRICALLY HEATED OWELLING4 ONLY Amount of Payment 5.........................._......... I hereby unity that Ne stmcNral panels Wilt meet the RKC Formaldehyde requirements-either the HUD slandards or marked'txtedor or'exposure I! Dale Permit Issued..._.................................... Owner or Authorized Agent: ................................................................. Prins Name g Date Permit Finaled........................................ The local Iurlsdicuonlelecirt ubbq mll make ayyayment to either The builder or owner for new electrically hinted residences.Permit must be issued by IYJIAI and construction fin ttedb 613092 in order to I hereby lenity that This dwelling was built in _quality for payment.To tacilibk payment,the following information must be filled ow compktety_ — compliancewAhtheNWEC, Mail check lo:(pieasepdnt) (ADDITIONS/REHODELS NOT I:LI(,IBLE) Name................................................Fed.Tax ID or SSI........................ ........................... BuiUlnpORicial or Aulhodred Agent Address............................................................................._..._............................................. ............................. ......_....._..—__...._...... _ Zip. City......................................................,................................. ...............,.,..,..................... oak NOR:AR IRS Form 1099..1 b unt all Of end of as year.