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.. _._, . / _ � a _�'v <br />a, �o _.....__..__._..........__...___._.___._..._....._ ..............._... <br />APPIIca�tlon6'�ermA / _.._.._..------_.._..._......._...-----. _ <br />Owncr \J_.l_M_._....�%�/�._�_.L.lrls_v�.._. <br />I <br />Sile Addree� ___.i.n�iZ_...�.--_�.IR�.�....._�..A/JE <br />Assessor's Property_Tax Account No. <br />........_......_.._.....""'..__ . . <br />�run ri. N isr:vtew Na. �'�� <br />. <br />, She Addreee ............................................................... <br />, Z.�a 1� <br />Q,ly oF£un11' <br />Ownrr•n A�dtes� ....................................... . . ... ... . CN�.................................... Zlp <br />)............... . . . . .. . .. . <br />8uiider �.L.I.,M..... rn��:. !.. �3 D ...................... Addrese ...................................................... <br />LOWPIIE RFJ10 <br />Phone ............ <br />; ' Clty .................................................................................................Zip....................................Phone............................,................................... <br />. <br />� ��rn sr� ��r <br />• PIJpdECT�ESCIiIPTION: . / <br />; � New O Addillon J ZQ� �nple Famlly / ol Slorle�/ .................... <br />� r�� <br />�O Remodel ondilloned Sq. Ft . ... ................ O MuAI•Famly I al Unlle........,................ <br />FUEI .SOUflCE: HFATINO SYSTEM 1YPE: • <br />�0'�ledric O B eboard O fleat pump HSPF .............................. <br />� O 011 �II heater O Other ................................................. <br />. O Oae O Furnace AFUE ................... O Tolal Inetalled watte or D1U'� ............ <br />. <br />• - ,w..r.■�w� <br />• <br />•���������������������)�����e�����������u�������������_� <br />Chttk on� ol Ihl CompA�na Optlon Bmei Mlow.liueq tl�e vilues Inlo bae number 1. Belm� c iplellnp Ihif <br />u <br />uctlan rNu to th� Iml�uctlou cn bek al lorm. <br />EbNde • Nodhw�sl Enery� Cad�, <br />Chtpl�r 1 <br />Q Weil Imul�ted Floor O SY�lemt Anaty�l�, <br />Optlon Chapter � <br />Q Well Ineulated Wall O Componenl Perlormance, <br />Optlon Chapter 5 <br />O Pae�He Solar Opllan O Compener.t Polnt Syetem, <br />O Heat Pump Opllon Chapter 7 <br />FOp OEPAl1TMENT USE ON�Y: <br />Amount ol Paymant 5 ...................................... <br />Data Permft Is�ued <br />Dale Permit Flnaled <br />I hereby certiry Ihal thb dwelllnp vrae buiN In <br />comp�Wnce wnh Ihe NWEC. <br />.................. _...... _....................................»........... <br />Bulldlnp Ot14ci�1 or Authoilted Ayenl <br />.......................................................�._........_......... <br />o�u <br />Olh�r FuH Eoureu - <br />Wnhlnptoe EIH� Enepy Cod� <br />O Pie�crlpllw Approach, <br />Chopter 8 <br />O Componenl Perlormance <br />Ap ch, Chapter � <br />ystemt Anayele, <br />Chapler 5 <br />COMPOHENi <br />Flal Ceilinp <br />VaUlted Callinp <br />Wall <br />Below Grade Wall: <br />INedor <br />oae�io� <br />Flooi <br />SIa6 on Gnde <br />Uoa� 6 Fr�me <br />Glazlnp <br />Y.Glazinp i <br />Solar Allaxance <br />Alr Lmlwpe � <br />......... <br />n. �b� <br />... <br />R...g <br />R�.7.i�f � <br />R............ <br />R�../ <br />R <br />R� 3 <br />U... <br />u � . ..,YB <br />. •b <br />�.....x <br />Onov <br />I Mre6y urlih tlul Ihe �IrucNrd p�n4 will m�el lhe MMEC Form�ldehyd� nyuh�menb • dihe� Ihe <br />HUD ��mduds or maked Yitedof or'uposun 1' <br />Owner or Aulhorlt�G Ap�nl: <br />.a.A.meas..;�:....�l�.zr.�.�,?.w.�I........ • .. . ... .....�.....M..R�.,�.._........... <br />PdniN�me p��dr� <br />TMIoal�ud�dktlmh�xlikutitiryvAllm�k�� p�ymenlloNlhutl��bullduorowmrlo�n�wd�clrkaily <br />hut�d msidcnue. Mnnil musl M Issued by 17/71N1 +nd canpructlon An�kd by N�OIA21n o�der la <br />�ualify lor piymanl. To IuiII�U D+Ymenl, th� lotlowinp Inloim�tlon mutl W 61bd out compkUly, <br />M�Ilcheckla:(pk�sepdnp (pDl)I'fIONS/I2IiD1UUCL5 N07' fiI,IGIBLC:) <br />Name.a.9..^.Ak�....A.YI�.l.'1..��✓.. Fed. Tau I� or �S/..,5.�.�."..3.�f...'... �O.Y..��f...... <br />Addieet.8/Q.......I.aQ ,N.LI%1......F�n.A.1..� .............. ............................................................ <br />cny..n9.A�.�sw..l(..e..........tc,{as�.�l►9�r.u..... ziP.......��z.,za _....... <br />