Laserfiche WebLink
�-- l � o —y�J , <br />D�la'....._�......._......_�---..__._.___.____..---.......__.__ _ <br />ApplicaUan/Permil/-----...----.._...__.---.__--------- - <br />Owner� ._ r � <br />_.�.n._..�YQ.1 n._�._�. �s_�._./__..,._,.. <br />Site Addree� _�G.?_� _S�_�lpG�..,...L.fJ�E <br />Assessor's Proncrtv Tax Accoimt No. <br />• <br />. <br />• <br />. <br />. <br />. <br />. <br />. <br />SNe Addieee <br />r z�.a %x-� <br />�.,�y �e��rr <br />Owner't Addreae .................................. ..�................................. City.................................... Zlp .................... <br />� /�1!'�Y 7 <br />Bullder�.J.�IYN ...............:..........��.v...................... Audree�........................................................................... <br />CNy................................................................................................. Zip.................................... Phone................. <br />P�ECT OESCRIPiiON: <br />New <br />p Remodel <br />O AdEition % <br />:iditlaned Sa. fV ................... <br />HEIIi1N0 SY,;•FIl. TYPE: <br />O Flas�board <br />' � Oil � a'(Nall heaier <br />. p Gae Q �urnaceAFUE ................... <br />. <br />. <br />. <br />•.�...��������..����• <br />�nple Famlly <br />O MuNI�Famly <br />O fleal pump NSPF .................. <br />OOlher ..................................... <br />O TM�I In�ulled wan� or BTU'� <br />� <br />Phone................................... <br />/ ol Storlet/........t........... <br />/ ol Unlle ......................... <br />•.�����.���������������������• <br />Check one ol tlu CompWnn Optlon BoMef below. lirceh M� viluef Into box number I. Belon comd���n0 �b <br />K <br />�KAion nhr lo IM Inpnr,tloiu on bkk ol lorm. <br />Elulde•NoHhwnlEn�rp� Cod�, <br />Ch�pt�r 6 <br />p Well In�ulated Floor O Syelem� Aney�l�, <br />Optlon Chapler 1 <br />p Well Intulated Wall O Component perlormance, <br />Optlon Chapler 5 <br />O Pa�eNe Solar Optlon O Cempener.t Poinl System, <br />O Heat Pump Opllon Chapter 7 <br />FOR DEPAl1TMEN1 USE ONLY; <br />AmouM ol Payment <br />Dale Permills�ued <br />Dala PermA finaled <br />I hereby certily Ihat thia dwelllnp wae bulB In <br />campilanca wnh tha NWEC. <br />.................._........................................................ <br />Bulklnp 011klil o� /wtl�orlted Apenl <br />...................................................._.._....................,.. <br />o�u <br />Olh�r Fud 5oureu - <br />Wnhlnpton Sld� En�rp� CoE� <br />O PreurlptHe Approach, <br />Chapter B <br />O Camponenl Perlormanca <br />Ap aach,Chapter� <br />yeleme Arayde, <br />Chapter 5 <br />COMPONENi� � <br />rlatCeilinp n.�b... <br />Vahlled Ceilinp R... ... <br />Wall R/.�.1.��� <br />Below Grade Wall: <br />Inlerlor A............ <br />exlerlor R.....1 <br />Floar Rp�... <br />Slab on Orede 11.�,../ .� <br />Doore 8 Fnme U�`L,� <br />Glazinp U�'�/Y8 <br />xGlazlnp 1 .......!6 <br />SolarAllaw�nce .........Y. <br />AlrLeakape iD O�DV <br />•������..• <br />I hero6y uhiH Ilut the tlrutNnl p�n�B wlll mu11M MYEC Fortn�ldehyd� roQuliemnnu - eilher the <br />IIUD �I�nd�idi or nu�ked'ntednf or'uposun 1� <br />Owner or AufhorU�d Ap�nl: <br />a.�.me.�...,�:....1.11�t.zr�,?sr..I........ � :. . .. .....4.:.....M..�.,�,,............. <br />Pdnt N�me pniWn <br />TM lor�l �udsdktlaJelxhk utillry will m+b � y�ymenl to dtl�u Ih� 6uIN�t or ownei lor new dxhlnlN <br />heeleA rocidennf. Mrmit must M lssued 6y 17/JiN1 md eonslnctlon An�kdpy 6"J0921n ordei lo <br />Quoliry loi p�ymenl, ia l�ciII�U p�ymml, Ih� IoAawinp Inlonn�tlon mucl M Rlkd oul canpklely. <br />Mallthetklo:�pkaseD���) (AUUITIONS/RCp1UUCL5 N07' f:LIG11iLli) <br />Name.a9..M. 1.A.....L►i,4.Tl.'�'�W.✓. Fed. Tu 10 or SSI..�.�.'..3.�f...'... �.`.r..�.r..5.`..... <br />AJdieet: <br />cny..!?a <br />zip.......�7�L,7.A ................ <br />