Laserfiche WebLink
..�1.� ' ! �� �.� fi�� ._ � .'ft� '@ � . . . . <br />Date 1 1Q 91 -- - .=.�'"• . _ <br />g..: �..:n�;- ,5�, _ . _. � <br />�Pd��amft / — <br />Ownu 1r1`Li��9LLti9LT=H�1LLLcL. CA�.�c <br />.� <br />SileAddree� __�___—�—.� <br />Asscssor's Propert Tax Account No. <br />. <br />� <br />. <br />. <br />. <br />. <br />• <br />. <br />Sita Addrees <br />Owner's Address ..._ ........................... <br />Tim 7amulty <br />Builder................................................ <br />. <br />Cily..................................................... <br />PROJECT DESCRIPTION: <br />(� New <br />O Remodel <br />FUEL SO�HCE: <br />O Eleadc <br />S <br />..... Address <br />O AdCition � 248 <br />cf"x Canditioned Sq. Ft . .............. <br />HFATING SYSTEM TYPE: <br />O 8ase6a�rd <br />' O Oil � Wall hwter <br />• <br />• O Ga� O FurnaceAFUE ................... <br />. <br />• <br />• <br />..................... <br />. .,_, ~ �� i tz• .x:iM�7�+wi <br />4 <br />. ,'.0 <br />, ::'�*e <br />L <br />� <br />Q Sinple Famiy <br />O Mufli•Family <br />Zip <br />�.. ._ . <br />::.:.q.t.., ...r...aae;^�Li:"�/�;/ <br />ei�E N[lIOENTIAI : <br />� ! 1 � 1 <br />� : <br />„� ,,'; � ,' ..` . <br />, ;' <br />., ,,c�' <br />�'":.:,. <br />Phone.............\. .................. <br />Phone...334.-38.11........... �...... � ................ <br />/ af Stories .........:........... <br />i of UNts ......................... <br />O Hrat pump HSPF .............................. <br />OOther ................................................. <br />O Tolal Instalied vatts or BTU's............ <br />.............................. <br />Chack ana al Ihe Comp�unu OpUon Bares below. Irisert Ne vilues fnla baz number I. &lore complrliap Ihis <br />sectlan nWr lo IM Instn,cdanson bxk cf tartn. <br />Elaaltic • Nor�hwest Enerqy Code, <br />Ch�pta� 6 <br />� Wetl Insulated Flaor O Systems Anatysis, <br />OpQon Chapter 4 <br />O Well Insulated Wail Q Camponent PeAormance, <br />Optfan Chapter S <br />O Passive $alar Oplion �J Cempener.t �oint System, <br />O Hcit Pump Option Chapter 7 <br />" FORDEPARTMEHTUSEOHLY: <br />AmouM ol Payment 5....:...... .......................... <br />Date PermA lesued ,...,:::. ....,.. <br />' Oale Permit Rnaled ..:..:.........:......_:....:......s:... <br />1 herehy certily thal �his dwellinp wae buifl in <br />complunu wnh Ihe NWEC. <br />.::......:........_...:.._..............:....................._..:.:....:. <br />; � Buildinp Offeiil orlwthodnd Apent � <br />Olher Fuel Saurce: - <br />Wuhfnqlon Slate Enerqy Coda <br />p PrescripiNe Appraach, <br />Chaphr 6 <br />O Companent Perlormance <br />Approach, Chapter 4 <br />O Systems Analysis, <br />Chapter 5 <br />COMPOHENT <br />Flat Celinp R..3.�.... <br />Vaulted Ceilinq R............ <br />Wall .i.3.t3. 5 <br />Below (;rade Wail: <br />interiar R............ <br />Wcrior R......... <br />Floar R...2.��..... <br />Slah on Gnde R........... <br />Doors 8 frame U.n.�.�j • 3 <br />Glazinq U.r.40,(.4 <br />XGluinp 8�.7...!L <br />SoWrAllovrance ...........% <br />Air lwkaqe � STO O AOV <br />.•••••.••• <br />I hereby urliy tlul Ne slNCNril poneLs will meel Me NWEC Form�Wehyda <br />HUO sunduds or nuhed'eztedof or'exposure 11 7 <br />Owngr,orll�od:ed Apenl: <br />Tl.:!:(...f.Q../..+.1.l.1.. �%//.� .................... .Ju�� <br />Fdnt Nune ...Dn�N <br />• eilher tl�� <br />1MIonlpAsektla✓elatrkutlliywinm�k�� p+yinenllaelmumeemaerorown�norneweix�rcair <br />Aeled residen�ss. Permil must be ksued by 17/J1191 and consliuctlon Rn�kd M 6/JO192 N order lo <br />pwlily lor p�ymenl. To luili�te p�ymml, ma lotlov.inp Inlortn�Eon musl b� Nkd oul cnmpklety_ _ <br />–- — ---- --- --- --- <br />M�IIch�Ir:�Dk+_ S=0 (ADUITIONS/RGDIODGLS NOT ELIGI6LF.) <br />Name../.ie:!x....�A..,�h..�.�}...: Fad. Taz ID orSSI.....S..�y'SY�:r.�.?�b <br />nea«ss ..�C�.�..-.....�.,�,��.....���f.e.... �.. f.� ................ ................. <br />CAY...��..��..........�f.l;�f'�/�....... �/T... 2ip.....l.Q�s_��. ,�.... <br />