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<br /> �i ' ���������n. Ttiis lor,n :sn1 a.. In:otvou a.. It k�ok;,UeCa�se you crly usa portion, oi n ior a �anicutar ��
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<br /> ,�„-,�;,T�;• dwc+fP�i;a pip��ct. Irisluatl ol spen;firp t�rne cear;:�iln, ihro:ic;h Ihe \'JS[C, ihls lorm will hela organlze an;.i ;�
<br /> ;';�c�r�r uir,donsa Iho r� uirnmenis Ih�l a �I lo our ro cd. II Is f�lso an ozcollonl tool lor loamin tho roSiAontlal �
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<br /> ,,��,5� Royutroments aro groupo� by founda�ion, Iramina, Insul;i�lon, and flnal Insper.tlon phasr.s. 'hls not oniy lats ;?'
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<br /> ,..:.:� you know what you need to do but also whon Iho Inspoci�r v:Ill bo chockinfl (cr partiwfar raqulrumems. Uso x�
<br /> ��+h�;r= ihs Iortn Io choose complianc?oplions Iha' bost sul!ihe economics and doslgn of your pro�ed. ,•T•
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<br /> ������?;3 � desipnaled departmant energy spedalist can help you wtth your questions. Thls lortn'wlll holp you compty g
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<br /> �v> Responslblilly lor Inlormation: Although slafl mambers wiU hetp you wilh general qucstions about ;;.
<br /> ; e ,, complelnig this lortn, it is ultimalcly your responsil,iily to pro��ido delalled Informalion about heating syslems, ''
<br /> k+�;,,...,::� B;axing, insulation,and olhor builCing speGlic.�flor,�. Eiu suro to pet prior approval lrom the DeparUnnnt II��ou �'
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<br /> ;;j;;:�• Iat�r wlsh to maY,o changes in your pro,c,ct. For mara r�aulr�ment c.elail, rcler;o the 1�a;�i:n�,Ipo „ta,e
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<br /> 1"13„i� PApe 1, Compllnnce Optlons: Sewq one a�mplianco option el the top of Iha table 'a}
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<br /> 1������; rones : through G, JI7_lhC_Shatled_U�x �rea,__U.[]ly; �'rovfdo Intormatlon and c!ucF, circl��s Ihat ii
<br /> t .I 7 I; '�'�i��)��� )'JUf;pCCl�lc pro�ec�. v2na; i%�;i;;i: fll;�:h5 �il lile I�':O IC�I side columns labeled 'CQI.!i�LIANCi= ;<
<br /> �—� R��UJAED' and 'INSP'cCTION APPROVC_D' or In boxes lo,a;ed in non•shaded aroas i r�ese a�e.lor ��
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<br /> '�����<•�? Slnce ihis lorm n91i bo evalualed Ior completeness and accuracy, you can avoid unecassary permit delays '��
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<br /> �•,�y�,;: by Carelul;}'provitling all required inlorn'�aUon. Ycu may di;,rr-gard Homs ihat don't address qour parlicuiar �'�
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<br /> ���' Compllanco responslblllly: 7his tonn wlll W�imately bo used lor atl WSEC licld InspocUons. When It Is "{
<br /> +�;; •� relumed wlth your permil, rolovanl boaec undur tho 'C061PLIANCE REOUIRED' column will have been ':
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<br /> ^�.�s�,+,�i+;, checkod by ihe �uilding Dopartmorn. This denoles which 1':S[C roqulrament5 apply to your project. Tho ;y
<br /> �.��:�i•,�',;� 'inSpOGIOr will InspCct your dwellin� apainst lhese checked ilems and, when deemed accepla�le, plaCe a �f
<br /> ���%�;:,; semrxl chec+c In lhe 'INSPECTION APPROVED'c�lumn. $�
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<br /> All Resid� ntial Occupancies
<br /> , �� lC'Ctl'IC l�G'�'� f SU �11'CC (excluclin�� h��nl pump:;)
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