HomeMy WebLinkAboutMiscellaneous Compliance Report 2011-9-28
Energy Requirements
Lighting Form
(541) 682.6806 FAX
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Planning & Development
BUilding & Permit Ser.'lces
99Weslloth Ave.
Eugene, OR 97401
www,eugene-or.gov
(541) 682.51\9 TTY
(541) 682-5283lnforrnalion
Submit this form prior to or at the fmal building inspection.
The building official sha!1 be notified in writing, at the final inspection, that a
minimum of fifty percent of the permanently insta!1ed lighting fixtures are
compact or linearjluorescent. NIl 07.2
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Street Address
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City
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Permit #
If applicable:
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Subdivision
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Lot #
ancl/or Map and Tax Lot #
I (print name). Efl-\.c- \~~\U~ f}J , general
contractor or the owner-builder, certifY that a minimum of fifty percent of the permanently
installed lighting fixtures are compact or linear fluorescent
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Signature:
'1'-1.. 'B -\\
Date:
Z:\DIVISIONPDD\BPS\PICFORMS\TECH\Applications, checklists & agreements\Energy Requirements Lighting Form.doc (DLW) 7/2008