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2320 California St., Everett, Washington 98201 258-8211 <br />"U8L IC UTILITY DISTRICT No I <br />Mailing Address: P O. Box 1107, Everett, Washington 98206 <br />Snohomish PUD Reference ONLY <br />Energy Plan Review #:�[�IDOISCv <br />Jurisdiction: <br />11NWEC11 Plan Review and Compliance for Electric Heat Residences <br />Date: ?1j d go <br />Plan Check No: c 25-707 <br />Assessor's Property Tax Account No: <br />Jurisdiction Basic Plan #: <br />Builder: F�t¢6� cAictcv- (TnI::� -PP,& <br />Address: 1119-Lq-4 F C�4H�3DQ 2r), <br />City: �tLTt CIL 9820 <br />Phone: 39-7_ 114-4 <br />Single Family: <br />Multi -Family: Buildings:_ Units: <br />Site Address: _ (dt"_� -4�,L�%L-E4 _ <br />Compliance: Chapter 4-Systems Analysis_, Chapter 5-Component Performanc✓ <br />Chapter 6-Prescriptive—, Chapter 7-Component Point_ <br />Note: See attached documentation for energy <br />//requirements <br />Snohomish County PUD #1 Representative:l��,L-4: G�-�' — <br />IAJ <br />Print Phone <br />*ITEMS BELOW ARE TO BE FILLED OUT BY THE APPLICANT* <br />------------------------------------------------------------------------- <br />Builder / consumer Payment J <br />Owner or Authorized Agent: <br />Y1 <br />` Print <br />Mail Check To: Amount $ <br />Name: j /H/7ar,"C� <br />Address: n < c 7, — <br />City, St.: v ,�03 <br />Tax Id.# or SS#:_7 / 7 <br />Note: An IRS Farm 1099 will be sent at the end of the vear. <br />NORTHWEST <br />ENERGY CODE <br />