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..., <br /> P � � 2320Ca1ilornia St., Everett, Washington 98201 258-8211 <br /> Mailing Address: P. 0. Box 1 f07, Everet�, Washington 98206 <br /> - <br /> Snohomish PUD Reference ONLY <br /> Energy Plan Review q: /0900/23 <br /> ��NWRC�� Plan Reviet+ and Compl�.ance for Eleatric Heat Reaidencea <br /> Date: E-26-9 a <br /> Plan Check No• <br /> Assessor's Property Tax Account No: <br /> Jurisdiction Basic Plan #� <br /> Builder• O �� O�++PS <br /> Address• <br /> City: <br /> Phone: .353- s'� <br /> Single Family:_ 2 <br /> Mult�-F mily: t/ Buildings:_ units: <br /> Rp�� �r �upLEsc � '� /� Q a e <br /> Bita Addreeat (�3d"�/ Y[d• — �tiere� <br /> Compliance: Chapter 4-Syatems Analysis_, Chapter 5-Component Performance t� <br /> Chapter 6-Prescriptive_, Chapter 7-Component Point <br /> ote: See attached documentatio for energ requirements <br /> Snohomish County PUD #1 Representative: <br /> S nature <br /> � avr �ir - .�'% -/71.� <br /> rint Phone <br /> *ITEMS BELOW ARE TO BE FILLED OUT BY THE APPLICANT* <br /> ---------------------------------------------------------------------------- <br /> y BuilGer / Conaumer Payment <br /> /� i, <br /> Owner or Authorized Agent: � y�o� v Jjia` LANGc.t <br /> Si ature Print <br /> Mail Check To: Amount $ <br /> Name: C i�'�+�.✓ /�uiJ'�s �n c — <br /> Address: �i3 s£ t�%�7 �1fw�/ w.,. S�-•kf� <br /> City, St. : Eur'rri w�. yAGob�' <br /> Tax Id. Q or SS#: ! o/ -�ssb -�Y.�Y <br /> Note: An IRS Form 1099 wil�. bP �=�L at the end of the year. <br /> ..::.. ������ <br /> ..iCCi::::fi::.. <br /> NORTHWEST �• � <br /> ENERGY CODE ��r,����'� <br />