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� ' <br />LUT � <br />, ------�,'�R 3 B�Ds <br />P�� 7320 Calilornia �St., Everett, Washington 98201 258-8211 <br />�' � � hlailing Address: P. O. Box 11G�, Everett, Washington �8706 <br />Snohomish PUD Reference ONLY <br />Energy Plan Review q: 05-m/3`S <br />��NWECt� Plan Review and Compliance for Electric Heat Residences <br />Date: �—/`J— 1(% 'I <br />Plan Check No: ZS�� C? /3 DuPi�� <br />Assessor's Property Tax r�ccount No: �!�� oo y voa vU�% \Q"� � 4oT>i <br />Jurisdiction Basic Plan #: <br />Builder: f� ��C7%d�/ <br />Address: a.8'�U 8� gT SC <br />City: E+/�7L¢� .rf/i-s'!d 2 3-v <br />Phone: �3`]— (o�'�/ <br />Single Family:_O;IP�eX <br />Multi-Family: �_ Buildings:_ Units:_ o�� � <br />site Address: 57►5 A� b ��t�"� ^� V �� � 2��.� <br />Compliance: Chapter 4-Systems Analysis_, Chapter 5-Component Performance,� <br />Chapter 6-Prescriptive_, Chapter 7-Compor�ent Point _ <br />; Note: See attached docu:nentation for energy requirements <br />Snohomish County PUD ;1 Representative:� � L�'�- <br />Signature 2S�_8i7� <br />Ta�r� �. [.�- <br />; PYint Phone <br />*ZTEMS BELOW ARE TO BE FILLED OUT BY THE APPLICANT* <br />---------------------------------------------------------------------------- <br />��;: Builder / Consumer Payment G/��� <br />Caner or Authorized Agent: .�. � �fil��-I �A��� <br />� g ature Print <br />I•iail Check To: Amount $ <br />Name: G�'Fi� T ��4�C'S/�%�9 _ <br />Address: ,F��L= <br />City, St : =i/ -,e°=!7- � R/� Cj'10S' <br />Tax Id. ;; or SS,y : �.�i� _�,f� F'�% <br />Vote: An IRS Form 1099 will be sent at the end of the year. <br />NOR� <br />ENERGY CODE <br />,� <br />�iQOd_:� <br />.r,s:v=:::::.•.�';...»:. <br />e <br />