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.•_ . . <br />�� v 2320 Cali(ornia St., Everett, Washington 98201 258-8211 <br />Mailing Address: P. O. Box 1107, Everett, Washington 98206 <br />Snohomish PUD Reference ONLY <br />Energy Plan Review #� ��"��� <br />��NWEC" Plan Review and Compliance for Electric Heat Residences <br />Date: o �l5—c/ � <br />Plan Check No: �f0��5�2� O �D��� <br />Assessor's Property Tax Account No: 393z 00�{ OOZ-- d� � <br />Jurisdiction Basic Plan #� <br />Builder:�/�- S%At� ��ST%�L' /"� <br />Address:�� �''�'�' S� <br />City: Wf+. y8208 <br />Phone : ,�,_7 - S — <br />Single Family: <br />PH� i�-1C <br />Diulti-Family: � Buildings:_ Units: _ <br />Site Address: <br />Chapter 5-Component Performance� <br />Compliance: Chapter 4-Systems Analysis _� Chapter 7-Component Point_ <br />Chapter 6-Prescriptive_, <br />Note: See attached documentatio�r en � Y re4u„lrements. <br />� � a�4� ! ,���� <br />Snohomish County PUD ttl Representative. ,� lgnature <br />,TOf}� � (iR"l� 'Y,5�8 ��Z� Z <br />Print Phone <br />*ITEMS BELOW ARE TO BE FILLED OUT BY THE APPLICANT* ________ <br />------------------------------------------- <br />Builder / Consumer Payment � <br />�� ��1��� I-�14�%f1G <br />Owner or Authorized Agent: L Signature Print <br />Amount $ <br />Mail Cne�k To: n <br />Name: G"%c�"l�y f}IeS I /,� <br />Address: '� u� n � ` <br />City, St. : ��, Uc/� E i! .� <br />Tax Id.n or SS�: � 7�—�>>/ <br />Note: An IRS Form 1099 will <br />NOR� <br />ENERGY CODE <br />C <br />sent at the end of the year. <br />�� <br />i?:.Y .�✓✓bn.�/.�in]F� <br />;: .; <br />