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_ � . <br /> � <br /> �' <br /> .. <br /> �.�., <br /> .. �' , '�° . ". . <br /> � � � 2320California St., Evereit, Washingtcn 98201 258-8211 <br /> Mailing Address: P. 0. Box 1107, Everett, Washington 98206 <br /> Snohomish PUD Aeference ONLY � <br /> Energy Pl:�n Review #: �`�—�� � <br /> y':. % <br /> ��°'. � ��NWEC�� Plan Review and Compliance for Electric Heat Rasidences <br /> �4 / -/9 - 90 I <br /> �°Z;'; � Date: V� __ <br /> � <br /> Plan Check No:_�-�;,5� <br /> Assessor's Property Tax Account No: <br /> Jurisdiction Basic Plan #� <br /> ' Build�3r: !�� r�i- � aclr�ah ..� _ <br /> . Address: �'/a /.v�/,.� Fa� _ <br /> City: �1 ,�_( I��• " <br /> Phone: �S"? .���9i1 LS2- obl ��z����) <br /> i <br /> � Single Family: k <br /> � Multi-Family� g��ildings: Units: <br /> 9 <br /> � Site Address: ���,^..-� <br /> � Compliance: Chapter 4-Systems Analysis_, Chapter 5-Component Performance� <br /> Chapter 6-Prescriptive_, Chapter 7-Component Point_ <br /> � Note: See attached documentation for energy requirements. <br /> S /� /� ' /� _ <br /> % Snohomish County PUD #1 Representative�r � / � • �^•a�— <br /> f Signature ��.8_ �L7� <br /> ,TOHn1 //. �f1K.E <br /> Print Phone <br /> *ITEMS BEIAW ARE TO BE FILLED OUT BY THE APPLICANT* <br /> Builder / Consumer Payment � <br /> Owner or Authorized Agent: I <br /> Signature Print <br /> Mail Check To: Amount $ <br /> Name• <br /> Address: <br /> City, st. : <br /> Tax Id. #, or SS#� <br /> Note: An IRS Form 1099 will be sent at the end of the year. <br /> i <br /> ..::::C:::::.. ��� , � <br /> ............ <br /> NORTHWEST ° <br /> ENERGY CODE ��e"t�""� <br />