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�:. <br /> t_.< <br />�...� <br /> �»suk'" � <br /> 6 <br /> ...._.... . <br /> y�,{ h � <br /> ^� �11 �H! ...; . . . te i .•ib_ . . .,1� � .:.rr.RbY� . <br /> C� t ,3.i. .' .�� i..: �t,. , <br /> . ',.. ' .., � <br /> . �p����.' .,.. i t��.iC i 9y�N,N.�k.. , � . :. . Y <br /> ..,� , :. .. . <br /> � � � . .; � <br /> ��� _, � . � <br />� �j��� ��: PUGI �� = <br /> ' '� 2320Califomia St., Everett, Washington 98201 258-8211 <br /> ' � Mailing Address: P. O. Box 1107, Everett, Washing'�n 98206 <br /> � '' <br /> .�' �� � <br /> o. K: <br /> r+ Snohomish PUD Reference ONLY <br /> " .;y � �nergy Plan Review #� US "OD(c/ <br />" ty�W � ��NWBC�� Plan Review and Compliance for Slectric Heat Residences <br /> �� / - zi pv - <br /> �(�pp � Date• �o ' "" / <br /> W <br /> � Pl m Check No: SS �,3 DD� �-�� 02OS� <br /> � Assessor's Property Tax Account No: - <br /> - � Jurisdictiun Basic Pian #�_ _ <br /> � Bui.lder: �� ����r <br /> � Address: /�orS' /Sf,G Nff <br /> E - <br />� � Phone: zr {/�oa . .r'9 S�D3i-. <br />� `� � 8 <br />� �ingle Family:_ <br />�_, _ Multi-Family: _ Buildings:_ Units:_ i <br />� �� ���aT site Address: �l' � �4c� - ��21 �� ISL I <br /> i '�.,, <br /> �' ` Compliance: Chapter 4-Systems Analysis_, Chapter 5-Com�,onent Performance� � <br /> I � ` � Chap�er 6-Prescriptive_, Chapter �-Component Point_ i <br /> � � Note• See attached documentation for energy requirements. I <br />� i ��� ` +, <br /> � E Snohomish County PUD #1 Representative:��--��"'" <br />� i , Signature ��� �,y�� <br /> �jo/{-�,l //. L-fl.�'E <br /> i � Print Phone I <br /> �� � I <br /> I .1 <br /> " �' ------------------------------m------------*------------- � <br /> ____________*ITEMS BELOW ARE TO BE FILLED OUT BY HE APPLICANT <br /> ' � 1_� <br /> a�� <br /> Builder / Consumer Payment j <br /> c ; <br /> ��; � <br /> ,,. Owner or Authorized Aqent: i <br /> `� . , Signature Print <br /> �. I <br /> I i Mail Check To: Amount $ j <br /> ' ._� Name: ; <br /> ` Address• i <br /> City, St. ' I, <br /> � Tax Id. # or SS#: <br /> Note: An IRS Form 1099 will be sent at the end of ttie year. <br /> ' <br /> ;. u ; <br /> ' �;r ..�:�� �!.�_ <br /> ���� �I���� <br /> � ��'�' NORTHWEST <br /> ENERGY CODE � � �";�'`•�"�"'r�'"n"� <br /> . _ <br /> � <br /> ,�: <br /> � <br /> ,�: I <br /> ,,�, <br /> I a - _ — — <br />