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U I � <br /> �r� � � 2320 Califomia St., Everett, Washington 98201 25d-821 ' <br /> �n y y � � Mailing Address: P. O. 6ox 1107. Everett, Washingron 98206 <br /> C�~ ^RTM" <br /> tr-+ 9 3 <br /> y zr. Snohomish PUD Reference OtILY <br /> �e y� Energy Plan Review n: G�;-CL�S'U <br /> 0 H„+� <br /> VJ H <br /> x Z3, ��NWEC" Plan Review and Coapliance for Electric Heat Residences <br /> � HC Date: � �— ��' <br /> O H <br /> � �g <br /> �" n P1an Chec}: tlo: <br /> r� <br /> a y Assessor' s Property 'I'ar �,ccount No:_ — <br /> t" �.,y Jurisdiction Basic Plan = <br /> ti <br /> � d�' Builder: I �rn: _,� .r�cilT C`Gti-Sr <br /> �Cr.y ZZAddress• �- T •rt=.e��r Y / �- <br /> z �;rn City: � rAfr-r — <br /> `� o�' Phon�: ;' S.5- %S9A - <br /> Single Family:J <br /> t�iulti-Family: ,_ Buildings:_ Units:_ <br /> -- r- � � '7" � �£ s:��c��'.`�TT c<)if , ��+��_, � <br /> Site Address: 22 L- ,:���=/ � ��r � <br /> &� �� compliance: Chapter 4-Systems Analysis_, Chapter 5-Component Performance� <br /> Chapter 6-Prescriptive_, Chapter 7-Component Point_ <br /> flote: See attached documentation for energy requirements. <br /> r �-� �� � /-I� G-��-' <br /> ,,,, Snohomish County PUD �1 Representative:j � S'gn}ture <br /> ��lf Id �I . G-A�'£ 2 S�i-,�7.�7 L- <br /> `�: . ' Print Phone <br /> �. :� <br /> +• �q *ITEMS BELOW ARE TO BE FILLED OUT aY THE APPLICANT* <br /> Duilder / Consumer Payment .� <br /> � .a lU ��C � �� .� -, <br /> ' Owner or Authori.zed Agent: an.c� // �✓ T - ��� ��� ���< � h_r `C/%T <br /> Signature Print <br /> �---, � Mail Check To: Amount $ <br /> Name:1��� � rf��' i177— _ <br /> Address• / � /= T �lrF/��'r�' /l�iF- <br /> .- City, St. : 1_-i./f.N -TT ��' ' � <br /> Tax Id. ,°, or SSn : 5 i,�/ -'�� - ' "' � <br /> taote: An IRS Form 1099 will be sent at the end of the year. <br /> NO H� ' C'�� <br /> ENERGY CODE `"';,rF�:_"�"�'"'»"`''` <br /> ; <br />