Laserfiche WebLink
� <br />. . . � � . <br />: � � P L_.� � . : `� <br />� 2320 California St., Everett, Washington 98201 258-8211 <br />�� � Mailing Address: P. O. Box 1107, Everett, Washingten 98206 <br />��.;�, .�f ��✓E2��i"' Snohomish PUD Reference ONLY <br />Energy Plan Review �: OS- O �7� <br />��NWEC�� Plan Review and Compliance for Electric Heat Residences <br />Plan Check No• <br />Assessor's Property Tax Account No: <br />Date: /a - `f - %� <br />Jurisdiction Basic Plan #: <br />Builder• (3ERf-i COnfYTiti4�?�o� <br />Address: �sl� BAvrtn„/�tY <br />City: ,�'►'�'7r W • 1.o I <br />Phone: 2S8 - 331 <br />Single Family:� <br />i4ulti-Family: _ Buildings: _ Units: _ <br />; site Aearess: 3gll -t1LkIJ� �• C'V %870� <br />Compliance: Chapter 4-Systems Analysis_, Chapter 5-Componant Performance x <br />Chapter 6-Prescriptive_, Chapter 7-Component Point_ <br />` Note: See attached documentation for energy requirements. <br />Snohomish County PUD #1 Representative• �/7�+ rl� <br />/ ignature y� �.L�.� <br />�'okt,J � u� <br />Print Phone <br />*ITEMS BEIAW ARE TO BE FILLED OUT BY THE APPLICANT* <br />--------------------------------------------------------------- <br />Builder / Consumer Payment <br />owner or Authorized Agent: R"`r <br />ignature <br />Mail Check To: <br />Name • �e�-- C.N -�'' ` <br />Address: 3s�y ��AO�"'' <br />City, St. : ��e..��'f- �^-s <br />Tax Id.# or SS#� 9/" <br />Note: An IRS Form 1099 <br />� <br />NORTHWEST <br />ENER� �E <br />1 be sent a <br />� <br />Wiu.,A«� 3. F..aasrtn.- <br />Print <br />Amount S <br />of the year. <br />��� <br />8 r pc(�.L,uh-.ee_ <br />R <br />� <br />