Laserfiche WebLink
, <br /> ! y . � � � 2320Ca1ilornia SL, Everett, Washingron 98201 258-8211 <br /> .Mailing Address: P. O. Box 1107, Everett, Washington �8206 <br /> Snohomish PUD Reference ONLY <br /> Energy Plan Review �}: G�✓� -015� j <br /> ��NWEC�� Plan Review and Compliance for Electric F{eat Residences � <br /> Date: / -IZ ''� � t <br /> � <br /> Plan Check No: 4a�,ZS�Gl� ' <br /> Assessor's Property Tax Account No: _ <br /> Juri::dict.:on Basic Plan # : <br /> Builder: W�T/}�-/� �7�hE5 i <br /> Address: o� � _ L, S - <br /> city: rc.E S7CvCoJS � !�. 98y� I <br /> Phone: 33�/-/6 y I <br /> Single Family:�(_ <br /> Multi-Family: Buildings: Units: � <br /> Site Address: ��,��,, � E�����,� �.�E _ � <br /> Compliance: Chapter 4-S;stems Analysis_, Chapter 5-Component Performance� ( <br /> Chapter 6-Prescriptive_, Chapter 7-Component Point _ <br /> Note: See attached documentation for energy requirements. <br /> Snohomish County PUD nl Representative: ��� �7 � � <br /> �- Signature <br /> �.'J�N,.1 f-f . �AKE Z5�8 8z�z <br /> Print Phone <br /> i <br /> I <br /> tI'PEMS BEIAW AFE "'C1 AE FILI�ED OUT BY THE APPLICANT* <br /> Builder / Consumer Payment � I <br /> Owner or Authorized Agent:J.��/�!/fy�,G� (EG A�� /�lU� <br /> ,( Signature Print I <br /> /` <br /> Mail Check To: ' Amount $ <br /> Name• <br /> Address• <br /> City, St. : _.� _ <br /> Tex Id. r or SS� : <br /> Note: An IRS Form 10y9 caill Ue sent at the end of the year. <br /> � � <br /> N O R T H W E S T '(iCAd:CQ�TtS) <br /> ENERGY CODE ._...;: :..��:.•,.�s. <br />