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. .. . - . � m <br /> P�� 2320 Cali(ornia St,Everetf, Washington 98201 258-827 7 <br /> Mailing Address: P. 0. Box 1i07. Everett, Washington 98206 <br /> Snohomish PUD Referencc ONLY <br /> Energy Plan Review N: OS-OV�� <br /> ��MtEC�� Plan Reviaw and Compliance for Electtia Heat Residences <br /> Date: T/20 /NO <br /> Plan Check No: 2`»�� <br /> Assessor's Property Tax Account No: I q 1 ff."�_`-2- Di5- �dO� <br /> Jurisdiction Bacic Plan #� <br /> Builder: k I 1���.�... Ce,..�" <br /> Address:� � � � �si.. � / — <br /> City: ` o <br /> Phone: :_�NC- — <br /> Single Family: J <br /> Multi-Family: _ Buildings:_ Units:__ <br /> 6ite ACdiess: /C�SD� i � A [ SE �vr. e/� _ <br /> Compliance: Chapter 4-Systems Analysis_, Chapter 5-Component Performance_ <br /> Chapter 6-Prescriptive_, Chapte� 7-Component Point <br /> ote: See attached documentation for eneigy requirements <br /> Snohomish County PUD N1 Representative:_��J�� r/� �-�� <br /> SignaYure <br /> SDM*i /1. lqKc- ZS43-8z'72 <br /> Print Phonc <br /> *ITEMS BEIAW ARE TO AE FILLED OUT SY THF. APPLICANT* <br /> ______"___"___'__'_________'___'____'_______"____"'____________"'____'_" <br /> euilder / Consumer Yayment <br /> Owner or Authorized Aqent: _ <br /> Signature Print <br /> Mail Check To: Amount $ <br /> ;Iame: <br /> Address: <br /> City, St.: <br /> Tax Id.� or SS#� <br /> ote: An IRS Form 1099 will be sent at the end of the year. <br /> N O R� �y� <br /> [NERGY CODE �r���k*� <br />