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� <br />. . . . . <br />��� 2320 California St., Everett, Washington 98201 258-8211 <br />� � Mailing Address: P. O. Box 1 f07, Everett, Washington 98205 <br />Snohomish PUD Reference GNLY <br />Energy Plan Review �,: F�� '��g� _ <br />��NWEC�� Plan Review and Compliance for Electric Heat Residences <br />Date: 7—�-rL _ <br />Plan Check No: <br />Assessor's Property Tax Accuur' Nu: <br />Jurisdiction Basic Plan �: <br />Builder: f�A-izTcow CoNs� _ <br />Address: 37//� �ZZ^'-� P� S�` <br />City: EvfrzE�T <br />Phone: 337-5a79 <br />Single Family: x <br />Multi-Family: _ Buildings:_ Units: _ <br />Site Address: '%S/S ,$ 5� r�' /�-vc` L`-vEi2E7T <br />Compliance: Cha�ter 4-Systems Analysis_, Chapter 5-Component Performance� <br />Chapter 6-Prescriptive_, Ctiapter 7-Component Point_ <br />Noi�e: See attached documentation for/tenergy requirements. <br />Snohomish County PUD #1 Representative: ��/u'1 rl •(i`�''�' <br />S' nature <br />�'�Ff� � - L14� Z.� � —3 Z_7z <br />Print Phone <br />*_`TEMS BELOW ARE TO BE FILLED OUT BY THE APPLICANT* <br />---------------------------------------------------------------------- <br />Builder / Consumer Payment /7 <br />Owner or Authorized Agent: � I.4-�---Y�'-� <br />Signature <br />Dfail Check To: -7 <br />Name :1�A-�z Tc� <br />Address:37i/ <br />City, St.: E <br />Tax Id.# or <br />Note: An IRS <br />NOR� <br />ENERGY CODE <br />��..r ( .oNsr: <br />- Izz^=� Pr- Sc <br />r�xEr.— c.��+ 9aZog_ <br />SS$: �j I- I U'7'lGS � G <br />Form 1099 will be sent a <br />E,c'GG �✓SSF �L <br />Print <br />Aniount <br />end of the year. <br />�� � <br />CG�a4� _F."..;:2nf.�l.�•r,:P'.ti <br />