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; <br /> r <br /> I <br /> � <br /> � � <br /> � . . <br /> P � � 2320 Calilornia St., Everett, Washington 98201 258-8211 <br /> � � Mailing Address: P. O. Box 1 f07, Everett, Washington 33?06 <br /> i <br /> Snohamish PUD Reference OJJLY �� � <br /> Energy Plan Review n : US ��� i� i <br /> ��NWEC�� Plan Review and Compliance for Electric Heat Residences i <br /> Date• o � �3��� I <br /> Plan Check No: �I <br /> Assessor' s Property Tax Accaunt No: <br /> Jurisdiction Basic Plan ,� :__ I <br /> Builder: c� v� ��- �� � I <br /> Address• 2�( O5� <br /> City: _/,unn CJoa _ <br /> Phone: �C��R�/a21 <br /> Single Family:_ <br /> 14ulti-Family: ,,�_ Buildings: 1 Units:_� <br /> site Adaress: ISO 2 � � b v1�Y_' irl� � <br /> Compliance: Chapter 4-Systems Analysis_, Chapter 5-Component Performance� � <br /> Chapter G-Presc:iptive_ , Chapter 7-Component Point_ j <br /> Note: See attached documentation fo energy requirements. ' <br /> Snohomish County PUD =1 Representat_ive:�� /7' �ti� � <br /> Signature �5,�� Z7,Z <br /> J-a/r,� I-1-� L��V-� <br /> Print Phone I <br /> i <br /> � <br /> *ITEMS BELOW ARE TO IIE FZLLED OUT SY THE APPLICANT* <br /> ---------------------------------------------------------------------------- <br /> Builder / Consumer Payment <br /> Owner or Authorized Agent: <br /> Signature Print <br /> Mail Check To: Amount $ <br /> Name� <br /> I�ddr.ess: <br /> City, St. : <br /> Tax Id. ; or SS= • <br /> Note: An IRS F'orm 1099 will Ue sent at the end of Lhe year. <br /> �!.!�`;�� �t�� <br /> irr <br /> .: <br /> NORTHWEST �C���% <br /> E N E RGY CODE ;•-��.,,-;:::.„t;..,.,:� <br /> h <br /> I <br /> � <br /> i <br /> �, <br />