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�- <br /> �`' <br /> . <br /> , , <br /> P � � 2320 California�St., Everett, Washington 9820 i 258-A217 <br /> ' � Mailing Address: P. O. Box 1107, Everert, Washington �4;06 <br /> �i.�� `F cv '�i <br /> Snohomish PUD Reference ONLY <br /> Energy Plan Review �: O5 " G/ " 1 <br /> ��NWEC�� Plan Review and Compliance for Electric tSeat Residences <br /> Date: l < <br /> Plan Check No: <br /> Assessor's Property Tax Account No: <br /> Jurisdiction Ba42s Plar� n: ?_S 4 <br /> Builder: (74rtc, W.E T�F ✓.u.a�¢�✓ <br /> Address:�0- 5�3�� P� n/• �✓ <br /> City: !1c n <br /> Phone: � oy/4 <br /> Single Family:_ <br /> Multi-Family: ✓ Buildings: 0�✓�E Units:�v✓O <br /> site Aaaress: 5 5�,9 S,E.9./r//2s.— Pd.f.c,F>? !�/�X/�`f 9X�d� <br /> Compliance: Chapter 4-Systems Analysis_, Chapter 5-Component Performance� <br /> Chapter G-Prescriptive_, Chapter 7-Component Point_, <br /> Note_ See attached documentation for energy requi ements. <br /> Snohomish County PUD ,"rl Representative: L�^ I�� �� <br /> / Signature � � �� <br /> ���� �-{ l/Z/=E �,�'�Z• " <br /> Print Phone <br /> *ITEMS BELOW ARE T E FILLED OUT BY THE APPLICI�NT* <br /> ----------------------------- -------•---------------------------- <br /> i <br /> Builder / Consumer Payment � �" <br /> Owner or Authorized Agent: � � <br /> Signature Print <br /> Mail Check To: p � Amount $ <br /> Name: �oA/I� lit/.E i.-.F.✓,�/.96.F-�/ <br /> Address: 3U- s�3 R1' .�L �/ �*/ <br /> City, St : 9.r / .[ �✓AJ <br /> Tax Zd. n or SS� • S 3 - 3B- So76 <br /> Note: An IRS Form 1099 will Ue sent at the end of the year. <br /> l� <br /> NOR� - , , <br /> ENERGY CODE � ' � " <br />