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'*�.� C;t,-�t� o!` ��� <br /> PU [� ' - <br /> 2320 Calrfornia St., Everett, Washingron 98201 258-8211 <br /> Mailing Address: P. O. Box 1107, Everett, Washington 98206 <br /> .. -i <br /> Snohamish PUU Feference UNLY <br /> Enerqv F'lan F:evie�•� #: ��-DUO � <br /> "NWEC" Plan Feview and Compliance for Electric Heat Fesidences <br /> Date: 7- S ' yD <br /> Juri=_diction � Flan #: �9 1� <br /> Euilder: D��. _!�C Sh�l <br /> Address• �1t���_��' C. W <br /> � CitY: ��l� ����.-�.� �•-/tL__— 98�-7s ---- <br /> Fhone: _�(o�0_(n______ <br /> Sinele Familv: <br /> Multi-Familv: _X Ruildings: I__ Units: Z <br /> Additi�ns: <br /> Sil:e Address: �6�Z S�HU�S'T /T�• ��V _i,�V-3 __ <br /> Compliance: Chavter 4-Svstems Analvsi.s___, Chanter 5-Comoonent F'erformance_� , <br /> Chanter b-F'r-�.=.rripti •de Che.oter ?-Comoon=nt F�oint__,_ <br /> ��QtB: SeE' d*r:aChC:CJ doc!�m�ntati.on fOt- enern�� reGui.r-�r:�en'�S. <br /> � Gnohomish Cnuntv P'UU #1 Renr=senta.ti ��e: ���_6�� <br /> 5ianature <br /> � _ .SoH� :��.L��--- ZSB--BZ�z <br /> F'rint Fhene <br /> � <br /> *ITEh1S EELOW F�RE TO EE FILLED OUT E}' 'iHE JURISDIr_7ICPa� <br /> ------------------------------------------ --------------------------------- ---- <br /> Huilder / Consumer Payment j� <br /> �i F'ermit Hqlder: __j�iZe-__y,9��"'� � S/_��l���i� <br /> � ��ianatur= F'rint <br /> Mail Checl: To: Amount �k__ <br /> Name: _�G�!I/PG� ._i�.l�- <br /> A d d r e s -----.�7' fy_,.�b�` �L � . <br /> ---- <br /> Ciry. St : __ /�LLkt.� �_✓Q . . �e17. --.. <br /> . _ . . _..--- <br /> Ta;: Id tf or �GN. --- --..5�,� .y�=L_5� _._- --- <br /> Nc,te: (�n TRS Form 1099 will Ce sent at the end of the vear-. <br /> ��� <br /> NORiH '+VEST �� <br /> ENERG ( CODE <br /> f�,�r�E�'u��,,w�„� <br />