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. <br /> i <br /> � � � � 2320 Cali�ornia St., EveretL Washingron 9R�u� 258-?"' 1 <br /> � � Mailing Address: P. O. .4ox 1107, Everert Washingtor �'��?�_'06 <br /> Snohomish POD Reference ONLY <br /> Energy Plan Review fr : O �D�_ <br /> ��NWEC" Plan RevieW and Compliance for Electric Heat Residences <br /> Date: G�� 2�� 90 _ <br /> Plan Check No: <br /> Assessor' s Property Tax Account t7o: <br /> Jurisdiction I3asic Plan � <br /> t3u i 1 de r:�Q J�_�' �eQ�ST.�UCTrO� <br /> Address:��_,'�/CE .e'T� � <br /> Cit�: �SA/� ,r/li�y�l �/.4. <br /> Phone: ��¢ — �c�S,�"-� <br /> Single Family:_ <br /> ;•;ulti-Family: J Duildings:� Units: 'L <br /> Site Address: ' � >`,; �.�'1"f-L1��•' �,i <br /> Compliance: Chapter 4-Systems Analysis_, Chapter 5-Component Perfornance� <br /> Chapter 6-Prescriptive_, Chapter 7-Component Point_ <br /> tdote: See attached documentation for energy reguirements. <br /> _'���''� /-� ' �.�— <br /> Snohomish County PUD =1 Representative: � ! � '� <br /> � r Signature � .�� <br /> J��ihJ /-f. L/�kE �:5�> --v . , �_ <br /> Print Phone <br /> *ITEA�S }3F.LOW ARE TO IIE FILLED OUT SY 4'HE APPLICANT* <br /> ---------------------------------------------------------------------------- <br /> Duilder / Consumer Payment <br /> Ocaner or Authorized Agent:_ <br /> Signature Print <br /> 13ai1 Check To: Amomit $ <br /> Name:� � <br /> Address: '-' <br /> City, St. • ,��J- � ll <br /> `Pax Id. '-' or SS; : T�/ —SU- oa39 <br /> Note: An IRS Form 1099 will be sent at the end of the year. <br /> , �//p <br /> � /�� <br /> N O�R T H W E S T C+OOd�C�% <br /> ENERGY CODE •-• � •�� �- �- <br />