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SNU��OMltil� C(11iN1 <br />- _ <br />2320Calitornia St., Everett, Washington 98201 258-8211 <br />Mailing Address: P. O. Box 1107, Everett, Washington 9t320S <br />Snohomish PUD Reference ONLY <br />Energy Plan Review #:_/o• 9o-Gt�S£� <br />��NWEC�� Plan Reviaw and Compliance for Blectric Heat Residences <br />Date: ,S ' 2 3- 9 n <br />Plan Check No: I�7 / <br />Assessor's Property Tax Account No: <br />Jurisdiction Basic Plan #: /� <br />Builder: Biw.,�t �,�' BfANK <br />Address: R 6ex 1z� V <br />city: t�«.�.t SLaoz <br />Phone: �S2 - 33 2 (. <br />�ingle Family: � <br />Multi-Family: _ Buildings:_ Units:_ <br />8ite Addresa: �.�;� �u_ �i� hOts aS� 2� <br />Compliance: Chapter 4-Systems Analysis_, Chapter 5-Component Performance�( <br />Chapter 6-Prescriptive_, Chapter 7-Component Point <br />ote: See attached documentation for energy requirements <br />Snohomish County PUD #1 Representative: 4d.,� w, ny�.— <br />� Signature <br />CDw,.� l.J. IlF�to -3Y7'/i7.r <br />Print Phone <br />*ITEMS BEIAW ARE TO BE FILLED OUT BY THE APPLICANT* <br />--------------------------------------------------------------- <br />Huilder / Consumer Payment <br />owner ar Authorized Agent: - C � <br />Signature <br />Mail Check To: <br />Nair.e : � <br />Address: <br />City, St <br />Tax Id.# <br />Note: An <br />....... <br />..C:::C:C:7C:0.. <br />NORTHWEST <br />ENERGY CODE <br />C. <br />: � v� xF rr �c <br />or SS#: .505'� <br />IRS Form 1099 w <br />�y,E E .����- <br />Print <br />Amount <br />of the year. <br />(i�t <br />�� <br />�x��4r�ne� <br />