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11.111 CITY OF EVERETT <br /> EVERETT Permit Services <br /> WASHINGTON <br /> Plan Check No.: B1907-015 <br /> Application Date: 7/11/2019 <br /> Tenant: [TenName] <br /> Owner: PROVIDENCE HEALTH &SERVICES <br /> Job Address: 12800 19TH AVE SE <br /> Proposed Use: CLINIC <br /> Description of Work: ADDITION OF PARTITIONS AND DOORS <br /> TO SEPARATE OFC AREAS AND <br /> Plan Check Fee Paid: $354.18 RC = 3C-ccr, 'Z <br /> The building permit application for the above-referenced project is being conditionally <br /> accepted for filing pending the determination of its completeness. ' <br /> C-3 ca <br /> If the City review determines that any additional land use approval or any additional`' <br /> information is required to complete your building permit application, it will be necessary <br /> to submit this additional information or acquire the additional land use approval prior to "' w <br /> your application being considered complete for filing. If no other land use approval or <br /> additional information is required, your building permit application will be considered Lig <br /> filed as of this date. Plan review fees are estimates. Final plan review fees will be <br /> calculated at permit issuance. r • <br /> BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED .,3 <br /> WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br /> 411# <br /> Signature Date <br /> FILE COPY <br /> 3200 Cedar Street Q 425.257.8810 ��� everetteps@everettwa.gov <br /> Everett,WA 98201 425.257.8857 fax everettwa.g <br /> ov/permits <br />