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'ETT <br /> (425)257-8810 <br /> Plan Check No.: B1711-031 <br /> Application Date: 11/28/2017 <br /> ,:., ,--, Tenant: [TenName] <br /> La--.. <br /> if,.,' ''c.:, Owner: HAAS TOM <br /> ,---1 n a 1 <br /> L.,:-;:.7i C•..].1 5,.R1 pre <br /> r""`1 S 4:x.. p - .� Job Address: 1445 MADRONA <br /> iyl i:*. r,1 <br /> :13 <br /> �... (;,; Proposed Use: SFR ACCESSORY STRUCTURE <br /> ['.,14i3O> <br /> -,S _? Description of Work: REPLACE CARPORT <br /> i <br /> —ILL!L! , ' ie <br /> ,--t C.: r,-a <br /> ;-i c.r Plan Check Fee Paid: $223.69(bldg$125.25,p/c$81.41,ping <br /> ;- - ta, $12.53,s/c$4.50) <br /> L..1 c_� i..0 <br /> : f C,r�i.c_cr 6--2 4 <br /> r-= <br /> l''-=; e bull permit application for the above-referenced project is being conditionally accepted for filing <br /> .!a_ i= <br /> `Mending the determination of its completeness. <br /> If the City review determines that any additional land use approval or any additional information is <br /> required to complete your building permit application,it will be necessary to submit this additional <br /> information or acquire the additional land use approval prior to your application being considered complete <br /> for filing.If no other land use approval or additional information is required,your building permit <br /> application will be considered filed as of this date. Plan review fees are estimates. Final plan review fees <br /> will be calculated at permit issuance. <br /> BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br /> WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br /> d—A-4/L.J t (i - z g- /7 <br /> Signature Date <br /> FILE COPY <br />