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911111111/411111111..//sitil <br /> lust 257-e810 <br /> Ptan Check No 130306-006 <br /> Appl arron Dale 06/03/2003 <br /> Tenant CINGULAR WIRELESS <br /> Owner PROVIDENCE-GEN MED CENTER <br /> Job Address 1321 COLBY AVE <br /> Proposed Use <br /> Description of Work 3 SECTOR WIRELESS FACILITY ON <br /> HOSPITAL ROOF <br /> Plan Check Fee Paid 286 46 P C/442 25 PERMIT/4 50 SURCH <br /> 733 21 <br /> the building perm(application bu the abou•-rctctrn.rd palest is bring .ondmtwulh .. <br /> penning the determination of its.nnpktcncss <br /> II :b•t'rty re%re% tkicrnunrs that any additional land use appro.ai or any additional inbormah ai <br /> 'Nutted to complete your building permit application. tr will he necessary to subnut this addition.. <br /> infornuuon tw i quur the additional land use appros a:prior to your application being considered c.wor <br /> lot tiling If no(whet land use approsal of addnkwul tnlixnuttnn is required. your h-, LI <br /> applk arson will he.onsitkrrd filed as of the.date <br /> BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br /> WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br /> .44164fiet, 67Y6.Y <br /> Signature ()ate <br />