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�; .. EV ETT <br />..,:. <br />(425) 257-8810 <br />Plan Check No.: B1312-018 <br />Application Date: <br />Tenant: <br />Owner: <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />Plan Check Fee Paid: <br />� <br />12/11 /2013 <br />WA CENTER FOR PAIN MANAGEMENT <br />PROVIDENCE GEN MED CTR <br />3305 NASSAU ST <br />MEDICAL OFFICE <br />TI - WA CTR FOR PAIN MANAGEMENT <br />$1264.74 <br />The building permit application for the above-referenced project is being conditionally accepted for filing <br />pending the determination of its completeness. <br />,...� <br />i'� <br />If the City review determines that any additional land use approval or any additional information i�.-�. �.i.; <br />required to complete your building permit application, it will be necessary to submit this addi_tiQnal; ., -- � <br />information or ac uire the additional land use a roval rior to our a lication bein consi; :.�r'ed com fgfe <br />q PP P Y PP g � P: <br />for filing. If no other land use approval or additional information is required, your building pe�'mit r=�:� <br />,__� <br />application will be considered filed as ofthis date. l:�-; <br />�..�..� <br />I:� r f-rj <br />r a <br />�,9 <br />-:a..., � <br />i`�i i :_i <br />c, :� i <br />i �_�� <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS IS �� ED '-�';` <br />r,.� <br />WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. ��,,�� ;='; <br />� <br />Signature <br />��:::. �'��� .��;� � i <br />i::::. ;�, �. <br />'r_ <br />i��._! � r',7 '-` <br />_ ,.�_. <br />-�' ` +� � qC... �_�. <br />_ .� . .� .-..:] <br />p� �� � <br />.,G".. W+��^ ..I::^. ' <br />'_:i ..�. �:,-�� <br />� �_..� _�_. C_^.( <br />�� % I / - �__.,. <br />-� <br />Dat <br />FILE COPY <br />