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� <br />EI/ ETT <br />(425) 257-8810 <br />Plan Check No.: <br />Application Date: <br />Tenant: <br />Owner: <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />Plan Check Fee Paid: <br />B1312-001 <br />12/2/2013 <br />FAIRFAX HOSPITAL <br />PROVIDENCE HEALTH & SERVICES-W <br />916 PACIFIC AVE <br />INSTITUTIONAL <br />TI-FAIRFAX HOSPITAL 7TH FLOOR <br />$9339.69 <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 />r�i <br />If the City review determines that any additional land use approval or any additional information is ;- �:` <br />i=-i <br />required to complete your building pern�it application, it will be necessary to submit this additi� al; _-,_:: �'' <br />-.- <br />information or acquire the additional land use approval prior to your application being considea��d cw'r�plet�� <br />for filing. If no other land use approval or additional infonnation is required, your building perniit �-� <br />,__.� <br />application will be considered Cled as of this date. `>> <br />,��;;;. _,. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSU,�D <br />WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. ;;�a <br />� <br />_ � im�d .,�;:. <br />,� � �,,,�,� :-�� <br />.!%� o ^� r_",.a <br />..i " G:•a <br />�� � • � �, <br />i ,�,-•. � =,-�. <br />.�i � �k�,� ..�, <br />Sign <br />�z- 5 >3 <br />Date <br />FILE COPY <br />