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w <br />p� ,: <br />Ev Err <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 />� <br />X1312-001 <br />12/10/2013 <br />FAIRFAX HOSPITAL <br />PROVIDENCE HEALTH & SERVICES-W <br />916 PACIFIC AVE <br />HOSPITAL <br />MECH & PLUMB -FAIRFAX HOSPITAL <br />$0 <br />The building permit application for the above-referenced project is being conditionally accepted for filing <br />pending 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. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br />' f�,�/1''� /!�— f� c:i 2� <br />S�gnature Date <br />r�r <br />FILE COPY <br />