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� <br />EI/ ETT <br />(425) 257-8810 <br />Plan Check No.: 81408-032 <br />Application Date: 8/19/2014 <br />Tenant: <br />Owner: <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />Plan Check Fee Paid: <br />PROVIDENCE PHYSICIAN GROUP OB/ <br />PROV/GEN MEDICAL CENTER <br />900 PACIFIC AVE 5TH FLOOR <br />HEALTH CARE CLINIC <br />TI-PROVIDENCE PHYSICIAN GROUP <br />QB/GYN <br />$1363.02 <br />The building permit application for the above-referenced project is being conditionally accepted for filing <br />Us��ding tl�e �ete��ti�inatiori �f it� coir�plc�tcr��sss. <br />If the City review detennines that any additional land use approval or any additional inf'ormation is <br />►�equired to con��aletc your l�uildi���; p4rn�ik a��licatic���, it will l�e ��eeessary co sulamit tl�is additio��;��[ ��;::::=> <br />infor�r�ation or a�cauirt thc additional land use approvul prior to y�ur ahplicati�n l�eing cu��sidei�et�:�oi»plete <br />f�r 1=ilir��;. If no oth�r� land uge apprnval or additio��al infr�rmaCion is r4quit��d, y�ur buildii��; pE�'rnit��� <br />application will be cor�sidered Iilcd as �('this datc. 1'lan ��eview fecs are estimales. I�inal plan review fees <br />will be calcul�l�CCI �L j)�1'llllt IgSUiiI1C4. `�C�'i' <br />!., , <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSU6I'! <br />; �,.: <br />�,:;,. ,:: � .;:�,. <br />WITHIN 180 DAYS FOLL�ViI'ING ii�fE DATE O� APPLICATIt�N. �_; � �e.N� �:;,-� <br />_,Y ;,..� <br />,;-.. <br />=::i ��� � :,., <br />�-:-::, r�b� �-; <br />��.-b... - <br />Signature A <br />��1�1/l� <br />Date <br />FILE COPY <br />