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# <br />;, _� �_, :,_; <br />5'--:,;:—�a h;F`,.._�: it::j�t??_; <br />l� 4 � <br />� ` . ili i�0e1?!;,;�ii1� <br />/, <br />EI/ ETT i �`. s.ir�.:io.;i <br />(425) 257-8810 ,; �:;-- : '��`�`e':�i: ;a.� <br />_s!ii:_L.�h; :�{��ft. � o J�, <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 />C1107-015 <br />7/26/2011 <br />[TenName] <br />WILLIAMS BRIAN P <br />1510 MADISON ST <br />REFRAME ROOF <br />$163.31 <br />� <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 infonnation 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 />�"�_•�------ ��! �i��`'"'-- : � (o r�+�Y y Z. n �! <br />Signature Date <br />FILE COPY <br />