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Ev � En <br />(425) 257•8810 <br />Plan Check No.: C0410-017 <br />Applicalion Dale: 10/28/2004 <br />Tonanl: <br />Ownar: <br />Job Address: <br />ProposcA Use: <br />Descriplion ol Work: <br />Plan Check Fcc Paid�. <br />KOZOREZOVALEKSGY <br />BELVEDERE AVE <br />SFR <br />NEW HOUSE <br />51475,BG <br />1'hc huilding pcnnit applicniun li�r ihr ahu�c-rcfcicnccd pwjcct is hcing cunditiunallp acccptcd liu tiling <br />pcnJinp ihc dc�cnninauuu ul its cumplc�cncss. <br />II'thc C�1�\' 1'C\ll'�P tIl'ICflllllll'ti IIi81 :III)' IlllliihOI1JI Ielltl Iltil 8��1f0\'8I Uf Bllj' 8(IIIIIlU178I Ill�i)I'OIJUOII li <br />rcywreJ tu cumplcic yum- buildin� penuii appliculion, i� ��ill bc ncccssary �u submi� Ihis aJJitiunul <br />mfonn�unn ur aeyuirc II� � adJluunal �anJ usc appruval priur io your appliealion bcing consiJcred enmplcic <br />tl�r liling. If nu oihcr land �uc appru��al ar adJi�iunal inlimnation is rcyuimd. }�mu buiLling prruw <br />;ipplicaiiun �ull br cunsiJcrcd tilcd us uf this „alc. <br />BUILDING PERMIT QI'PLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br />� <br />�`� �r=�, ...�< <br />� <br />tiicnauuc <br />li�� :'8— ] :I:�F'P� <br />� a �,> we�� <br />---- — — �-- <br />�L 1475.86 <br />C:IiF=K 1475.8E. <br />A ON 257 <br />FILE COPY <br />