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=3�� <br />�9H <br />O X1 5 <br />C H <br />ayv� <br />H �� <br />K�� <br />�3 � <br />o xo <br />y � t~-' <br />� Ho <br />o� <br />�m� <br />c� . a <br />r y� <br />HH <br />� <br />H <br />c� C7 y <br />��th <br />Z H tn <br />�3OV� <br />CITY OF EVERETT <br />PUEiLIC WORKS UEPARTd[NT <br />�UILDING �IVISION <br />��oucc af- co��otrto��n� r,c�,:����rn�icE -oF� <br />FILING OF DU[LDING PERI41i APNLICA"IOII <br />Applicant: <br />Address: ' <br />',".•, , l.; <br />, <br />Nroject Name: �j'��; �_S% /_� <br />n <br />Project Address: _ � ;,�(� 7�� �:�_f : <br />At this tircr, your buildinq permit application is beinc conditi�nally <br />accepted for filing, pendiny the determination of its completenes� and <br />whether any additional land use approvalls) including bu� not limited to: <br />Zoning Ccde <br />State Environmental Pol �y Act <br />Shoreline tdanagement A� <br />is required in order to c J ete yo�r application. <br />If the City revicw de' mines that any additional lanA usa approvai or any <br />I j adAitional infurmation is reyuired to complete your building permit <br />�" "" application, it will be necessary to submit this additional information or <br />acquire the additional land use approval prior to your ap?lication being <br />(A �� considered complete for filtng. If no other land use approval or additional <br />» information is required, your building permit application will be considered <br />filed as of this datc. <br />Fees charged or refunded will ne in accurdan�c witn S��ction ?O�l(c)(f) of tite <br />Uniform Building Code. <br />Valid only when signed by hoth par[ies: <br />�' <br />j �� � � , \' '' �j �• <br />�ppT-icant or u�t�iorizea- gen `— <br />--- — — ---- -- -_ _ _ -- <br />ate <br />. <br />- ,�//) ,, � , ;�-� <br />-- -- - _- - -- ----- - - ---- <br />I ( �ty uf-Everel:Tntake'iE��ician iSatc <br />(<:4;u) <br />