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�.zs� ts�-sa,o <br />Plen Check No.: <br />Application Date: <br />Tenanl: <br />Owner: <br />Job Addreas: <br />Proposed Use: <br />Deacriptlan ol Work: <br />Plan Check Fee Pald: <br />C <br />K0311A08 <br />11/18I2003 <br />FREE CLINIC <br />PEMGFREE CLINIC <br />1001 N BROADWAY <br />CLINIC <br />SPRINKLER/ 12 HEADS <br />80.00 <br />The building pertnit npplication for Ihe above-rcfe:enced project is being conditionally eccepred for filing <br />pending the delerminalion of i�s completeness. <br />I( Ihe City review de�ermines thet eny additional lend use epproval or any edditionel infortnation is <br />rcquired to complete your building permi� opplication, it will bc ncassary to submit this nddilionel <br />informntion or ecquire Ihe edditional land use approval prior to your applicalion being considered camplete <br />for filing. lf no other land use epprovel or additional infonnetion is required, your building permit <br />application will be considered filed as o( �his date. <br />dU1LDING PERMIT APPIICAT10Ns EXPIRE IF NO PERMIT Is IssUED <br />WITNIN 1e0 DAYs FOLLOWING THE DATE OF APPLIC���Q� 10:36AM <br />N 311006 <br />PLAN ql 20.00 <br />SPRINK 40.00 <br />TOTAL 60.00 <br />Signature <br />Dalc <br />GHEK <br />A OM5505 <br />FILE COPV <br />