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( <br />� <br />(I?S) 257-88f0 <br />Plan Check No.: 80310-012 <br />AppOcatbn Dale: t0107/2003 <br />Tenant: FREE CLINIC <br />Owner: PEMC <br />Job Address: 7001 N BROADWAY <br />Proposed Use: <br />Deac�iption of Work: TENANT IMPROVEMENT <br />Plan Check Fee Pald: 1683.34 <br />The building permit application for the above-rcferencsd project is being conditianally eccepred (or filing <br />p� cd'.ng Ihe delemtinntion of its completeness. <br />If the City review determines ihat eny addilionnl land use apprm•al or iny additionnl Enfomie�iun is <br />required to complete }�our building pertnit epplication, it wil' rc necevsen lo zubrait this additiui�el <br />infomwtion or acquirc the additionel lend use approvol priur to your epplicetion Ireing considercd completc <br />(or filing. If no other land use epproval ar additional infommtiun is rr,quired, ymu building Qermit <br />epplicetion will be considered filed as of this date. <br />BUILDING PERMIT APPLICATIONB EXPIRE IF NO �ERMIT IS IS�UED <br />WITHIN 1S0 DAYs FOLLOWINO THE DATE OF APPLICrF10ti J0:12AM <br />N 0310012 <br />PLIW CK 1E63.34 <br />TOTAL 1683.34 <br />� GHFK 1683.34 <br />; , �' A UM4831 <br />���. , /a /D� 7� n�� <br />Sigfiahrtc Da�e <br />FIIE COPV <br />