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( • <br /> REG 10-30-2009(FRI) 13:12 <br /> G.B. REG-1 024953 <br /> CT 1 <br /> Kf<'IiIT No.0910035 <br /> EV En 1 P/C S199.71 <br /> (425) 257-8810 TL $199.71 <br /> CARD $19'+,71 <br /> Plan Check No.: B0910-035 <br /> Application Date 10/30i2009 <br /> Tenant: VERIZON <br /> Owner PROVIDENCE-GEN MED CENTER <br /> Job Address: 1321 COLBY AVE <br /> Proposed Use: <br /> Description of Work 12 ANTENNAS ON ROOFTOP <br /> Plan Check Fee Paid $199 71 <br /> the building permit application for the above-referenced project is being conditionally accepted for filing <br /> pending the determination Lion 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 information 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 /> Signature Datc <br /> FILE COPY <br />