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� <br />��. .: <br />�'r fv Err <br />(425) 257-88:0 <br />c�lan Check No.. <br />App�icz�ion Date�. <br />TenanY <br />Ovmcr <br />!cb Address. <br />Proposed Use: <br />DescnpUon oT Work�. <br />Plan Chec� Fee Pa�d <br />� <br />C1207-002 <br />�/5/2012 <br />jTenNameJ <br />SCHUERMAN DAViD D 8 CATHERiNE <br />5075 COL�Y AVE <br />SFR <br />DOOR MFACE2 <br />:29 ZS <br />lhe huild�n_. pemul �pplication fur Ihe abo�e-re(erenccd pio�ett is b2,n,,; condniunall} accep;ed Rn filin� <br />prnd�ng �he dctenninauon uf m, rnrripicieness <br />If the Ciry revicw dcicrmmes that any addiuonal Iand usc approval or any adddional inforniation is ._ �' <br />required to completc pour buildmg pertnit applicauon, it will be necessary to submi� this additional_, _., —� <br />m(onnation or acquire �he �+dduional land use approval prior to vour application bemg conside'red mmplele5 <br />tur fil;nc If nu otf��cr land usc approval or addihonal mformatiun i> requircd. yeur bmiding pcttnit ;, <br />apphcalion �rill hc tonsidcrcd filcd as of this dalc = =? <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WIThlIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. �� <br />(� ✓1 . � L'�1��-r`•n.�-_ <br />� :,��.���u� <br />f .) <br />,�-' . <br />',' ='i.): <br />^; r.,�� LT� r� i <br />%�S2-OlZ <br />_ __ � -- <br />n.,�� <br />FILE COPY <br />