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�•C�J Ofr�i-c��ll��.) L�:ZJ <br />G.R. REG-1 ��184F� <br />G � i_ <br />��� FERid1T No.11OhO� <br />Ev En 1 SFkIt1K s104.u0 <br />�a7.5) 257•8810 r��CN `�10 �iGO� <br />Plan Check No.: <br />Applicalion Da�e: <br />Tenant <br />Owner: <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />FULL Fee Paid: <br />K1106-006 <br />6127/2011 <br />GSA <br />EBP BUILDING X LLC <br />9930 EVERGREEN WAY #116 <br />OFFICE <br />SPRINKLER-T.I. FOR GSA <br />5104 <br />The builJing permit applicntion I'or the abovc-referenccd project is bcing conditionally accepted for filing <br />pcnding the detcrmination ol' its completeness. <br />If thc Ciry revicw dctcrmincs that any additional land usc approval or any additional infonnation is <br />required to complete your building pemiit application, i[ a'ill be necessary to submit this additional <br />in(ormation a• acquire the addi�ional land use approval prior to your application being considered completc <br />for filing. If no othcr land usc approval or additional infonnation is rcquircd, your building pemiit <br />application will bc considcrcd fiicd as of this datc. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br />� 1 �� -IYtC� 1 �v <br />Signature <br />� �� � <br />Datc <br />FILE COPY <br />