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�� <br />;; <br />(425) 257-8810 <br />Plan Check No.: <br />Application Date: <br />Ovmer. <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />Plan Check Fee Paid: <br />C0104-010 <br />04/10/2001 <br />BLOOM JIM & SALLY <br />3530 FEDERAL AVE <br />REPLACE (iARA(3E PLUS BEDROOM, <br />DINING ADDN <br />454.84 <br />The building permit application for the above-referenced project is being conditionally accepted for filing <br />pending the determination of its compkteness. <br />If the City rcview determmes that any additional lend use approval or any addi6onal information is <br />required to complete your building permit application, it will be nxessary to submit this additianal <br />information or acquirc 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 />BUILDIN�i PERMIT APPLICATIONS EXPIRE IF NO PERMIT Is IssUED <br />WITHIN 180 DAYs FOLLOWING THE DATE OF APPLICA�ION. <br />4-J.0-Gl. 3: �8f' i <br />�� O104(�].0 <br />FI_F�Id C,f; 4�4.24 <br />3"OTr;L 454.H; <br />` 1 i�, // t���E;;. <br />�+�Or-`� 7 ��� ��� c� <br />Signature Date <br />FlLE COPY <br />454.La'v <br />