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l � <br /> ���r <br /> Ev Err <br /> (425) 257-88'JO <br /> Plen Check No.: C0411-011 <br /> Application Dale: S 1/12/2004 <br /> TenanL• <br /> Owner. VIRGIL JIA1 <br /> Jab Address: 10402 HOLLY DR <br /> Proposed Use: SFR <br /> Description of Work: NEW HOUSE <br /> Plan Check Fee Paid: 5831.58 <br /> 'CBc building pcnnit application for thc abo��c-rc(crcnccd projcct is bcing conditionally acccptcd for filing <br /> pcnding thc dcicrmination of its compl:tencss. <br /> 1(the Ciry revic�v detennines tliat any additional land usc approval or any additional iniomimion is <br /> rcquircd to completc your building perntit applicaiion, it will Ue necessary to submit tliis addi�ional <br /> infonnation or acquirc�he additional land usc appro��al prior to your application being cousidcrcd completc <br /> for fiting. If no oihcr land usc appro�•al or addi�ional inti�rmation is rcquircd,your building pcnnit <br /> application will be considered liled as of this da�c. <br /> BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br /> WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br /> 11-1�-U4 4:SOF'Pi <br /> II 41101i <br /> F'LAN p; 831.SN <br /> H 41100� <br /> � FU1LD • 50�00 <br /> SRCHO / � <br /> � :,, �'�' �� / <br /> Signature , `�la ' 10.00 <br /> ✓ TOTAL 896.08 <br /> CHi=s: B9G.08 <br /> A OH 461 <br /> FILE COPY <br />