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CITY OF FVERETT <br />4:77- CONSTRUCTION <br />259-8810 PERMIT <br />Plan Check No.: <br />Application Date: <br />Owner: <br />Job Address: <br />Proposed Use: <br />Description <br />of Work: <br />Plan Check Fee Paid: <br />49436 <br />09/08/95 <br />ALFRED JUBIE CONST INC <br />LOT 43 <br />SINGLE FAMILY RESIDENCE <br />NEW HOUSE - BASIC 1115 <br />30.00 <br />The building permit application for the above referenced project is <br />being conditionally accepted for filing pending the determination of <br />its completeness. <br />If the City review determines that any additional land use approval <br />or any additional information is required to complete your building <br />permit application, it will be necessary to submit this additional <br />information or acquire the additional land use approval prior to your <br />application being considered complete for filing. If no other land <br />use approval or additional information is required, your building <br />permit application will be considered filed as of this date. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT ISSUED WITHIN 180 <br />DAYS FOLLOWING THE DATE OF APPLICATION. <br />Q15)— <br />- �/VjA lic t or Auth ri ed Agent Date <br />FILE COPY <br />