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� <br />CITY OF EVERETT <br />CONSTFdI�CTIQN <br />259-88f0 PE R M IT <br />Plan Check i�o.: <br />Application Date: <br />Owner: <br />Job Address: <br />Fruposed Use: <br />Descripti�n <br />of Work: <br />Plan Check Fee Paid: <br />�. <br />48671 <br />06/21/95 <br />ASTEMBORSKI LEONARU <br />1430 MADRONA AVE <br />SINGLE FAMIiY RESIDENCE <br />NEW HnU3E <br />640.90 <br />The building permit application for the above referenced nzoject is <br />beirig 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 you <br />appplication being considered complete for filinq. If no other land <br />use approval or additional information is required, your building <br />permit application will be considered fil.ed as of this date. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT ISSUED WITHIN 180 <br />DAYS FOLLOWING THE DATE OF APPLICATION. <br />��-.�,����/ �.�.�,� <br />Ap�llcant or Authorized Agent <br />�a- o. <br />� `_ " <br />1'I'.:L O <br />O <br />� ;- <br />:: W <br />1 U <br />.,7 <br />�... <br />t�� ta <br />U R <br />f�` -'� <br />p �1 <br />�J� <br />U U <br />'-i <br />'_ i <br />i "" <br />T� <br />� <br />CJ <br />[] <br />O <br />P <br />:1: <br />;� <br />[.. <br />7�'z� � <br />Date <br />FILE COPY <br />