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:� <br />lf'Ir 1�L' 1C �.�� ��� I��.�/ l�i.���l <br />'���)1• I.i . �^� �i�.eil <br />!LI11711 �i�.���f�`fn <br />�U�_, <br />1 F/C <br />(425) 257-8810 TI,�,; -; <br />Plan Check No.: <br />Applicalion Dale: <br />Tennnt: <br />Owner: <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />Plan Check Fee Faid: <br />' a, ; <br />i�,'sr << �i <br />a3 •, <br />�,.,. , F <br />B?112-021 <br />12/15/2011 <br />[fenName) <br />EVERETT CLINIC PROFIT <br />3901 HOYT AVE <br />TI-H. ALTH INFO MGMT <br />$864.34 <br />The building pennit application for the above-referenmd project is bcing conditionally aceepted for filing <br />pending the detertnination of its completencss. <br />If the City review determines that any additional land usc approval or any addi[ional information is <br />required to complecs yow building permit applicaiion, it will be necessary to submit this additional <br />information or acquire the additional land use approval prior to your application being considered complete <br />for filing. If no otner Iti�d use approval or additional information is ��quired, your building pennit <br />�pplication will be considereu filed as of this date. <br />BUILDING PERMIT APPLICATIaN3 EXPIRE IF NO PERMIT IS ISSUED <br />WITHIN 180 DAYS FOLLOWING THE DATE OF QPPLICATION. <br />/, _ �;� / �5 L <br />- �� <br />Signature Date <br />FILE COPY <br />