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C <br />�. <br />(IYS) 257-8810 <br />Plan Check No.: <br />Application Dale: <br />Tenant: <br />Owner. <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />Plan Check Fee Paid: <br />B0412-013 <br />12/0612004 <br />JENSEN ANTHONY/ ELIZABETH <br />4327 OLYMPIC BLVD <br />SFR <br />DECK <br />$99.61 <br />'fhc building permit applicalion Cor the abovc-referenced project is being conditionally accepted (or filing <br />pending the detertnination of its completeness. <br />If the City review determines that any additional land use approval or any additional in(ortnatim� is <br />required to completc your building pertnit application, it will be necessary to submit this additional <br />information or acquire the additimial land use approval prior to your application being cansidercd complete <br />for filing. If no other land use approval or additional informatian is requircd, your building pe[mit <br />application will be considered filed as of this date. <br />BUILDING PERMIT APPLICATIONs EXPIRE IF NO PERMIT Is IssUED <br />WITHIN 180 DAY8 FOLLOWING THE DATE OF APPLICATION. <br />Signature <br />12-06-04 S:OBFM <br />p 412013 <br />PL� CK 99-61 <br />ZSiiNL 99. bl <br />GHEK <br />A OM 774 <br />FILE COPY <br />1'��fJ <br />