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( <br />;�:G 1]-uB-�OIli:Tl;�i t2:5i <br />G.B. k�G-1 0:;35F�1 <br />CT 1 <br />+' F�S�iiT No.1111CCb <br />i F'!i; 8136.01 <br />t. 5 C a4..�,� <br />(425) 257-881P �'LDG. S2i1'3.�5 <br />iL �.:,4'a _'7f; <br />{��iL�'Ii f i��'a.ih <br />Plan Check No.: <br />Applicalion Date: <br />Tenant: <br />Owner: <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />Plan Check Fee Paid: <br />S1111-006 <br />� varzo� � <br />RETINA CONSULTANTS <br />PROVIOENCE HOSPITAL-EVERETT <br />3226 NA�SAU ST <br />MONUMENT SIGN FOR RETINA <br />CONSULTANTS <br />$349.76 <br />The building pertnit application for the above-referenced project is being conditionally accepted for filing <br />pending the detertnination of its completeness. <br />If the City rcview determines that any additional land use approval or any additional information is <br />required to complete your building pertnit application, it will be necessary to submit this edditional <br />information or acquire the additional land use approval prior to your applicetion being considered complete <br />for filing. If no other land use approval or additional infortnation is required, your building permit <br />application will be considered filed as of this date. <br />BUILDING PERMIT APPLICATIONS EXPPRE IF NO PERMIT IS ISSUED <br />WITHIN 180 DAYS FOLLOWING THE DA'TE OF APPLICATION. <br />Signature <br />Datc <br />FILE COPY <br />