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{' <br />i;Fi: 04-1�-`.?011(TUE� 1G:`'`� <br />;r;.H. REG1 �i: :.r� <br />,. • <br />,� . <br />Pr�: SiT �an.1104017 <br />; f;i; b'_:04i. � <br />_� i',_ !�� ,046_:;a <br />(�125) 257-8810 �; .t �:�. ?1„r,:;,, _:: <br />Plan Check No.: <br />Application Date: <br />Tenant <br />Owner: <br />Job Address: <br />Proposed Use: <br />Descriplion of Work: <br />Plan Check Fee Paid: <br />B1104-077 <br />4/12/2011 <br />RETINA CONSULTANTS <br />PROVIDENCE, HOSPITAL-EVERETT <br />3226 NASSAU ST <br />MED CLINIC <br />T.I. FOR RETINA CONSULTANTS <br />51046.34 <br />The building permit application for the abova-refcrenced project is being conditionally accepted for filing <br />pending the determination of its completeness. <br />If the City review dctermines that any additional land use approval or any additional infortnation is <br />required to complete your building permit application, it will be necessary to submit this additional <br />infortnation or acquire the additional land use approval prior to your application being considered complete <br />(or filing. If no other land use approval or additional iufortnation is required, your building permit <br />application will be considercd filed as o(this c'ate. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT 18 ISSUED <br />WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICAT1015. <br />(� r � o -`_'�t�, <br />Signature <br />�-��-�I <br />Date <br />FILE COPY <br />