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CIT'f OF EIERETT <br /> PUBLiC aORKS �EPARTMENT <br /> BUIL�ING �IYISION <br /> NOTiCE OF CONDIiIONAL ACLEPTANCF FOR <br /> FILIN6 OF BUILDING PERMI7 dPPLICATION <br /> Applicant: <br /> Address: <br /> Project Name� <br /> Project Address: <br /> At this time, yaur building permit application is being conditionally <br /> accepted for filing, pending the detern:ination of it: comple[eness and <br /> rhether any additional land ;e approval(s) including Cut not limited to: <br /> Zoning Code <br /> State Environmental Poticy Act <br /> Shoreline Management Act <br /> is required in order to complete yaur application. <br /> If the City review determine, that any aAditional land use approval or any <br /> additional information is required :o comptete your buildina permit <br /> application, it •.�ill be necessary to submit this additionat information or <br /> ecquire the addi:ional iand use approval prior to your application being <br /> considered complete for iiling. If no other land use approval or additional <br /> information is required, your building permit apptication rill be considered <br /> filed as of this date. <br /> Fees charged or refunded will be in accordance with Sectian 304(c)(r1 of the <br /> Uniform Building Lode. <br /> Valid only �.rhen signed by both parties: <br /> —' , p�/ <br /> /�� �.'�'�;' � r/ <br /> , .��cant or'�t orize ent ate <br /> � <br /> `"�1�I�1 'C� �/- 5'/ <br /> �ity ot ..verett ��taKe iecmm�an ate <br /> (4456) <br />