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( i <br /> ; <br /> (425)257-88f0 <br /> Plan Check No.: F10210•025 <br /> Application Date: 10/i6/2002 <br /> Owner: PROVIDENCE GEN MED CTR <br /> Job Address: 133C ROCKEFELLER AVE <br /> Proposed Use: OFFICE <br /> Description of Work: T.I.FOF MEDICAL OFFICE <br /> Plan Check Fee Pr.iJ: 2029.14 <br /> The building permit application fbr the above-referenced project is being conditionally accepted for filing <br /> pcnding the determination of i�s completeness. <br /> If the Ciry review determines that any additional land use approval or any additional information is <br /> required w cumplete your building permit applica�ion,it will be necessary to suhmit this additional <br /> informution or acquire the addi�ional I:md use approval prior to your applicati.... — cansidered complete <br /> (ar filing. If nu othcr land usc:�pproval or additional information is requiru` ing permit <br /> application will bc considcred filed as of this date. <br /> BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br /> WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br /> t 0-J 5-0� ]1:08�ihi <br /> t! :'10025 <br /> Ni_AN CY. �t"29.14 <br /> l"U iAL ^0:9.14 <br /> �:hl[:k 'O29.]4 <br /> A �N 7E <br /> Signature Da�e <br /> FILE COPY <br />