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( � <br /> (125)257-88f0 <br /> Plan Check No.: C0308-026 <br /> Application Dale: 0812712003 <br /> Tenant <br /> Owner: JORGENSEN ROBIN <br /> - Job Address: 1415 ROCKEFELLER AVE <br /> Proposed Use: SFR <br /> Description of Work: INSTALL NEW WINDOW 8 GAS FIREPLACE <br /> Plan Check Fee Paid: 163.31 <br /> The building permit application Cor the above-referenced project is being conditionally acccpted for filing <br /> pending the determination of its completeness. <br /> If the City review determines that any additional land use approval or any additional infortnation is <br /> rcquircd m complcte your building pertnit application,it will be necessary to submit this additional <br /> informaiion or acquire thc additional land usc approval prior to your application bcing considcred complctc <br /> for filing. ITno other land use apFroval or additional infomiation is required,your building permit <br /> application will bc considcred filcd as oi this datr <br /> BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS_ISSUED <br /> WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br /> Signaturc <br /> Datc <br /> FILE COPY <br />