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}.: <br />Ev En <br />(425J 257-8810 <br />Plan Check No.: <br />Application Date�. <br />Tenanl. <br />Owner. <br />Job Address: <br />Proposed Use: <br />Description of Work <br />Plan Check Fee Paid�. <br />C1006-020 <br />6I15I2010 <br />WILKINSON. THOMAS <br />3712ROCKEFELLER AVE <br />SFR <br />ADDITION & RE�dODEL <br />5463 94 <br />lhc huiiding perinit applicalion �br ihc abu�c-nlcrenccJ prnjcci i, brin� cundiiiun;ilk acccptcd tiir liline <br />pcnding thc Jctcrmin;niun ul iIs complctencss <br />If ihc Ciq rc� ic�� dctcnnincs that an) additional land usc appro�:�l ur am additional inl'onn�nion is <br />rcyuircd to complcic cuur builJinc pcnnit :inplir.niun, il �� ill bc ncccssary lo submit this addilional , <br />infonnation or acquirc �hc ;�JJiiiunul IanJ usc ;ipproval prior to �our application bcinc considcrcd comp�etc <br />liir lilin5. If nu ulhcr I;md usc apprueol ur adJitiunnl infonnation is rcyuircJ, yuur building pcnni[ � <br />;i�plicntion ��ill bc cnnsiJcrcd tilcu ;a ol Ihis d:nc. <br />BUILDING FERMIT APPLICATIONS EXPIRE IF NO PE�tMIT IS lSSl3ED <br />WITHIN 'i80 DAY� FOLLOWING THE DATE OP APPLICATION. <br />. ���y, 1 �j�.�� �'�-�- <br />Sicn;itun <br />�!� <br />� y. <br />_: �,c; <br />�.c��-. <br />���-�; <br />D;nc <br />FILE COPY <br />