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i'� LU'��J �:I���J�„�_�I�; II��C�n <br />L� <br />(�.i�. FEG-� r�rr;;`,' <br />= u� i;�.51G06� <br />� , 8N1.� � <br />(425) 257-8810� � �� � 51f �J J� <br />31.On4." . <br />l� �I.i35f...03 <br />p,:;=;�,�,; �?,P'��, ���: <br />r'lan"�heck No.: C0510-0D7 <br />Applicalion Dale: <br />Tenanl: <br />Owner: <br />Job Address: <br />Praposed Use: <br />Description o( Wnrk: <br />Plan Check Fee Paid: <br />� O/OSI2005 <br />FAGERLIE JIM <br />3723 ROCF:EFELLER AVE #A88 <br />DUPLEX (CREATES 5 UNITS ON LOT) <br />$1064.54 <br />The building pennii application (or tltc above•rcfcrcnccd project is being conditionally acccplcd fur filing <br />pending Ihe determination of its comple�eness. <br />If the Ciry re�•iew dc�crmines thal any addi�ional land use approval or any additional infomiation is <br />mquired to complete your building permit application, it �vill be necessary to subm4 this additional <br />in(ormation or acquire the addi�ional land use approval prior to ynur application being considered complete <br />for filing. If no othcr land use approval or additional infomiation is required, your building pemiit <br />application will be considcrcd filcd as of this datc. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUE6 <br />WITHIN 180 DAY� FOLLOWING TiiE DATE OF APPLICATION. <br />/ , <br />I " �� �o ; •bS <br />Sicna�urc <br />� ' Date <br />FILE COPY <br />