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� <br />� � <br />(425) 257-8810 <br />Plan Check No.: <br />Applicalion Date: <br />Tenant <br />Owner: <br />Job Address: <br />Proposed Use: <br />Oescription of Work: <br />Plan Check Fee Paid: <br />C0310-005 <br />10109/2003 <br />FAGERLIE JIM <br />3725 ROCKEFELLER AVE <br />CONVERSION OF SINGLE FAMILY TO <br />DUPLEY <br />450.29 <br />"fhe building perntit applicalion lur the aboco-rcicrenced project is bcine condi�ionally arcepted (or liling <br />pcnding ihe detcrmination of its completeness. <br />If tl�c City rcvic�v dctcrn�incs tBat any addi�ional land usc approcal or an}' additiunal infomiation is <br />rcyuired to complc�c }'our building perntit application, it will bc necessary �o subntit this additional <br />infonna�ion or acquirc thc additional land usc approval prior to ynur applica�ion bcine cansidcred contpletc <br />for filing. if no othcr land usc appro�'al or additional informatiun is rcyuind, your Uuilding pcm�ii <br />apphcation �rill be considercd liled as of this date. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF PIO PERMIT IS ISSUED <br />WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br />i�, <br />( <br />�/f �,=✓ 1i ,� ,l ��i��c_C- <br />Sienawrc � ��)� j'e >�r'. ��l)L <br />� <br />1('-09-03 3:SBFM <br />q 0310005 <br />PLAN CI; 450.29 <br />TOTA 450.�9 <br />�D � � CHEF' <br />Da . 91� � <br />FILE COPY <br />450.29 <br />