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CITY OF EVERETT <br />PUBLIC 'WORKS DEPARTMENT <br />BUILDING DIVISION <br />NOTICE OF CONDITIONAL ACCEPTANCE FOR <br />FILING OF BUILDING PERMIT APPLICATION <br />Applicant: <br />v <br />Address: /,d, 6oX 37v7 �,� iy ��GE G✓/+ 9111' <br />Project Name: /tudn 4023 — LS)/h4 <W))-,0 <br />Project Address: 36L b ) raji a C) � <br />At this time, your building permit application is being conditionally <br />accepted for filing, pending the determination of its completeness and <br />whether any additional land use approval(s) including but not limited to: <br />Zoning Code <br />State Environmental Policy Act <br />Shoreline Management Act <br />is required in order to complete your application. <br />If the City review determines that any additional land use approval or any <br />additional information is required to complete your building permit <br />application, it will be necessary to submit this additional information or <br />acquire the additional land use approval prior to your application being <br />considered complete ,for filing. If no other land use approval or additional <br />information is required, your building permit application will be considered <br />filed as of this date. <br />Fees charged or refunded will be in accordance with Section 304(c)(f) of the <br />Uniform Building Code. <br />Valid only when signed by both parties: <br />J--, � <br />cnt orAufi�orize gam— ate <br />7TTY of Were= intake Tec nTi ician Date <br />(4456) <br />