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� <br /> � <br /> (425J 257-8810 <br /> Plan Check No.: C1209-027 <br /> Applica�ion Dale: 9127/2012 <br /> Tenant: [fenName] <br /> Owner: KOON ROD&GRAYSON JERRY <br /> Job Address: 10322 15T DR S[ <br /> Proposed Use: SFR <br /> Description ot Work: NEW HOUSE-BASIC 428 <br /> Plan Check Fee Paid: 51093.66 <br /> fhc buildin�pcmiit applicmion for�he above-rcfcrcnccd project is being conJitionalh acceptcd for filing <br /> pcnding thc dctcrniinalion of ils complc�cncss. <br /> If thc Cih rcvicw dctcnnincs Ihat any additional I;md uu appro��il or any addilional infonnntion is <br /> requirod to complctc your buildinc pcnnil application, it will bc ncccssary to submit this additiom�l <br /> infonnaiion or acyuirc ihc additional land usc approval prior to your application bcinc considercd complcic <br /> for liling. 11 no othcr IanJ usc approcal or aJditional inlbmiation is rcquircd.}'our building pcnnit <br /> applicalion will bc considcrcd liled as o(this da�c. <br /> BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br /> WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br /> _\- ' I _l �/—Z�' �Z _ <br /> \ <br /> tiignatu•c Dntc <br /> FILE COPY <br />