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CITY G. EVERETT ( � <br />GUBLIC NORKS OEPARTIdENT <br />BUILUING OIVIS(ON <br />Applicant: <br />Address: <br />Projtct Name: <br />Project Addres <br />HOTICE OF COND[TIONAL f.:CEPTANLE FOR <br />FIL[NG OF BUILOIN6 PERMIT.APPIICATION <br />� D I�t 1�,.� <br />At this tine, your building permit applicatian is hein9 conditionally <br />accepted for filing, pending the determination of its completeness and <br />whether any additional land use appraval(s) including but not limited to: <br />Zoning Code <br />State Environmental Poticy Act <br />Shoreline Management Act <br />is required in order to complete yaur application. <br />If the City review determines that any additianal land use 3paroval or any <br />additional inrormation is required to tomplete yo�ir building permit <br />application, it �.�ill be neczssary to submit this additional informatian or <br />a:quire the additional land use approval prior [o your application� being <br />ccnsidered complete .for filinn. If no other land use approval or additional <br />infarmation is required, your uuildin9 permit applicatian will 6e considered <br />filed as of this date. <br />Fees charged or refunded will be in accordance Nith Section 304(c)(f) of the <br />Uniform Building Cade. <br />ValiJ only when si9ned by hath parties: <br />3�3 <br />p�c nt or u noruea7lgent — ate - <br />��Ll�"` 3�3//9d <br />�ity or verett inta e ecnnician ace <br />(4456) <br />