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e <br />s <br />. <br />4: <br />;. <br />, <br />'� <br />.-. <br />CITY OF EYERETT <br />PUBLIC WORK� OEPARTMENT <br />BUILDING DIY:SION <br />Applicant: <br />Address: ' <br />Proj�ct Name: <br />?ruj8ct Address: <br />� <br />F L IN6 OF BUI DING PERMI�T EAPP ICAT ON <br />� <br />� <br />n <br />At this time, your .building permit app�ication is being conditionally <br />accepted for filing, pending the det�rmination of its <br />whether any additional �and use approval(s) including but not�limitede�; and <br />Zaning Cade <br />State Enviromnental Policy Act <br />Shorellne Management Act . <br />is required in order to complete your application. <br />If the City review determines that any additional land use a <br />additional information is required to <br />aPPlication, it will be necessary to submit�thistadditional Pnformation aor <br />acquire the additional land use approval prior to your building permit <br />considered complete ,for filing. If no other land use approval�ara additional <br />informat{on is required, your building permit app�tcation wi11 be considered <br />filed as of this date. <br />Fees charged or refunded will be in accordance Nith Section 304(c)(f) op �e <br />Uniform Building Code. <br />Valid only when signed by both parties: <br />PP can or u orize gen <br />� <br />— e�.�,�� <br />Y° ye►'e n ce ec im ci an <br />(4456) <br />a��� /� <br />.- 5'Z --� <br />a <br />� <br />yMnnl�Wyyrr' <br />