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( <br />F; G i1-01-2010(HON> 1�:37 , <br />'r�s.H. REGl �i�"''�� <br />,' � � <br />� �it{�i; 1?n.10].100i <br />t � 1 f;�C :.6,}�,,:,,: <br />T� �F.[4J _ `_.P�{ <br />(425)257-8810 ��rF'ii ;i.;�};.y� <br />Plan Check No.: <br />Application Date: <br />Tenant: <br />Owner: <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />Plan Check Fee Paid: <br />C1011-001 <br />11/1I2010 <br />[fenName] <br />COLLETTROBERTJ <br />4934 27TH AVE W <br />SFR <br />INTERIOR REMODEL <br />$645.94 <br />The building permit application for the abovrreferenced project is being conditionally acceptcd (or filing <br />pending the de�erminntion of its completcness. <br />If thc City rcvicw detcrmincs th�t any additiunal I�nd usc approval or any additional information is <br />requircd to complete your building pertnit application, it wiil be necessary to submit this additional <br />information or acquire �he additional land use approval prior to your application bcing considered complete <br />for (iling. If no othcr lund usc approval or additional information is required, your building permit <br />application will be considered filed as of this date. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br />� ��cj� �� , , <br />Sionaturc <br />�. <br />,�,�% lz�� �> <br />Da[c <br />FILE COPY <br />