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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: '�) flu �4) <br />t��l�fSOXi �CJSTOv+1 <br />Address: /0a 4/ <br />Project <br />Name: Pl <br />o gtQT <br />wI K F ` <br />R io0 AJ , <br />Project <br />Address: <br />S*'a/'% <br />33 ov <br />U), <br />At this time, your building <br />accepted for filing, pending <br />whether any additional land use <br />Zoning Code <br />State Environmental Policy <br />Shoreline Management Act <br />03 <br />permit application is being conditionally <br />the determination of its completeness and <br />approval(s) including but not limited to: <br />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 3O4(c)(f) of the <br />Uniform Building Code. <br />Valid only when signed by both parties: <br />A. (t +n <br />P #cant or ut oriz,a gent <br />y o v"T v66 I n a e ec m clan <br />(4456) <br />aT) to <br />/qq3 <br />ate <br />