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6 <br />��� <br />o�x <br />9HC~A <br />�� <br />oxo <br />�H� <br />!n H <br />x� <br />H <br />OiH-+G <br />��g <br />(�]Y q(i <br />� H [•1 <br />HH <br />8 �' <br />oe7� <br />�e�r <br />xyv, <br />HOpi <br />� <br />i <br />� ��i <br />� <br />� <br />� <br />i r �� <br />� <br />CI7Y OF EYERETT "'" <br />PUuLIC WOFKS OEPARTMENT <br />BUILDING DIVISION <br />Applicant: <br />Address: <br />Project Name: <br />NOTICE OF CON�I7IOtU1L ACCEPTANCE FOR <br />FILING OF BUILDING PERMIT APPLICATION <br />�S��� .ic .� i_! <br />� � �c 6- .. . � l� � . <br />, <br />`� i r-t �-�4� �1 - � 5�' i , i�,. , , ��__ , .., <br />Project Address: `_�. <br />At this time, your building permit application is being cond�tionally <br />accepted for filing, pending the determination. of its completeness and <br />whether any additional land use approval(s) incl�ding but not limited to: <br />Zoning Code <br />State Environmental Pulic/ Act <br />Shoreline tdanagement Act <br />is required ii� 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 buildirig permit <br />a.pplication, it will be necessary to su6mit this additional infermation or <br />acquire the additional land use approval prior to your application being <br />considered complete for filing. I� no other land use approval or additional <br />information is required, your building permit application will be constdered <br />filed as of this date. . ' <br />Fees charged or refunded will be in accordance with Section 304(c)(f) of the <br />Uniform Building Code. <br />� Yalid only wher signed by both parties: . � <br />� � i - •:%i <br />� � " — <br />�/ � ��q� - — — <br />. ,� �, �,.�_ 1� � ��L � - ,- <br />_ pTicant or�tharize gent ate <br />; � c-�-,E-<,.... �-��Gi <br />. 7t}' 0� v rett nta 2 0C f11C1dIl <br />e <br />i <br />(4456) <br />. <br />dt2 / <br />