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r <br />� <br />(425,i 2:�7-8810 <br />Pla i Check Na.: <br />Applfcellon Dete: <br />Owner: <br />Job Addreae: <br />Propoeed Uae: <br />Deacriptlon ol Work: <br />C0112-009 <br />12/122001 <br />OELLERSON CONSTRUCTION <br />526 95TH PL SW MLOT 3 <br />NEW HOUSE <br />Plan Check Fee Psld: 638.84 <br />The 6uilding permit applicution for �he above-referenced pmJect is being conditionally accep�ed for filing <br />perv�ing the determina�ion of its complemness. <br />If the City revicw delermines �hn� any additionai land use npprovel or anv �.ddnional infartnntion is <br />rcquired to complelc your building permit applicmion, it will be neces:ary to submi� this eddi�ionel <br />information or acquirc the ndditianal Iand use approval prior ta your npplication being considered complete <br />for filing. lf na o�he. Innd use opproval or ndditional information is reyuired, your build�ng pr.rmit <br />upplicntiun will be considered filed as of this dnte. <br />BUILDING PERMIT APPLICATIONa EXPIRE IF NO PERMIT Is 188UED <br />WITMIN 180 DAYS fOLLOWINd THE DATE OF APPLIGATION. <br />�J����� <br />Signnture <br />1a-/a-�oi <br />�S:-i ] . ::llf'N <br />11 �7]�C'nv <br />FLAN CF: 636.G4 <br />l"OTAL 13L.(�5 <br />1�'i-il-!< C�:6.E14 <br />� Ui'�,�n <br />FILE COPY <br />