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,� <br />(425) 257-8810 <br />Plan Check No.: <br />Applketlon Data: <br />C0112-014 <br />1?113/2001 <br />{ ', <br />Owner. OELLERSON CONSTHUCTION <br />Job Addresa: b28 95TH PL SW NLOT 4 <br />Proposed Uae: <br />Deacrlptlon of Work: <br />Plen Check Fee Peld: <br />NEW HOUSE • BASIC 2184 <br />85322 <br />The building pormil applicnlion for the ebovarcfercnced pmjxl is being conditionally uccepted for filing <br />pending the de�erminetion of its completeness. <br />If �hc City rcview determines that nny addilionel 'und use approval or any additional infortnetion is <br />required to complete your building permit application, il will lx nxessary to submit this additional <br />inlbrmalion or acquirc the edditional land use epproval prior to ynur application being considercd complete <br />for filing. If no other land use epprovnl or udditionnl infomietion is required, your building permit <br />npplicntion will be considercd filed as of �hia dnte. <br />BUILDING PERMIT APPLICATIONs EXPIRE IF NO PERMIT Is IssUED <br />WITMIN 1S0 pAYs FOLLOWINO THE DATE GF APPLICATION. <br />� <br />Signuture <br />l � -]3-Ql 4 : `('� � "� <br />�I 0� ]�OJ 4 <br />PI.AW !!; 653.:'� <br />TOIAL 653.;": <br />��_(3_pj _r_si�_t< t.�,� ;,, <br />-M-u�«».,,_. <br />Dute <br />FILE COPY <br />\ <br />