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CITY OF EVERETT <br />PUBLIC WORKS OEPARTMENT <br />BUIL�ING DIVISIUN <br />NOTICE OF CONDITIONAL ACCEPTANCE FOR <br />fILING OF BUILDING PERMIT,APPLICATION <br />Applicant: <br />Address: _$Q%� — .� �` !�� w <br />Project Name: <br />Project Address: �cx — 1 13�' S�'s� Fvuc� <br />At this time, your buildin9 permit application is being conditionally <br />accepted For filing, pending the determination of its completeness and <br />whether any additional land use approval(s) including but not limited ta: <br />Zoning Code <br />State Environmental Policy Act <br />Shoreline Management Act <br />is required in order Co complete your application. <br />[f 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 •Nill be necessary to submit this additional information or <br />acquire the additional land use approvzl prior to your application being <br />considered ccmplete .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 304(c;(f) of the <br />Uniform Building Code. <br />Valid only when si d by both parties: <br />e <br />� � �� �Z <br />pp ican or u orize gent �ate <br />/J <br />�ity o veret n ace ecnni�ian <br />( 4456 ) <br />���/�;���.. <br />Da�e <br />