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CITY 017 EVERETT <br />PUBLIC WORKS DEPARTMENT <br />BUILDING DIVISION <br />NOTICE OF CUNDITIONAL ACCEPTANCE FOR <br />FILING OF BUILDING PERMIT, APPL I CAT ION <br />Applicant: ar^ I ` G4 <br />n t <br />W <br />Address: 7(lq -I-i L GS- S� c.�,a.,�17.�. AL o— qFv 7 L <br />Project Name: / 3 Z <br />Project Address: <br />At this time, your building 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 to: <br />Zoning Code <br />State Environmental Policy Act <br />Shoreline Management 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 />add iti("Ial 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 />consijel- d complete .for filing. If no other land use approval or additional <br />infor.iia!!on 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 signed by both parties: <br />p ican or uth rize Age <br />ent <br />lw u <br />City at Everett intake ecnnician <br />(4456) <br />ate <br />