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Ev En <br />(425) 257.8810 <br />Plan Check No.: C0502.029 <br />Application Date: 2/22/2005 <br />Tenant: <br />Owner: <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />Plan Check Fee Pald: <br />GOLEMBIEWSKI ROBERT <br />2323 63RD ST SE <br />BEDROOM ADDITION <br />$267.77 <br />The building permit application for the above -referenced project is being conditionally accepted for filing <br />pending the detemtination of its completeness. <br />If the City review determines that any additional land use approval or any additional information is <br />required to complete your building permit application, it will be necessary to submit this additional <br />information or acquire the additional land use approval prior to your application being considered complete <br />for riling. If no other land use approval or additional infonnation is required, your building permit <br />application will beconsidered filed as of this date. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WITHIN 18C DAYS FOLLOWING THE DATE OF APPLICATION. <br />-.s- <br />Signature Date <br />FILE COPY <br />