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CITY OF EVERETT <br />PUBLIC WORKS DEPARTMENT <br />BUILDING DIVISION <br />qRH <br />NOTICE OF CONDITIONAL ACCEPTANCE FOR <br />yy <br />FILING OF BUILDING PERMIT APPLICATION <br />A �15 <br />C H <br />> H IA <br />rx� <br />o <br />Applicant: <br />H:z <br />H� <br />Address: % IC /= +�44 4,14 F <br />Vl H <br />zo <br />Project Name: J} <� y, i / r a,�, /,( <br />H C7 <br />z H <br />Project Address: I'� 11 -5,��. ( . •"-' <br />z H <br />At this time, your building permit application is being conditionally <br />'N y <br />accepted for filing, pending the determination of its completeness and <br />g ti y <br />whether any additional land use approval(s) including but not limited to: <br />Zoning Code <br />P <br />State Environmental Policy Act <br />H o ti <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 />additional 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 />considered complete for filing. If no other land use approval or additional <br />information is required, your building pern t 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 />ZA � / <br />1 ~j 'Applicant or Authorized Agent ate <br />y off tIn ai Ke Tc n clan Date <br />(4456) <br />