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CITY OF EVERETT <br />PUBLIC WORKS DEPARTMENT <br />BUILDING DIVISION <br />NOTICE OF CONDITIONAL ACCEPTANCE FOR <br />FILING OF BUILDING PERMIT APPLICATION <br />Applicant: <br />Address: <br />Project Name: <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 />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 otner lana 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 on ]� when signed by both parties: <br />n r Authorized Agentat1 to <br />i y of Everett intake Technician Date <br />14456) <br />