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CITY OF EVERETT <br /> PUBLIC WORKS DEPARTMENT <br /> BUILDING DIVISION <br /> NOTICE OF CONDITIONAL A;CEPTANCE FOR <br /> FILING OF BUILDING PERMIT APPLICATION <br /> Applicant: /'rZ12 '-1c <br /> Address: ScSz/ � '/I '^.�� c C-) <br /> Project Name: <br /> Project Address: TN <br /> � (� STSG <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 Envirunmental Policy Act <br /> Shoreline Management Act <br /> is required in order to complete your application. <br /> If the City review determines that any additioral 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 r:o 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 /> Vali mon y en signed by both parties: <br /> �J 1. '�/ 2- C) <br /> Pp <br /> cant or ut orize gent bate <br /> City ef Everett n a e ec nTi icianaTlate <br /> (4456) <br />