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� <br />� <br />!`:�i �"UJ-cJ'!�' ii�U 14: �r <br />r,.ri. F��-i ��, <br />�; <br />S1,4D4.P� <br />(425J 257-8810 �� ��U�j� <br />81i�7.i�. <br />�� A>1,50(l.e��l <br />(;���;, ta , <br />Pl�n Check No.: C0908�011 <br />Apphcahon Uate�. B/6I2009 <br />Tenanl. <br />Owner. <br />Job Addmss. <br />Pinposed Use�. <br />I)esciq��ion ol Work <br />I'Imi Cherk 1 rc Pa�d <br />CAMLEN COUI2i I I.0 <br />236 93RD PL Sl^J <br />SFR <br />Nf�\N I IOL'S6 (I?�.SIC 3J31 <br />:10U <br />I hr huildin:�. priniil ��qq�he.wnn I,�i ilir ,ih���r rrlricneeJ pr�q��i i, brin_� iondili��n:ill� d:cr�neJ I��r lilin_� <br />�,rndm� Ihe Jrlerminauon ul� il. cmnplclenes, <br />If thc ('ilv rcric�� dcicrmincs that am� adJitiun�d I;md uu nppro��al or am� additiun�il infonnaiion i. <br />rryuircd lu cumplr�c cuur builJing pcmiit applicalinn. it �rill bc ncccssan� lo submii �his aJdi�iun+d <br />vi�i�rmaiion nr,icyuirc �hc adJi�innal IanJ usc appru��al prior w� aur applianiun bcinc cnncidcreJ eumplrir <br />I��r liliu�. II' nu nihcr Innd usc appru��;d ur adJitiunal inli�rn�atinu i, rcyuircd. � uur I,uildin� pennii <br />;q���lictlinn o ill he conside!-rd Ilicd nti ol Ihiti d;�le. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WITHIN 180 DAYS F'OLLOWINC THE DATE OF APPLICATION. <br />�i n uui, <br />I �.nr <br />FILE COPY <br />