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REG 2-07-2017(TUE) 14:22 <br /> T.J. REG-1 01O14 <br /> CT 1 <br /> PERMIT No.1702012 <br /> 'ETT 1 PIC $2L.` `5 <br /> at• <br /> (425)257-8810 TL co �9 29 2 <br /> Plan Check No.: B1702-012 <br /> Application Date: 2/7/2017 <br /> Tenant: [TenName] <br /> Owner: AMPUDIA ERICK/HANAOKA MIZUKI <br /> Job Address: 1005 91ST PL SW <br /> Proposed Use: CONVERSION TO ADULT FAMILY HOME <br /> Description of Work: CONVERSION TO ADULT FAMILY HOME <br /> Plan Check Fee Paid: $29.25 <br /> The building permit application for the above-referenced project is being conditionally accepted for filing <br /> pending the determination 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 filing.If no other land use approval or additional information is required,your building permit <br /> application will be considered filed as of this date. Plan review fees are estimates. Final plan review fees <br /> will be calculated at permit issuance. <br /> BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br /> WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br /> y")........_ <br /> i-v.\ <br /> ZI1II 1 . <br /> ' Signature Date <br /> FILE COPY <br />