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Ev frr <br />(425) 257-88f0 <br />Plan Check No.: <br />Application Date: <br />Tenant: <br />Owner. <br />Job Address: <br />Proposed Use: <br />Jescription of Work: <br />Full Fee Paid: <br />81402•026 <br />2l18I2014 <br />VERIZON WIRELESS <br />SUNRISE VIEW RETIRE VILIA IN <br />2520 MADISOP� ST <br />ANTENNAS - VERIZON WIRELESS <br />$534.56 (32125 bldg, 4.50 s/c, 208.81 plc) <br />The building permit application for A�e above-referenced project is beir�g wndi�ionally accepced for filing <br />pending the dctennination of its complc[encss. <br />�i � m <br />If ihe City rcvicw detcrmines that any additional land use approval or any additional informaiion is- r— � �t `"' <br />required �o complete your building pcmiit application, it will be necessary �o submit this��ldi{iqna,J, �, '" ' <br />in(ormation or acquirc the �dditional land usc approval priur ro your applicatiun bcing c��idecedxo�rtplc�� <br />for filing. If no oQicr I�rid usc ,ipproval or addi[ional infomiation is rcquircd, your buildiij6 pennit ' r <br />r> <br />application will hc considcrcd filed as of this daic. o <br />.r. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERM�T IS ISSUED <br />WITHIN 180 /JAYS FOLLOWING THE D/4.TE OF APPLICATION. �` <br />U! <br />�n •� w w <br />�.i O V1 N <br />�Lnmrr <br />�^.�r���; <br />� in <br />Signaturc <br />FILE COPY <br />