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ETT <br /> (425)257-8810 <br /> Plan Check No.: B1710-042 <br /> Application Date: 10/23/2017 <br /> Tenant: FETAL MONITORING CLINIC <br /> ",1..T Owner: PROVIDENCE HEALTH&SERVICES- <br /> WASHINGTON <br /> ®:, <br /> - i•'$j•1.41 i5F]• <br /> Job Address: 916 PACIFIC AVE <br /> 9 Proposed Use: COMMERCIAL <br /> 19 <br /> rDescription of Work: MINOR TI REMODEL OUTPAITIENT CLINIC <br /> CZ. <br /> CZ? <br /> Plan Check Fee Paid: $463.94 <br /> L`f <br /> per..',L1 <br /> me t^W <br /> ( l v•le building permit application for the above-referenced project is being conditionally accepted for filing <br /> `rending 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 /> 1,4> • t a7 <br /> Signature / Date <br /> FILE COPY <br />