203 3RD AVE S.PDFIIIIIIIIIIII
4917
203 3RD AVE S
City.of Edmonds
RIGHT-OF-WAY CONSTRUCTION,.
PERMIT -
Permit Number. 95
t
Issue Date:
5
A. Address or Vicinity of Construction: 7-0 3 3 k P /-\V E -S
B. Type of Work (be specific): 0- P LAC-E- D AMA 6 IL 0 C TV r-ARLE
if T8 9 0
3CFC ATTAC-14C6 1)P_ALd1WC
C. Conti -actor: 04AMG9kS1S1JJ9Ce_109- CA Contact: Td kk AN P ER-50 &I
Wiling Address: 5-33 KA(M1977 Phone: 7 74- 5746
SiateLicense#: SUPreR-CC-10161A Liability Insurance: Bond: $
D. Building Pernut # (if applicable):. Side Sewer Permit #..(if applicable):
E. [] Commercial []Subdivision 'M-WATER)
0 City Project 6k Utility (PUD, GTE, WNG rAb
F1 Multi -Family El Single Family Other -------- I
INSPECTOR: I14SPECTOR: kkj�4,
F. Pavement or Concrete Cut 0 Yes JRNo. 6. Size of Cut: Ix H. Charp�_$
APPLICANT TO READ AN IGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold th� Cit� ofEdmondg harmless from injuries,tilamages, or
"C" ' f Edmondk , any of its depciAments or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be idin.t ih. City a or
employees, including or not limited to the defense of any legalproceedings including defense costs, and attorney fees by reason ofgran'ting this permit.
16
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS.FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
�E�69 WILL BE HELD uNrILITHE FINNI, STREET PATCH
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION
IS COMPLETEO B Y CIT Y FORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall;be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end'of the working day;
NO EXCEPTIONS.
Ihave read the abo�e statements and understand thepermit requirements and thepink copy of thepermit will be
available on sl . t all t* for inspection purposes.
Signature: Date: ILI - _T1 - ? 5-
(Contrac or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OFMAY DEPOSIT
TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEE/FUND Ill:
SPECIAL CONDITIONS: RESTORATION FEE:
PERMIT -FEE:
COMMENTS:
DATE:
TOTAL FEE:
RECEIPT FEE-
ISSUED,BY: Z/,
NO WORK SHALL BEGIN PRIOR TO PgRr4iT &SUANCE
Eng. Div. 1994
FIELD INSPECTION 'NOTES (Fund 111 - Route copy to Street Dept.)
Comments:
Diaaram
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comments:
I Diagram
CONTRACTOR CALLED FOR INSPECTION F-1 YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
2-0 . -3--- 3E-I� A'VE s
lz P A I I i i -?, r\i r. -rr -A
Dp \/-TOO 5T.
-SPL/4,9' A�r-LJ 69&E
7o trrmAc,,5D 0!�Ee
eA-t!LE - E)oSA jArro
IPLUAir A-hip-PEL), -
890 -041
City of Edmonds
Critical Areas -.Checklist
I he Chucat Areas unecl= cohWned on
and submit it to dw City. The City will
this form is to be filled out byiny person
review the Checklist., malm a precursory site
prqMing a Devdopmcat Permit
visit, and make a ddm.6=ficn of the
Application for the City of Edmonds prior
subsequent steps necessary to complete a
-to his/her submittal of a "Op
devc1opment permit application.
permit to the City.
'Me
With a signo copy of this form; the
purpose of the Chedkiist is to &able,
applicant should also submit a map
City staff to determine; whether any
or ploR plan for indiAdual loft of the parcel
potential Critical Areas we or may b6-
with -enough detail that City staff can find
present on the suWject praperty., The
and identify the sWject parc*s). In'
inforruatibn needIed to complete
additio:4 the applieW shall indude
Checklist should be easily available fiam
Ptherperfineat Thformation (eg. site
observations of the siteor data available at
pht4 topograpby . qh 40 erstudMes in
City Hall (Critical Aims invenwrks. maps,
cOniumfian v4M " Chedkft to assist
or sod' survcp).,_,
Staff in conqfiethM their Ip -pr
An applicant. or Ids&w
must fill ("Vie checiffist,
sW and date it.
I have completed the aftadied OfficalArez- a=Hist and-=cst datV
are.
gc.(fiu out
wner, I Appeaca Applikant
Name
Sft"Mtves� .... ....
fted Ad&-=
City, Stato; 7"
Phwe
MP,
Sil:112"
�z,
CA FILE NO.
C fiffical Areas Checklist
Site Information..(Sd*&Itopography/hydrology/vegetaflon)
1. Site AddressnAcatim-,,. ��0:3 — S PC> AAA=_ e�yj Ut�j F
2. PEOPertY Tax Account Number.
3. Approximate Site Size (acres or square feet): 1_250
4. Is this site currently developed.? __k:��es; no.
If yes; how is site developed7.
5. Describe the general site topognphy."'Check all dw apply.
Flat . less than Sfeetelevation change� eyer entire site.
Rollinr slopes on ift generally less dim 15% (a vertical f 10-f 04
rise 6 eet ei a
horizontal distance of 66-feet).
Hilly: slopes presentan skeof worediai'15%miml lessdiaa3O% (iverticalriiiei'_
of 10-feet over.a horizontal distanw of 33 to 6"bet).
SteW gaides afgreater dtaa 30% present on site (a vertical gise of 104bet over a
hoeizontal distince of less dtan 33�&q).
Otfur (please
6. Site contains areas of yeamund stauft watw. /,,to Approx.
DepdL.*':.t
7. Site contain am of seasonal so Vater. ;'Appror_.Depdr_"
What season(s) of die yen?
8. Site is in the floodwa dood$ ofawatercotume.—
y— t,10
9. Site cOutdo a atek Orain am wbecivaw'Gam across the gmunds surfice? Flov�iwe . YeW6
90 (Whattimeofyed
10. Sift is prituadly: &vested
0.20eadow
urban landscaped QawnAuvbs
11. _Obvious wedand is present
on
-.00-numd
0
-14. Rwlyalr
MUMEW
C.Al
tarth mbddeawl
lar 54-6 --ad
dcannie'atill' Sin itfiin-Mm
z
_M
;4QUIR
�7 Plaw `1_3
CA FRE.—
Critical Areas Checklist
Site Infonmation,.(Sd"topography/hydrology/vegetation)
1.
Site Add'=M=afim-,,.�XO�3 -3Pf> d4lu're
2.
Property Tax Acoount Number.- ;L-ba-]
3.
eet)
Approximate Site Size (acres or square f
4.
Is this site currently developed.? es; no.
If yes; how is site developed7_1-Q UgL:_:j[:L
5.
Describe the general site topograph�.` Check all that 2pply.
,-"'--'Flat: less than 54eet.el a change over entire site,
evatio
Rolling: slopes on ske generally less than 15% (a vertical rise of
104eet'ovir a -
horizontal distance of 66-feet).
Mir. slopes Present on ske of more than 15% aind less than 30% (a vertical r"Uri"..
oflO-(eaover.ahochoaWd'm=of33to6"ed).
Steep,.-. grades of greater than 30% present on she (a vertical rise of 10-feet over a
hoemontal distance of Iess than 33-fed).
Other (Please
6. Site contains arm of year-wwW stauTw4g water. go .�;Appw_D.qAc--*,
7. Site, contains areas of seasonal sta walec Appm�. Depft-
What season(s) of the. year?
'A
S. Sitels in ific goodway podplaim
Mn�
9. S-ftcogit"actv&or'snamubeii'!.W&'W'Gmamn*eVoundswrhoO Flaiii-i
areyear6
Mn (What C. ofyd IL
10. Site is pdmargy: forested "eadowl
wban landscaped QawnAhrubs CM)
llo-.Obvimwedand-ispresemonske:�-,-..�-i��ko 7-
.
y3tafn
V C7
%yer, JaMic 4 Co
40, *WCURRY
=4
CMW
Ater z 5 QL
0 dslidaWacdvied.
Mat se
1171, 10-0
FIELD INSPECTION NOTES
(Fund 111 - Route cony to Street Dent.)
Diagram:
I
Contractor called for inspection Yes NO
Work Disa.T.3proved By: Date: By: Date:
Work Approved By:—. -Date:
Inspector:,
Encf. Div. December 1978
FIELD INSPECTION NOTES
(Fund 111 - Route conv to Street Dept.)j
Comments:
Diagram:
Contractor called for inspection
Work Disapproved By:
Work Approved By:
Inspector:
Yes
Date:
NO
Bv: Date:
U
0
U
0
.0
W
IV)
0
CITY OF EDMONDS
S T R E El'
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Conslitruction
C> 'A 6 9'
Owner: , M
Name
,,10 -�)
Mailing Address
EA/V"0L(5Y\A_4-"-
City,' State, Zip Code
e Contractor:
_rmit No. 31 -7
Issue Date
0 Permit Issued To:
• Type of Work to be Done-
• Wol in Connectl)n With:
0 Sub or Plat El Single Family
0 Corriml. / Ind. Apt. Condo.
• Pavement Cut: 0 Yes 0 No
Name 0
, k , 0. C
Mailing Address
City, S ta te, Zip Code
NO WORK TO BEGIN PRIOR
B. APPLICANT TO READ AND SIGN
-'PL- I C7
State License Number
Telephone Number
TO PERMIT ISSUANCE
I
INDEMIT'Y: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be' made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any: legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit. I
Upon issuance of this permit, the contractor is responsible for workmanship and materials for period of one year I
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Call
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engincerini.
775-2525, extension 220.
I understand that this permit must be available at th b site for inspection purposes at all times.
Signature: P&a:nn&,& ate
Owner or Agent
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSE/*
CALL DIAL - DIG PRIOR TO BEGINNINGwbRK
C. issued By: Permit Fee: );�:2 tle
Time Authorized: Vold after S,3!Q —days, ��O Security Deposit:
Special Conditions: Receipt No.:
V .0 11C VJ 004-u nd I Fee
Arnmendments, Street Cut Dimensions
X
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. Decembu 1978
2L
-7
1.1y 0
CITY of EDMONDS BUSINESS
RRE 4.
LICEN to NJ'
ST 't
TE LICENSE NO.
Civic Center Edmonds, Washington 98020
City Clerk Phone 775-2525
A AL FEES
PENALTY AFTER FEB. 15
0
HOME 0 QUPATION
INSTRUCTIONS:
CLASS
YEAR
LIC.
EFFEC. DATE
LIC. NO.JSPEC
0
$10. (A)
ADDIT l,t �$5. 0 0 0
• All items must be completed
&
, �
�
IREASG.
0
SMALL Bus..
or application will not be ac-
cepted.
RECEIPT NO.
OAT
A-
PRINT X
IN SPEC.
Box
$15.00 �E;)�
DT'ONAL $7*10
DITIONAL $7.50 0
3
J
0
B u,� r
iness ilK 10' 0
• Sign and return application
FEE PAID
PENA LTY PAID
FO R ISSUE OF
CORRECTED
r e0l C
more.e ployees
ADDITIONA 00 0
with fee. Renewals received
LICENSE WITH
'LC' ACTION.
50.00 (C)
after February 15 must pay
0 NEW APPLICATION (LA)
penalty in addition to fee.
0 RENEWAL
(LB)
NEW BUSINESSES AFTER
0 CHANGE
(LC)
JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE
(LD)
,'R-. , -
NAME OF FIRM Iq 0/� 7,J 7-
BUSINESS PHONE
NO.OF EMPLOYEES
MAILING ADDRESS NATURE OF BUSINESS
JACK E. and MARY K. WILLIAMS Apartments
219 N, Underwood
BUSINESS ADDRESS 202�`- :- - 1' INDIVIDUAL PARTNERSHIP CORPORATION
-"-- 11 - )0k Q� (S) (P) P
203-209 Third So., Edmonds, WA
OWNERS NAME HOME ADDRESS
JACK E. and MARY K. WILLIAMS 219 N. Underwood, Kennewic'k, WA 99336
HOME PHONE DATE OF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER
509/783-8843 8-8-17 Centernnint.. diA d qiA-n7-qqI`;4
-Ind i A
EMERGENCY NOTIFICATION: (1) NAME& TELEPHONE -Ei Fie—r .1)D-Quse (Jack or -Ma K)
(PLEASE LIST TWO) (2) NAME & TELEPHONE Mrs. Blanche E. Jones 206.1776-4374
Emp-1 —.Seq-q-ri-ty-Aqct—.82-80955 -teU "C'� e
WASHINGTON STA - — 1!5.— A 14211 1Y1'GNdW
STAFF REVIEW:
DO NOT WRITE BELOW THIS LINE
FILL IN LAND USE CODE, LIFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR
DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT"
SECTION. ROUTE TO NEXT DEPARTMENT ON LIST. i
PLANNING DEPARTMENT
�kAPPROVE 0 ERSAPPROVE
DATE
LAND USE CODE ZONING CODE
SIGNATURE
CONDITIONAL USE PERMIT
COMMENTS
BUILDING DEPARTMENT
DATE :5 -3
Building
2-"A'PPROVE 0 DISAPPROVE
SIGNATURE
0 Hotel/Motel
Permit 0 Apt. Bldg.
(A)
ET I I I I 111 Office Bldg.
(0)
COMMENTS:
Occupancy 0 Restaurant
(R)
Group 0 Hosp/Nurs Home
(H)
CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS)
0 School
(S)
FIRE DEPARTMENT
DATE
U. F. 1. R.
APPROVE 0 DISAPPROVE
SIGNATURE - �vtaf-,,—
COMMENTS:
POLICF--DEPARTMENT --11�- / -I—
Cj /
t,A-rP R 0 V E D AT E SIGNATURE
0 DISAPPROVE
COMMENTS:
PUBLIC WORKS DEPARTMENT
0 APPROVE 0 DISAPPROVE DATE
SIGNATURE
COMMENTS: /0/ - 03100 CP /o/ -03AOO
COTY 0, 9--- E KJ M 0 j" Ll E. �c HARVE H. HARRISON
200 DAYTON ST. EDMONDS, WASHINGTON 98020 - (,'?OC)) 171, MAYO�z.
DEPARTMENT OF PUBLIC WORKS
March 16, 1981
I
STREET �.ILE
Dear Resident:
On February 17, 1981, the Edmonds City Counci"� passed
Resolution 488 for construction, reconstruction and -repair
of deteriorated sidewalks. A puhlic hearing will be held
in the Council Chambers at the"Civic Cent-er on April 21,198.1
at 7:30 P.M. You are ianvite.d to-. a.t-t,-e..nd--,,;,
this_ hq_aj��ing—for,
discussing!i,repair of portions of deter i oeated-:,sA"de-W�fk
abutting your property. The-,impr . o 11 v i emO'i")'E'of�d�e-walks — i n
need of repair at the expense of the abutting property
owner is provided by City Ordinance, Chapter 7.20 and''
Revised Code of Washington, Chapter 35.68.
The areas needing repair have heen marked in paint on
the sidewalk adjoining your proT)erty. Reconstruction and
repair of these sidewalks must be Completed on or before
September 1, 1981. In the event improvements are not
completed within the above specified time, tile city will
perform and complete the improvements at the expense'of the
abutting property owner.
This action is' in response to many citizen requests
and pedestrian falling accidents which have been increasing
in recent years as a result of sidewalk deterioration� and
increased pedestrian traffic.
Sincerely,
FRED F. HERZBERG
Director of'Public 'Works
APPLICATION
for
The City of Edmonds SIDE SEWER PERI$HT
NEW CONSTRUCTION [] REPAIRS EASEMENT No. . ....... .................................
OWNER.... .... JaCjk ---- E . .................................... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS c:209 .... 3 --- r ... d ........ AY-0-A .... SO ........................................ LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
1�1
0
0
NAME OF ADDITION .............
117a
-C/
Ta
A,�r, l%e/
On Sewe-r
DATE................................................ By ......................................................................
APPLICATION
for
The City of Edmonds SIDE SEWER PERMT
NEW CONSTRUCTION 0 REPAIRS 0 EASEMENT No . ..........................................
i0l -08 ton
OWNER.... JdC-K.-#=-* ......................................... CONTRACTOR .................................................................................................. PERAUT No . ......................
'd
ADDRESS .210.3-3 .. r ........... Ava.....-J ......................................... LEGAL DESCRIPTION: LOT No . .............................................. BL0CK No . ............................................
0
0
NAME OF ADDITION ................................................
Juna, /97J
Jor :td 0
et Tewfad Sewer
Approv .
DATE................................................ By ......................................................................
, 0�o
USE
e, ZONE PERMIT
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT #
OWNER NAME/NAME OF.BUSINESS ADDRESS
LEGAL DESCRIPTION CHECK[SUSDIIISION NO. LID NO.
f1r,kt,/A07r2 �J
L-u MAILING ADDRESS
Z
3:
0 17 , 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved
CITY ZIP TELEPHONE NUMBER RW Permit Required
XISTING — REOUIRED DEDICATION — Street Use Permit Req'd 13
�A-� I I I - -Z 0& - c� �Vl - Inspection Required 0
:ROPOSED Sidewalk Required 0
NAME cr
W
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
LULJ ADDRESS YES 0 NO 0
REMARKS
W
cc CIT! �Zll NUMBER w
Z
NAME
LC 5.Nv I
A.!>A L
cc ADDRESS-
0 ENGINEERING REVIEWED BY
I'-
VF-. t� /,/ 6 k e- (f MEMO DATED
< CITY ZIP TELEPHONE NUMBER
(r
1'- &2 � FIRE MEMO DATED REVIEWED BY W
Z 206, cc
8 U.
STATE LICENSE NUMBER' EXPIRATION DATE
67 L. U (�A r2 -51 '7& 7M q !Za. SIGN AREA SEPA REVIEW, ADS NO
Legal Description of Property -,include all easements t1t;j ALLOWED PROPOSED COMPLETE JE ti�� I
SHORELINE N
EXP
VARIANCE OR CU �WREVIEW BY Li
cc
U 7-1
W
SETBACKS — FEET* HEIGHT LOT CdVERAG9 Z
FRONI SIDE REAR Z
Lu I I
-j 5
.ti-Account REMARKS
ElNEW El RESIDENTIAL El PLUMBING Xz� �314-411
0 ADDITION COMMERCIAL El MECHAN1;.,AL S//z S�7,/Zzt2i ;1
ElREMODEL XAPT. BLDG. El SIGN
CHECKED BY TYPE OF CONSTRUC� VIN CODE OCCUPANT
GRADING FENCE P 9/ Gr�
El RE -PAIR El — CYDS. El 11— x _ F7)
WOODSTOVE SWIM POOL SPECIAL INSPECTOR JAREA OCCUPANT
DEMOLISH El INSERT D HOT TUB/SPA .
REQUIRED LOAD,
ES
GARAGE RETAINING WALL/
CA ROCKERY RENEWAL REMARKS L)
(TYPE OFAJSE...BLJSINE S OR AC:jIVITY). EXPLAIN: PROGRESS INSPECTIONS PER UBC 305
EE A\T2AyTh1i5f-r j KI rr� 5-n NJ&-
�S NUMBER UMBER OFP.,- 'CRITICAL
uj I .. 1 4 REAS
o OF DWELLING
(0 _STORIES UNITS 10 UMRFR
0
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
JZ�MOVC .2- r-A, PvtJ &75 FINAL INSPECTION REOUIRED
VALUATION FEE
AP2' 5,ato
PLAN CHECK FEE
BUILDING
HEAT SOURCE: GLAZING %
PLUMBING
Plan Check No. - MECHANICAL 71
This -Permit . covers work to be done on private property ONLY. GRADINGIFILL
Any construction on the public domain (curbs, sidewelks, —
driveways,. marquees, etc.) will require separate permission. STATE SURCHARGE
�71
PerrAlt'Application: 180 Days STORM DRAINAGE FEE
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
A00IicanFpn 'behalf of his or her spouse, heirs, assigns and - ENG. INSPECTION FEE
w successors in interest, agrees to indemnify, defend and hold
'Wn harmless the City 'of Edmonds, Washington, its. officials,
i employees, and agents from any and all claims for damages of
ir ,
< whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
0
x nor limit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL
information given is,qQ.Frkct; and that I am the owner, or th.9 duly
authorized agent of, ihe'owner. I agree to comply With city and THIS PERMIT This application is not a permit until
state laws regulating construction; and In.doing the work authoriz- AUTHORIZES
ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid. and receipt is
tion Insurance and RCW 18.27. INSPECTION acknowledged in space provided.
SIGNATURj (OWNER OR AGEN,T DATE SIGNED DEPARTMENT
GFjFACIA S AT IE DATE
CIT I '1� " , I
Y OF
2- EDMONDS
Ou
CALL FOR RELEASED 0
Y:
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220- ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC