21120 81ST PL W (2).pdfBUILDING DMILRTMENT
Applicant Fill
PERMIT APPLICATION
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AXE (OR NAME OF BUSINESS)
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PERMIT
NUMBER �620664
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igal Description of Property (Show Below or Attach Four Copies)
—0 PERC. TEST
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PLAN CHECKED BY
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BUILDING PERMIT
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I hereby acknowled . go that I have read thin application; that the In- ATTENTION
formation given is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state Iowa regu- THIS PERMIT
lating construction: and In doing the work authorized thereby. no person AUTHORIZES
will be employed In violation of the Labor Code of the State of Washington ONLY THE
retailing to Workmans Compensation Insurance. WORK NOTED
( xCept Demolitions which shall
NOTE: Permit Limit one Y completed In ninety days.
Ault ull GrLED INSPECTION
TURE (0 AGEN DEPARTMENT
CITY OF
NOTE: Applicant Subject to Plan Check Fee PR 0.1107
APPLICATION APPROVAL
This application Is not a permit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged In space provided.
DIRECTOR'S SIQNAT�u HE
—DATE
FILE
This re Init cove s work to be done an private property ONLY
Any construction on tile public domain (curbs, sidewalks. driveways.
malrquees, etc.) WIII require separate Permlsslo"'
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I
e"ITY OF EDMOND4cM
DEPARTMENT OF BUILDINGS
CERTI 1GA-tt OF OCCARANCo 11
UNIFORM BUILDING CODE, Sec. 306
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vot 44AW Building Permit Number— 660066
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Occupancy established by this certificate: TTT Two
Nine —Unit Apartment House
(R--it building 4—unit
2
Floor Load signs — in place (per Sec. 23o8 U.B.C.) — Capacity signs — posted (per See. 33u I (i) U.B.C.)
Floor load and room capacity signs, when required, must remain posted at all times.
Type Const. v � I Basement Yes
M I R 0 T 0 W N H 0 U S E
THE BUILDINGS HA%EBEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
issued this 27th day of July 19 66
CHIEF BUILDING OFFICIAL By
w. J. Slaba
This certificate shall be posted in a conspicuous ptiblic area and shall not be r0n1oVCd, mutilated or obscured and shall be main-
tained in legible condition at all times. Any change of occupancy requires a new certificate.
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