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PERMIT APPLICATION: 100 DAYS
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ENG. REVIEW FEES
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'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS
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EDMONDS. WASHINGTON, ITSOFFICIALS.
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AG T OF
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Tafirtratt of orrapary
DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At: 22818 Hifiliway 99 #"4
— ----- — Building Pannit#: #200209
Occupancy established by this certificate: Dwelling Units: **N/A** No. Stories: I
B Type Construction: VN-sprink Basement: WA
Maximum Occupant Load Is- (Per U.B.C. 1002)
Room capacity signs, when required, must remain posted at all times.
Owner of Building:-- Boo Han Plaza _Add
THE Am-Pac Tour& Travel _ HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE
1997 EDITION OF THE UNIFORM BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE
FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this Seventh day of April 2000
CHIEF BUILDING OFFICIAL
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ibis cansicate, span be posted Ina conspicuous pucyc amend shell not be maved. anutiated or,bwcared and swill be maintained in taglate, condan at at bass. Any chwVe d eccepefmyoruse squires a building potent and a new
Certificate of Occupancy issued by Me City d Edmands Went, OffIds.
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...................
FOUNDATION:
Footing......................
wall....................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING-.
Undergrourid
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-APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
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ENSATI� INSURA
r9p ION E
[DATE SIGNED
(425)
771-0220
NELIASEDB DAT
ATTENTION
EXT 333
u%
IT IS UNLAWFULTO USE OR OCCUPY ASUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
RIGPN�L 'ILI YELLOW INSPECTOR
ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED� UBC SECTION 109
FAX
PINK -OWNER GOLD -