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20000363.pdfDATE RECEIVED PERMIT EXPIRES-L-k- Z CITY OF EDMONDS USE Z. m (K ERMIT NUMBER CONSTRUCTION PERMIT APPLICATION JOB UITFJAPT# ADDRESS ;w� / ".1 1 OWNER NAMEtNAMEO1 BUSI EBB 7 oo k-Hv-A_ FLAT NAMEISUBDIVISION NO. LOTNO. LID NO� MAILINGADDRESS. If _lj CITY ZIP ,,,,�TELEPHONE LID FEE $ —.A PUBLIC EIGHT 01 .1 PER OFFICIAL STREET MAP Au, 0 s".., — 0 EXISTING — PROPOSED P 0 FFCUUAE.D�.l.ATK)._ IT 0 f ME NO 01 FIXTURES P V REQUIRED YES 0 NO 0 3 ADDRESS REMARKS OWNER/CONTRACTOR RESP4SIBLE WR ERO ION CONTROUDRAINAGE ZIP SONE 0 pu Paw Gis,7-- ENGINEERING FIEVIEWEDIDATE ADDRESS FIRE REVIEWED BY DATE m Z 0 cl m m m 0 s EPSON 7paz AATE LICENSE NUMBER EXPIRATIONDATE 7- o CHECKEDBY VARIANCE 08 CU SHORELINE OR ADB� INSPECTION OYRE D eS (3NO PGOID. STE SEPAREVIEW COMPLETE , EXEMPT EKE SIGN AREA ALLOWED , PROPOSED HEIGHT A.EO I PROPOSED PR�6ACCOU TPARC NO -7 W n NE El RESIDENTIAL 0 PLUMBING I IVECHI LO COVERAGE ALLOWED PROPOSED REQUIRED SET ACKS(M. FRONT SIDOE PEAS PROPOSED SETBACKS (FT) FRONT URSIDE REAR C3 ADDITION KICOMMERCIAL COMPLIA CE OR CHANGE OF USE REMODEL 0 APARTMENT SIGN FENCE 0 REPAIR C] GRADING CYDS m X FT) >�,GEMOLISH 0 TANK n OTHER c3GASP GE 0 RETAINING WALL RENEWAL CA' CRT SOCKEI Y C3 0 0 8 c M m io C: > 3: aj PARKING I REGO PROVIDED LOT AREA PLANNING REV EWED BY �X% V On I m m 0 m ca M 0 A. YL INES IVITY� EX BUS ��; -e C �ECKED BY ITYP!= I CO GCCUPA BE G SOUP I MESS �T.FIES 0 F LINGO C CNRUMS AZA. T31� SPECIAL IN PE.TOR I�RFA REOUtHEDS[:] YES OCCUPANT LOAD 13EMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 7,,'&- X z 3: cl) 7 VALUATION FEE PLAN CHECK FEE z GLAZING % LOT SLOPE % BUILDING PLAN CHECK NO: IVEITED DATE PLUMBING m MECHANICAL THISPERMITAUTHO IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON T E PUBLIC 9 DOMAIN (CURBS, SIDEWALKSI DRIVEWAYS, MARQUEES , El'C.) WILLS REQUIRE GRAD] GIFILL SEPARATE PERMISSIOW �EUPCHAPGE PERMIT APPLICATION: 180 DAYS PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 9 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES� AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGE ,I OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FA M THE ISSUANCE OF TH S PERMIT. ISSUANCE OF FHJS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY 8EQUIREMENTOF ANY CIT 1 OPOINANC 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' ENG. INSPECTION FEE LANDSCAP NO INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE IR CEIPT R CEIPI IR If "HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT: AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC' TION. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO SURFCEANDACWIS.27, "ON E (OWNER 0 E 70 APPLICATION APPROVAL CALL 11, 1 C l." oll' Fp.,J t,, Il. � I. II, I., .11� ': A�d F — ,,J, FOR INSPECTION .—p- �klldgld 11 11 P'll.dld, OP"ICI SIG DATE (425) 771-0220 ELEASED By rm!!�ZCR EXT 333 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ORIGINAL -FILE YELLOW. INSPECTOR PINK - OWNER GOLD - ASSESSOR Z, .q Pier/Porch ............. Retaining Wall ........... 0 M Slab Insulation PLUMBING: 011-4 Underground ............. rn IT 0 -40 Rough -In ................... pt! Commercial Final M HEATING: ITI z Gas Test ............. > V) Gas Piping ................. 4 Equipment ................. Commercial Final M M EXTERIOR SHEATHING A 0 NAILING .................... 0 cl) FRAMING ............... M 0 Z FIRST FLOOR FRAMING... 74 INSULATION ................... -4 Floor Insulation z Wall Insulation ........... Coiling Insulation z SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS FINAL APPROVAL FOR OCCUPANCY .................. 4- 4 ., b C S� V, q1Q- 0 uLqyl�_,` S_t&(f0 I =.D4TERS01IV10, s PEFiMli-EiPIRES PERMIT -Lao 36 -a-v CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS SUITFJAIT. OWNERNAME USi�ESS PILAT NAMEISUBDIVISION NO, I LOT NC% 1:3-0 et— 'R�� / UO N LID FEE S 11 g"91 MAILING ADDRESS I PUBLIC RIGHT OF WAY PER 0 AL STREET MAP -76) 74; P. �E�11F� T_ EXISTING — PROP OSED CITY TELEPHONE ';2 7J/V—/;7 nEOUtREDDED:CATION— FT — S.—IN P. 0 U. OF FIXTURES PRY REQUIRED ;NAME YES 0 NO 0 REMARKS t ADDRESS 11111111IT111TIR 111P1 14SIQLEJPR EROSION CONTROIJORAINAGE 7_e a4 NE -3357"'�3 — j Ming mmom ATE ADDRESS 7e �4-IM�7 IT FIRE REVIEWED BY DATE zip 0 BONO z VARIANCE ON 1:11 SHORELINE 01' ADS1 INSPECTION EXIINIIIN -11 CHECKED By REDD POSTED AATE LICENSE NUMBER 0 YES ONO 07 60 SIGN AREA HEIGHT BEIA REVIEW PRW� ACCOUNT PATCF�. COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED -2-011 o3o - 006'2) EXP ro 3: a m a — SETBACKS (FT.) PROPOSED SETBACKS (IT.) LOT COVERAGE REOUIRE 0 NEW 0 RESIDENTIAL PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE HEAR In 0 0 ADDITION KOOMMERCIAL E] COMPLIA CE OR CHANGE OF USE 0 c PARKING LOT AREA PLANNING REVIEWED 81 DATE PEGG PROVIDED m C] REMODEL C] APARTMENT 0 IGN m Z FENCE 0 REPAIR 0 x FT) RK jo-4 OTHER -4 EMOLISH TANK A cn GARAGE M FtETAININYG WALL RENEWAL z CARPORT L` ROCK — U"kA d'1 0 -n "n CTIVITY) EX PAN CHEGKeDBY TYPEOF ONSTRUCTION ICODE 0 CGU .0 p IG (1A%Q, -7 rn CRITICA NUMBER NUMBEROF AREA "FANT DWELLING� ANR SPECIAL INSPECTOR C"' OF U LOAD 10 STORIES UNITS REQUIRED C] YE� m 0 0 C: rn (j) ... ..... ... 0/' REMARKS PROGRESS INSPECTIONS PER UBC 10WINAL INSPECTION REO'D ri) L A04e rn 0 ;a z VALUATION FEE z PLAN CHECK FEE LOT SLOPE X, BUILDING PLUMBING PLAN CHECK NO: MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION, SURCHARGE PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. I YEAR PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG, REVIEW FEES SEEBACK PINK PERMIT FOR MORE INFORMATION 0; ENG. INSPECTION FEE HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS NDEMNIFY, DEFEND AND HOLD ARMLESS THE CI I I Ul IN INTERES , AGREES TO I LANDSCAPING EDMONDS. WASHINGTON, I S OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE, ARISING DIRECTLYOR INDFICTI Y FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SH ILL NOT BE PLAN CHECK DEPOSIT DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT05 ANY CITY ORDINANCE 0 'OR LIMIT IN ANYWAY THE CITY'SABILITY TO ENFORCE ANY ORDINANCE PROVISION -7 TOTAL AMOUNT DUE 3 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT� AND THAT I AM THE OWNER. OR IHE OULY AUTHORIZED AGENT OF Tht, IpPi'111111 11 Im 1001.1 �tll slg by IhO THE OWNER. I AGREE TO COMPLY WITH CITY NO STATE LAWS REGULATING CONSTRUC- CALL BWd'q Offi—I .' P.w. d TION;ANDINDOINGTHEWORKA THORIZED THEREBY, NO PERSON WILL BE EMPLOYED .... 0 UDE OF THE STATE OF WASHINGT FOR IN VIOLATION F THE LABOR Co ON RELATING TO INSPECTION j4CE AND RCW ISE TE ypRW4kN'S COMPENSATION iNSURA 7. OFRG SIG UR I f (425' P J SIGNA (OWNER 0 E!y) (��7 �AG/ 771-02 20 RELEASEDBY NA, ... EXT 333 E IT IS U WFUL T USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFk 771-0221 ORIGINAL�FILE YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR I 5195 DATE RECEIVED 1"... CITY 7 EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS - gm CITY ZIP ITELEP1011 NAME ADDRESS RMITEXPIRES PERMIT 2-003&R— ZONE NUMBER JOB SUITE/APTIt ADDRESS PL,NE NAMEISUBDIVtSION NO. LOT NO, LID NO, ID EE$ L LID LIC RIGHT OF WAY PER OFFICIAL STREET MAP RvvP_pR.,:.1,%.,, 0 0 EXIS ING- PROPOSED- 0 REQUIRED DEDICATION- FT 0 NO. OF FIXTURES PRV EOUIRED YES 0 NO 0 ARKS -Al-.1--l.- .-PONSISLE 'OR EROSION CONTROUDRAINAGE 7 33 FIRE REVIEWED BY DATE CITY ZIP TELEPHONE g�ol4o,,jnr �?BoZo 42 5771 VARIANCE OR CU SHORELINE OR AOSb ION N777 0 Y ONO ��NZ .A. STATE LICENSE NUMBER .- ;; - ^ A4!!�l �cx 0 SERA REVIEW I EXEMPT EXP - SIGN AREA ALLOWED PROPOSED I HEIGH P T ROPOSED ALLOWED I PROPERTY TAX ACCOU RCEL NO 2- 00. LOT COVERAGE REQUIRED SETBACKS (FT.) REAR PROPOSED SETBACKS (FTI FRONT URSIDE REAR 0 NEW F] PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE 0 ADDITION ci COMPLIANCE OR CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED By DATE [3 REMO OEL C] SIGN D REO'D PROVIDED I PROVIDED 0 REPAIR E3 GRADING CYDS 0 FENCE ( X FT) EMA.- 0 DEMOLISH XTANK -peM,4Z_ 0 OTHER AGE 0 RITAINVWALL RENEWAL Cl GARPORT ROCK ITYPSOFUSSSU ESSOR CTIVITY) EXPLAIN: CHICXEDIY T N C DE "'p"T OGR..P NUMBER NUMBER TI A SPECIAL I NSPECTOR AREA OCCUPANT OF STORIES WSLUNGF CNITS U AS BE REQUIRED C] YES LOAD DESCRIBE WORK TO BE DONE REMARKS GRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE % BUILD G PLAN CHE CK NO: JIE5TED DATE PLUMBING . MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTIED� THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PU BLIC USES DOMAIN ICURBS, SIDEWALKS, CRIIEWANS, MARK) , ETC.) WILL REQUIRE GRADING(FILL SEPARATE PERMISSION, STATE SURCHARGE P M N! 1811 DAY ER IT APPLICATIO X I PERMIT LIMIt I YEAR, PROVIDED WOR SSTARTEDWITHIN VIDDAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HI OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS S ENG. INSPECTION FEE ;APPLICANT. N INT5REST. AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF ANY AND L�G E EDMONDS, SHINGTON. ITS OFFICIALS� EMILOYEES� AND AGENTS FROM WARD �PEE R A LLCLAIMSFO AMAGESOFWHATEVERNATURE�ARISI..DI E, PERMIT SHALL NOT BE D FROM THE ISSUA CE OF THIS PERMIT. ISSUANCE OF THIS DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PROWSiGN.� FLAN CHECK D NOR LIMIT IN ANY WAY THE CITY*S ABILITY TO ENFORCE ANY ORDINANCE THAT I HAVE READ THIS APPLICATION; THAT THE'N' RMATION Ap PROVAL I HEREBY ACKNOWLEDGE GIVEN IS CoRREoTEAND THE OWNER, OR THE DULY AUTHORIZED AGENT OF T�PI_15,ATI�N F-it iI 11,ed by thO CTHATPLAMI HE OWNER, iAGF To M WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL B." F - "'.d. ..d AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL 8 EMPLOYED TO FOR INSPECTION 1-1� -d'.b-P... p'-d- ,TION; RELATING N VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON DATE. WORKMEWS COMPENSATION INSURANCE AND HOW 1817, DATE E�� SIGNED (425) OFFICIAL I NAT E 0 Sn- ATE 771-0220 R F - By EXT 333 WiTENTION_ ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTIL 771-0221 INSPECTOR FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� ORIGINAL FILE - YELLOW - - GOLD -ASSESSOR A CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER 5198 z 0 m 0 -40 Oc 4 m X M m 0 -n m In Fn M 0 ;D -4 z 0 zm FMALTRQHL1AURQYALEQRM TO - DATE: L77ILD UEMO TO: PE CO INGDIVISION _ FIREDEpARTNENTI)ATE FROM: E GINEERING DIVISION DATE— N PLANNING DIVISION DATE- 5-10 AV A,/ PRO ?�,p L—j^no Co—'s SITE ADDRES PERMIT INSPECTEI DESCRIPTION OF WORK To BE INSPE was conducted to determine compliance with approved plans. Final approval denotes that �A field inspection from the above signed ep ent to the granting of there are no objections _,e� Final approval of the described work --,:L—Performance Bonds associated with the proj ect may be released __Z_GItANT FINAL PROJECT APPROVAL _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED _FAMED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. _��RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.docA:temp:bldg:f,Drms6l98 z 9 0 0 M Co M 0 0 0 C: -i K MM MZ 0 -1 C —Z 0 -n ITI M a 0 0 ca M 0 Z M z --4 M 0) z 2 0 M '-fjpATE RECEIVED CITY OF EDMONDS 'RUCTION PERMIT APPLICATION ZIP ITELEPHONE 14-1517 CITY ZIP ......... NAME Z 1,44,4jE_Re_.4A&) 6,.rr,- Al. W"C776,Af ADDRESS 73-,5 '11TV ZIP TELEPHONE LICENSE Igo cz� NEW RESIDENTIAL 0 C] PLUMBING I MECH ADDITION COMMERCIAL COMPUANC OR CHANGE OF USE REMODEL APARTMENT C] SIGN REPAIR C] CAAMN. CYGE 0 FINCE ITI DEMOLISH XTANK -pe,,,Lq� n OTHER o GARAGE CARPORT C3 R6XjNING WkLL RENEWAL POI.K.— TYPE OF USI,BU ACTIVITY) EXPLAIN: �ESSOR CRITICAL �A NUMBER T.FUE. R.A N ..EF DESCRIBE WDFK TO BE DONE PERMIT EXPIRES'* 4 __z___jtR 7SE PERMIT ZONE NUMBER 2'0 B SUITEIAPTN ADDRESS 3A /'�A ')l, PI A NAMEISUBDIVISION NO. T NO� LID NO. LID FEE S 'E7al A,,'- _lD PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ; P.,_b K 0 g_U I P4, C EXISTING — PROPOSED� "Ia a b—IN a' RSOUIRED DEDICATION— PT METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES C3 NO 0 REMARKS FFlIBlF FOR EROSION CONTROUDRAINAGE FIRE REVIEWED By DATE VARIANCE OR CU ;;GRELINEOR ADBN 'H INSPECTION REGO POSTED I 'GN" OYES ONO SERA FRIVIEW SIGN AREA PROPOSED HEIGHT ALLOWED PROPOSED COMPLETE EXEMPT ALLOW"' 'XP COVERAGE C E_- B FT REOUI D SET ACKS I RE E ET "I PROPOS D S SACKSEA(R L. LOT ALLOWED - '0.. - P V 'IT SIDE REAR 'F.. FRONT URSIDE R PARKING LOT AREA . ....... . ...... E. G I PHOV H REOD I PROVIDED No VALUATION I FEE PLAN CHECK FEE LOT SLOPE I BUILDING IPLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES 0 IS PERMIT COVERS WORK TO NL,THE R NOTED.TH OP5RTY ONLY. ANY CONSTRUCTION ON THE UBLIC BE DONE ON PRIVATE PR DRIVE CT E SIDEWALKS. DRIVEWAYS, AROUSES, C.IWtLLA QUIRE GRADINGIFILL DOMAIN (CURBS. a "ARAT" P MISSION, S SEPARATE PER TATE SURCHARGE EBMIT APPLICATION: 180 DAYS PE PROVIDED WORK IS STARTED WITHIN 180 DAYS IT , R 0 PEsmi r LIMIT: I YEAR ENG� REVIEW FEES IT SEE BACK OF PINK PERMIT FOR MORE INFORMATION 0 A PLICANTTON BEHALF OF =S.oNIFyR SpEo�USE RE1�1.1L.A.IDNI AND SUCCIS-FE ' P I DEF PINTEREST, AGREES TO IN-EMN"Y , EEI HARMLESS THE CITY OF r END, INSPECTION FEE LANOSCAP14G IN ObCS WA "T :TS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND N BU, ON I '="iI III . ER I A OFW"AEV,, NATURE ARISING DIFECTLY.R INDIRECTLY 'L G E 0 W. , V FOR G ERMIT SHALL NOT BE DEPOSIT R EIPT THE 'EEUANC 0 'R'S PERMIT 'EEUAN6E OF TH E F 'R'. PERMIT I ANY CITYORDINANCE PLAN CHECK DINANCE PROVISION.' RECEIPT TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONY, THAT THE INF RMATIOM AUTHORIIEO AGENT OF A _ GIVEN " CORRECT. DU' AND THAT I A. THE OWNER OTATTEE 'U'T'NQ �.NE WITH CITY AND S LAWS RE TRUC CALL TNI, THE OWNER I AGREE To COMPLY AND AUTHORIZED TH5AEBY, No PERSON WILL BE EMPLOYED IN DOING THE WORKOO INSPECTION TION; IN VIOLATION OF THE LABOR OF THE STATE OF WASHINGTON RELATING TO FO R EUDE WORKMEN'S COMPENSATION IN RANCE AND RCW 16,27. OFFICIAL E Q_W��.R AGENT) .(425) 771�0220 n E EXT 333 TTTENTION IT IS UNLAWrULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OF OCCUPANCY HAS BEEN GRANTED. LIBC SECTION 109 FAX CATE 1531v , 16 1 PPLICATION APPROVAL ml . Imbab a,fil algaml by III. 011a.i I., haaIm, D,p.ty:,,dF,,a am aad. Ild —, ia F—KI.IL I NAT S GAT BY ATE ORIGIN —PILE YELLOW- INSPECTOR PINK - OWNER GOLD - ASSESSOR Z 0 0 0 rn c a M 0 0 c Rl M z 0 -n n MM o 6i 0, 0 M C 0) c 0) 1 � i M 0 ;a z z 0 Rl