20000702.pdfDATE RECEIVED 16
I — I
PERMIT EXPIRES 1A 2ZO
CITY OF EDMONDS
USE
'ONE RSW 12
PERMIT .700
NUMBER ;P�o 0 ?-
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
SUITEIAPTN
112
OWNER NAMEMAME OF SINESS
PIAT NA.E,SqBDI" SION NO,
LID NO.
ROY W. GORUD
'-,Ic Ballinger Ti
Blk 7
FEE
MAILING ADDRESS
' 2 p"t #1
LID S
0
238--3 74th Ave. W.
PUBLIC RIGHT OF WAY PER 0111C.-
STREET MAP
40
CITY HONE
EXISTING — PnOPOSED—
Edmonds WA 98026
425-640-7045
REQUIRED DEDICATION—
FT —
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0
NAME
METE ZE,,
LINEIIZE
NO. 01 FIX 19
M
11" REQUIRED
Greggs Building Design
I
I YES NO
NO
to
ADORES
1006 N E Ravenna Blvd
R MARKS
OWNERICONTRACTOR RESPONSIBLE
FOR EROSION CONTROUDRA11
CITY ZIP
TELEPHONE
IT'rae, A aw wwwrs
Seattle WA 98105
206- 24-2808
e�A-q '5' I&mw
NAME
Milligan Construction
ENGINEERING
ADDRESS
A&
1760 N.E. 107th St.
FIRE RE�IEWED By DATE
CITY ZI P TELEPHONE
Seattle 98 25 206-365-2996
VAR�C�Rj4 SHO RELINE 08 ADEP INSPECTION I BOND
STATE LICENSE NUMBER DATE �CHEC
RE
13 YES X.
MILLIC1110Y10
SERA REVIEh SIGN AREA HEIGHT
ALLOWED PROPOSED ALLOWED PROPOSED
PROPERTYTAX ACCOUNT RCELNO.
488 800 7-002
COMPLET A PT
0 NEW Rk RESIDENTIAL FLUME' .... ECH
LOTC0112AGI REQUIRE SETIIAGKIIFTI PROPOSED SET11CKS III
ALLOWED PROPOSED FRONTO SIDE REAR FRONT URe"EAR
KkADDITION COMMERCIAL COMPLIANCE OR
CHAN EOFUSE
'5-g5p/. 62 1.5 10 11.57 15
—
REVIEWED BY
REMODEL APARTMENT SIGN
PARKING LOT AREA I PLANNING
REDD PROVIDED q uA lera-46w�-'OA
REPAIR C] !!fW .,.B C] IENIE
X ITI
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CARPORT R C 'R
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(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
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& TYPE OF N CCUPANT
tORICLF R1
*5
NUMBER OF CRITICAL
R mumB
OF DWELLING AREAS,
CA-99175
SPECIAL INSPECTOR JAREAft)M&j� OQ�UUPANI
REQUIRED L.
STORIES 2 UNITS MJIMRF
0 YES
DESCfi1BEWO TYEIINI
emol e e-Asting, daylight basement
REMAnKS
ROGRESS INSPECTIONS PER UBC JOBIFINAL INSPECTION REO'
rambler and garage. 2-story addition
to east, v-6 enlarge garage area.
-
Rebuild and add o;-i to dec:k::'
�2AftC:02I!20
Cj�
Mo,� N\jr&C,0 P'Z
VALUATION FEE
--EC K FEE
PLAN CHECK FEE
PLA N
HE T SOURCE ILI""
LOT ORE %
BUILDING
;11
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1 .5
PLAN CHECK NO:
DATE
PLUMBING
30
3—
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11111EO
I A L
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MECHANICAL
I. P ER -IT COVERS WORK T
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
RUCT' ON .'HE PUBLIC
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
G-A ,N.'FLL
G-DING"ILL
EES , ETC ) W' LL R EQUI RE
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
RB' SDEW
MIA
SEPARATE PERMISSION,
STATE SURCHARGE
B PERMITAPPLICATI W UXIDAYS
ROVID D WORK IS STARTED WITHIN - DAYS
PERMIT LIMIT. 1 YEARR TH; ' "D YS
R P ED W, N A
NG REVIEW F BE
ENG REVIEW FEES
B BACK OF FORMATION
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
INSPECTION FEE
INSPECTION FE�'.
too
C G
ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
END
ENG,
;APPLICANT.
TEREST. AGREES TO INDE-111. DEFEND AND HOLD HARMLESS THE CITY OF
I INT G R P , TH
N N
ONDS, WASRINGTON� ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
2 EDM oM
M
5 . D, CTLYo , Y
ALL CI-AIM5 FOR DAMAGES OF W ATEVERNATU�E.AAIIIN.�'�ECTLYORINDI.E�ILI
OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
RECEIPT
x FROM THE ISSUANCE
OF ANY CITY ORDINANCI
Fy WA'V E EN T 9
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT
IMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
NOR L I IT W Y T E ,
HEII
q'_� 0
TOTAL ANIOUNT DUE
L&LL-1—
sz
I HEREBY ACKNOWLEDGE THAT � AVE READ THIS APPLICATION, THAT THE INFORMATION
PLICATION'APPROVAL
GIVEN IS CORRECT, AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
T�p -" �"'- E,
"p. I'y"
11, P-, c-
Y
TION AND IN DOING THE WORK AUTHORIZED THEREB . NO PERSON WILL BE EMPLOYED
WASHINGTON RELATING TO
FOR INSPECTION
1.� aFl-WI.d PI.-d
o'd,
IN VIOLATION OF THE LABOR CODE OF THE STATE OF
ANCEANDRCW1827
EIATE
WDRKMENS,q-QMBBNSATIGNINSU
(425)
�FIALS SIqNAT.TE
ol
�7;7: 2, r 0
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771-0220
E XT 333
ATTE6TION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
-FILE
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - YELLOW INSPECTOR
A FINAL
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK OWNER - GOLD - ASSESSOR
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TAX LOT NO. 4888007-002
P� E v i7' D
AMA-(, ' .3 (2S
ZONE: RSW-12
CRITICAL AREAS DETERMINATION NUMBER: CA-99-175
ju IL 05, 2UGO
OWNER
ROY GORUD
SECTION, TOWNSHIP, RANGE:
rqW 1/4 OF THE SW 1/4 OF SECTION 32,
DEVELOPMENT sERVICES CTR.
cl ly or COMONDS
ADDRESS:
23823-74TH AVE. W.
T. 27 N., R. 4 E., WM.
EDMONDS WA 98026
�LEGAL:
T B6? INISR LAND %&PLAT
2 (CK 7, LAI
CITY COPYSITE: SAME
WASH N
T ELANDS IN FRONT OF AND
A H %?R
ASTEJpNEprljpE
PHONE:
425-640-7075
,�JYQE COUNTY OF SNOHOMISH, STATE OF
g�ff
"I" nnk'DITIONS RESERVATIONS
SUBJE TO EASEM I
Amn MIA= MTTrP.Q r)r- Prr,.c)pn IF: blY
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
RiffeEiVE13 NATIONAL FLOOD INWRANCE PROGRAM Expires July 31, 2002
A 6 4- 2660, ELEVATION CERTIFICATE
I Read the inMetions on RWJ - 7.
SECTION A - PROPERTY OWNER INFORMATION
�B�LD �NGWNEKS Policy Number
U' I C
ROY GORUD
BUILDING STREET (Including Apt., Unk Suite, and/or Bklg. No.) OR P.O. ROUTE AND BOX NO. Conaparry NPIC 14�r
CITY STATE ZIPCODE
WA 98026e510
EDMONDS
PROPERTY DESGRIPIT15j�(Lt and —Bb&N.—, Tax Peroel Number. Legal Description. etc)
LAKE BALLINGER LAND COMPANYS PLAT SUBDIVISION No. 1, VOL. 9, P. 57 & 58,
LOT2,BLOCK7. ments am, a necessary.)
BUILDING USE (e.g,, Residential, Non-resiclerdal, Accessory, etc. Use a Corn
RESIDENTIAL HORIZONTAL DATUM: SOURCE: GPS(rype):
LATITUDE/LONGrrUDE (OPTIO J@ USGS Quad Map [3 other
or *#.#NNNP) 0 NAD 1927 0 NAD 1983
Arr
B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
F—BI.WpODW&N[TYNALE&CWOMWK)NIIYN __T —BICIOUNTY NAM 133. STATE _71
rEk"DS,WAW63 SWMMSH I WA
S)
28D.0
; b DetnatiDnDala
C1. BuidkV elevations am based Z BulldN Urx1arCon8hUcW Ll Flnisined Construction
'A new Eluvation Ceffc* will be required Wen construction Of the buIdN Is cor"PI'la-
CZ Building Diagram Nambari (Selecift buldirV dkVam most skr&b the buldirg forwhich this o8dIcals is behv oomplelad -see PW6 aid 7. NnDdNrarn
aocuTg*mpmmntstebuldklg,PwidaaskethorftNr4)
03.SwAm—ZamAl",AE,AH,A(�%*SFQ,VE.Vi-V30,VWheFF-),ARAPJA,AFUAF ARjAI_M,APjAHAPJAO
Complete IternsC3.44beiow a000fdhg b ft buIdN diagrdm VNMW in ham C2. State the clatum used. Ifthe datum Isdiflinentfrarn the datum used forlhe BFE In
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SectbnDorSe*nG,asWpqxiab,bdocumantMd3tummmmbn-
DalumNGVD29 Corrvemianj�marftSMSECTTON
Elevation relienanoo mark ud_Dwted.-&mmfeemma�-kLmdqparon§*RW Elyes ONO
• 8)TopofbotbmlbororKWhgbamwtorer&sn) 0. if*)
• b) Top of next NlIher f" 297.jfL(m)
• O)BODOMofb"horizDnWoeaHdmwnber(Vwreson�) VA —AM
• d)AtIachedgarage(IopdsIab) NLA. __A(m)
• e)L01"alwationotmachinery andlorequomerit
swdV the buidkV pesonibe in a Comments area) M—A(m)
Cj (LAG) MOW)
Lk g) HOW adp-t (WkhA grade WG) a. RAM
U h) No. of Wmanant 0*iro(ficod wft) within I fl. above 8d*ar1tgTad8 9
I --ve-1inC3hn- In (mcm)
� AT. -A —MA —Mon Man
SECTION D -SURVEYOR ENGINEER. OR ARCHITECT GL*xl MUAI �
This oadigcgLio, 1. t.;;7.rd andaealed by a I� Wsurveyor, engghneer. or architect authorized bylaw to car% elevation Information,
I certily that the information in Sections A 8, and C on this certificate represents my best efforts 10 interpret the data available.
undenls,, that %L__menf may be punish bia by fine or imprisonment under 18 US, Code, Sgailon. 1001.
Lt�.uvoc'
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tPORTANT: In these zpw", copy ft correWoWirig Informobon from S� A. I n � 0 U K
BUILDING Mpa7 ADDRESS CmkdV Apt, Urit Stij% ardfor Bldg. No,) OR P.O. ROUTE AND BOX NO F
23a23 - 74TH AVENUE K
CITY STATE zw CODE CwMN=MffbN
WA 98026.6610
EDMONDS EE=lol
SECTIOND-SURVEYOP ENGINEER GRARCHnECTCERTSrATION(CONnNUED)
Copy both sides, ofthis Elvathn CaffjosIs fw (1) oDmmunRy O&W, P) Vwwm agentloompany, and (3) buildkV m%ner.
COMNIENTS
BENCH MARK US= wNUKENT'047, FOUND BRASS DISK SET IN FOUNDATION OF BUILDING No. 2M HIGHWAY 99.
.01136
*_Usllhv�
ROOD ELEVATION PER CITY U� LUKJNLhi bulwl� too rEAR EVENT ELEVATION = 280 0, HIGHEST OBSERVED EVENT = X5
M Check hem 9 EWA*&
SECTION E - BUMNS 8.13VATION INFORMATION (SURVEY NOT REWRED) FOR ZONE AD AND ZONE A MMUr ��
ForZoreAo old ZoneA Wdoul BFE), compl* iiams El through E4. It"L%vabm WhIend9d for use as supPo*rg informabon for a LOMA or LOMR-F,
Sedion C must be compielsd.
El. B*,Fg Diagram Nun"rj(Selact the Wicirg diagram most siniarrio, to buidirg fDrwhdi this oeffKals is b8bg comPlabd -see pagM6 and 7. KnDdiagramaccura*
represents m buMng, provide a sketch orph*graPh.)
E27vbpofftb.tbmfm(rioWirgbamwtormd=m)oftebuidbgis 61L(m)6in.(cm)E3 aboVaor Ebebw(chsckc-)dvhigWaJ*9IA9raJe' Pas
natural grade, If walla&D).
E3. ForBuift Diagrams 6-8 with openirgs (seepage 7), the rod higherfloDrorelevaled fbor(eIevatlDn b) of the buldirg Is _fL(m)_0Cm)9)wefthlghvlad*wt
grade, Compiele, km8C3.h and C3.lon"ofixm. odpI* marogerrm O*enoe
E4.FofZonsA0ony.. I nD flood depth mffber is avaLible, is the bp ofthe botm f1corelavaiod in woordmw will the MMLM'qs k I ?
Clyes El [3 Unkrcmn. The IxN offiM mus2 oat M iftma§Dn h Section G. REsExTAVp CEIMFICATION
SECTION F . PROPERTY OWNER (OR OWNERS FIER
_j�w ordy ard or oommu*_
The property mmvrorc%mr`s aftorized mpmwtsM who wrroles SeolloTm A, 8, GO mC3.hO C3,1 ), EforZonaAWWWaFEIVIA4ssuad
Issued BFE) orZore AD must sign hem. The swwiwtB ki Sectl"A. B. C, ard E am owadto ftbestofmylknuMedge.
RAE
ADDESS Cm STATE ZIP CODE
SIGNATURE DATE TELEPHONE
El Check here K afiachrimiS
SEC� G. COMMUNITY INFORMATION PMMAL)
The bW officU who is auftr�od by I" of Ord_ t) admirislar ft wmmwnVs floodplain managemant Ordir"m can cOnjoeta Se*nA, B. 0 (or 4 arid G of ft Elervation
C.*ah
GI. [I The ifformsibn h SOdiOn C was t*m 1"M Oftf dDOAT""on M hasbeen WM)W aW w&osaad by a ficensed suNeyar eNkw, or wchlIedwhD I, BuIhaIaed bV
st*Q,bWWIDce*e&aIbnk*mzU_. Onk* to mums aid dais of to elevation data Wl the ConVwts area b6m,)
G2 E] A commu* oTcW wqklBd Socibn E for a buldN bcabd ki Zow A Wthcuta FEMA-issuedorcommunlyissued BFE) orZone AO.
G3. 0 The fc&jjrg hbmiatbn Otems G4-G9) is proVjad foroywjm�ykodplah managemtpurposw.
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ft(m) Dalum.
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LOC& OFFCLXALS "'ve TITLE
TELEPHONE 7 71—,9 2 2 0
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
tnn
SETBACKS .....................
FOUNDATION:
Facing
MIL
CI L�—w
.................... .
L,
Wall .........................
Q -.215 vv,
Pier/Patch .................
Retainlrig Wall ...........
Stab Insulation ..........
PLUMBING:
ry-'s
Underground
L L,
Rough -in ...................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping ., ...............
U�&
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Equipment ..........
CAL
Commercial Final
EXTERIOR SHEATHING
C) k
NAILING ..........................
FRAMING........................
(V\S
2r—O i
FIRST FLOOR FRAMING
rA%
INSULATION .............
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
TAS
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR...
OCCUPANCY ...............
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PERMIT
CITY OF EDMONDS
ZONE RNII%,
NUMBER
"qNSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
SUITEJAPTO
--OWNER
1��
NAMENAMEOF BUSINIFj3S
FLAT NAMEISUBDIVISION N
LOT No.
_1 NO.
ROY W. GORUD
R
k Baiiinger, a n,l
Blk 7
LID FEE $
MAILING ADOR SS
D
I" h 4L
PUBLIC RIGHT OF WAY PE R OFFICIAL
-
STREET MAP
'--
7EI-111-
B W
��r
74th AVe. W.
2, 8 7 tj
23 4 1 A
El.
.23823
EXIS ING - PROPOSID-
S-1-P`.`1k`R"q"t'd� 13
CITY Zip TELEPHONE
CRI
Ldmonds WA 98026 425-640-7045
REQUIRED DEDICATION-
FT
11
NAME
METEIjZE
LINE SIZE
ft
NO OF TOES
7 -.1.
PAM REQUIRED
YES 11 NO
" Greggs builidiggDesign
r '_ B
ADDRESS
1006 :N:. :E1 .::R:.avenna Blvd
CITY ZIP TELEPHONE
1:., 9
Seattle A 37105T206-524--2808
NAME
Milligan
I ADDRESS
1760 N.E. 107th St.
CITY
8. Seattle 98125 1206-365-29 6
q DATE HECKEDBY
STATE LICENSE NUMBER
MILLIC1110MO
YTA. -..LNT-ACELN0-
888007-002
C] NEW 1L...M. I MECH
L COMPLIANCE OR
9k-DITION CHANGE OF US
REMODEL SIGN
Ej f�W YUS 1E111
REPAIR X IT)
DEMOLISH F1 TANK OTHER
GARAG E ENEWAL
CARPORT C3 RETAINING WALL A
r
(TYPE.OF USE. BUSINESS pR ACTIVITY) EXPLAIN:
Sin le Fa�mil* Res.
N
NUMBER
OF D ELLING
STORIES 2 UM I NUMBER cA- 9 9 17 5
DESCIS.W.OaTTE DONE
daylight basement
rardbler and garage. 2-story addition
to east, and enlarge garage area,
Rebuild and add on to deck.
FIRE REVIEWED By
CU
SHORELINE OR ADB# INS
g�E`CR
REVIE
3VMPT
SIGN AREA
ALLOWED PROPOSED
ALEC
T%,
> ��< III _ .
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17
LOT COVERAGE
REQUIRED SETBACKS (FF.)
PROF
ALLOWED P POSED
AD a
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FRO
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5
PARKING LOT ARIA PLANNING REVIEWED By
I
A IE
_ I __
1 —1 _ _
DATE
EIT'D
OCACtUPANT
ED I
SPECIAL IN130TOR MAIWJ�-1_10110 OA
REQUIRED L D
REMARKS Sp T,
NSPERUBC108/FINALIN E
PROGRESS INSPMECTI. ON EQ'D
IM5111 ?r;a2 Ion') [AD_5CL q
_V _
PLAN CHECK FEE
LOT SLOPE I
12.5
BUILDING
ED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZEEI=ET�"TEW.o.LnIKAN�oYTEC6N;HT.Si PERMIT C oVERS WORK TO
UCTIO14 ON THE PUBLIC
GRADIN /FILL
BE DONE ON PRIVATE
DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
STATE SURCHARGE
:I SEPARATE PERMISSION.
PERMIT APPLICATION! 18GDAYS
PERMIT LIMIT. I YEAR � PROVIDED OAK IS STARTED WITHIN N30 BAYS
END REVIEW FEES
M
SEEBACK FPINKPERMITFOR OREINFORMATION
FHI o . A HER SPOUSE, HEIRS. ASSIGNS AND SUCCESIDAS
'APPLICANT, ON BEHALF oIND5
END, INSPECTION FEE
9 IN INT Y, DEFEND AND HOLD AR LESS THE CITY OF
EST. AGREE T.,To. ITSEoMFFN �CIALS. EMPLOYEES. AND AGENT S FROM ANYAND
NePF'OHN
NDS,WASHINGI
2 ED,DE
A LCLAIMSFORDAMAG �OFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
A
FROM THE;SSUA o I TS ALL NOT BE
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'N
PLAN CHE KDEFOSIT
0 DEEMED TO MODI A -
Q CE PROVISION.
gv
T TY,
IN ANY Any T E A
A
0. NOR LIMI
TOTAL AMOUNT DUE
I HEREBY ACKNoWLE TVII MARA-4" JAINNT THE INFORMATION
GENT OF
CORRECT' AND THATpLYM THECOVY"NO
GIVEN IS
STA
THE OWNER. I AGREE To CoM WITH IT A T"AWS REGULAT' NO CoNITRUC
CALL
TION� AND IN DOI HE E-YQNO FE .. N WILL BE EMPLOYED
P G THE WORK AUTHO RIZE D THE E , WAS., N.T.N FELATN. To
THE STAT
FOR INSPECTION
IN VIOLATION 0 THE LABOR Co DE OF
WORKI05N'SEDN�Els I N INSURANCE AND ACW 18.21.
1
(426)
si=OR A IN
7M
771 -0220/'
EXT 3�V�
AtTE�TION
TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
IT IS UNLAWFUL
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI
A FINAL
CATE OF OCCUPANCY HAS BEEN GRANTED . ., UBC SECTION 109 -
I A, FAX
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