20030431.pdf00, DATE RECEIVED
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MAILING ADDRESS
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PUBLIC RIGHT
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RW Permit Required
street use Permit R&q'd
CITY ZIP TELEPHONE
EXISTING PROPOSED Inspection A'artulled
Sidewalk I. U"..
57-A
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REQUIRED DEDICATION FT
Wiring rec
NAME
METER SIZE LINE SIZE NO. OF F[URES EQUIRED
_712!2FI1941- PtVL1,AJ
YEPV_ NO 13
ADDRESS
REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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CITY ZIP TELEPHONE
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VARIANCE OR CU ELINE OR ADB# INSPECTION BOND
STATE LICENSE NUMB R EXPIRATION DATE CHECKED BY REO'D POSTED
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SEPA REVIEW SIGN AREA HEIGHT
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1 ADDITION COMMERCIAL COMPLIANCE OR
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4-6,1 7, s-,z 157, Is 16, 57/-, 5 -
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PARKING LCIT AREA PLANNING REVIEWED BY DATE
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I'l-I OTHER
REMARKS
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NUMBER NUMBER OF CRITICAL
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SPECIAL INSPECTION AREAM OCCUPANT
STORIES UNITS NUMBE
REQUIRED [] YES LOAD
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D
P11-1 M_ C -
VAWATION
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Description
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FEE Description FEE
Plan Check
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State, Surcharge
HEAT SOIJRCE GLAZING % LOT SLOPE %
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Building Permit
City Surcharge
PLAN CRECK NO, VESTED DATE
Plumbing
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
:1
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPILICATION: 180DAYS
IL PERMIT UM1r I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspectio
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Al.
000 Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFN DEFEND AND HOLD HARMLESS THE CITY OF
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a EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fit e t I o n
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPFMVAL
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-
CALL
This application is not a permit until signed by the
TION; AND IN DOING T14E WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees paid, and
a
IN VIOLATION OF�JHE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt Is acknowledged in space plov ad.
WORKMEN'S.0UNATION INSURANCE AND RCW 16,27.
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OFFICIALSV�GNAT
SIGNATUI]jf (OWNER 94 AGENTj_-) DATE SIGNED
(425)
771-0220
DATE
ATtENT16N
Off 1333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
INAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GBANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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DINC, IC TgE FLAT THEREOF, RECORDED IN VOLUME �, 1--f
pAGE 45,-RECORD5 OF SNOHOM15H COLNTT, WASHINGTON,
BED AS FOLLOWS-
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X DEGREES Bob MINUTES 00 5ECONV5 EAST ALOWS THE WEST
6,410 TRACT 15,312.02 FEET! THENCE NORTH eO DEGREES 04
W SEC=6 EAST 110 FEET TO THE TRiJE POINT OF
IW.s OF THIS DESCRIPTIONi THENCE CONTNJIW.2 NORTH eO
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�ACT 151 THENCE SOUTH ee DEGREES 02 MUTES 00 SECONDS
.ONG SAID NORTH LINE, W FEETi THENCE SOUTH PARALLEL TO
EST LINE OF TRACI 15 TO TME PONT OF BEGINNW-li
r ANY PORTION LTIW-3 WIT14N STATE HIG14WAY 104t 51TUATE IN
uNTy OF ENOWOM15H, STATE OF WA5HNGT0K
'HT CALLCULATIONS
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1AX. RIDGE HEIGHT 40'3hl5' + 30' : Qbhlb)
�CTUAL RvnE PEIC-�# A-31*lt e
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,6fN, 5 4080 APPROVED By PLAW-IING
1 4060
5 4052,
IAX. RIDGE klEiGHT 40-1.56' 4,30' 43156
4CTUAL RIDGE HEIGHT 43,5,5')
ZING 'C'
S 405.15'
10 40325'
11 4020
12 404.0
1015.00' . 4 = AVG. GRADE 403.15'
1AX. RIDGE HEIGPT 403.15' + 30' 433.15'
ACTUAL RIDGE HEIGHI�-4
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AREA SUMIVLkRY
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4 FLOOR WS SF.
IER FLOOR 115 S.F.
4L 14EATED 1.584 SF.
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4 FLOOR 1,122 Sf.
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tL HEATED 2,181 Sf.
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ARCHITECTURAL DESIGN ASSOC, Inc.
JAME5 THOMAS, ARCHITECT
2221 EVERETT AVE 3LI-7E. 203
EVERETT, WASHINGTON S8201
(425) 251�-Obbl
CIVIL ENGINEER/SURVEYOR
WESTEFN EWSNEER5, INC.
13000 HIGHWAY'�'� SOUTH
EVERETT, WA 98204
(425) 35ro - 2100
STRUCTURAL -ENGINEER
MITCHELL ENGINEE RlWa INC.
MICHAEL MITCHELL
1821 168TH AVENUE N.E.
REDMOND, WA. W052
(425)141-1500
SHEETINDEX
5P-1 SITE PLAN
BUILDING'A'
A-1 ELEVATIONS
A-2 MAN FLOOR PLAN 4 WINDOW SCHEDULE
A-3 UPPER FLOOR PLAN 4 DETAILS
A-4 BASEMENT PLAN
5-1.1 5TRUCTURAL NOTES, 5CHEI)ULE5 4 DETAILS
6-12 STRUCTURAL DEIAILS
BUILDING'B' &C'
A-5.. BUILDING'B' ELEVATIONS
A-6 5UILIDING'G' ELEVATIONS
1;11.il 1 *1-1 %.A At% I �
U L..�
A-b 5UILDING 'C' MAIN FLOC-)R PLANI
A-'� 15UIXING 'E3' 4 'C' UPPER FLOOR PLAN
A-10 BUILDINGV 4 'C' 13,45EMENT PLAN
A-11 BUILDING V 4 V FOUNDATION PLAN
A-12 BUILDING 13' 1 'C' ROOF AND
UPPER FLOOR FRAMING PLAN
A-13 TYPICAL WALL 5ECTION5
A-12 GENERAL AND ENERGY NOTE5
5-1 STRUCTURAL NOTES AND SCHEDULES
5-2 STRUCTURAL DETAILS
5-3 STRUCTURAL DETAII-5
AD -I SITE ELEVATION
CONSTRUCTION DATA (EA. BLDG.)
R-3 OCCUPANCY (DUPLEX)
TYPE V.-N RATED
INIXERVIOUS SURFACE
momovemom�
LOT (approx.) 12,911 5F.
FOOT PRINT
3,016 S.F.
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Height Calculation Worksheet
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Address: lo c2
Date: :�- 5-0 -5
hmector(s):_ -M Is
1. Datum Point:
Datum Point Elevation:
3. Average Grade: 4-0 9
.4. Maximum Elevation Allowed: ItL�?Xa'veragb &de)-'+
5. Reference Point Elevation Shot to House:
eltS (datum elevation) + '-z-,'c�1 -7
(grade to transit level line shot to house)
6. Measurements from line shot onto house to roof ridge:'
Ca
Total:
7. Actual Elevation409 - (,ep (reference point elevation) (measurements
from #6) A: - 4 n-
Conclusion:
A(�D. '7 S (actu Is great / less than N, 97&llowed); therefore the house Isl
is not over the heilgh tei ement per ECDC 16.20.30 requirements
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FINAL PROJECT APPROVAL FORM
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM:
TO:
DATE:
FUZE DEPARTMENT DATE.
PLEASE SIGN
—ENGINEERING DIVISION DATE
PLEASE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT j5�ijwldt
SITEADDRESS511�1i�010111J' -2,4ZA�
0,06-64-31 x4-5-64:53
PERMIT # dl -002- ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED eY
A field inspection was conducted to determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
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2.
0
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE -----
PLEASE SIGN
ENGINEERING DIVISION DATE—.
PLEASE SIGN
PLANNING DIVISION DATE
P S
PROJEC
SITE ADDRESS Sri 2-
PERMIT 3 ADB# DATEINSPECTED
DESCRIPTION OF WORK TO BE INSPECTED_
A field inspection was conducted to determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
I P ORAIANCE BONDS and the granting of
E
"G ANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
Copy of CORRECTION NOTICE given to owner/contractor by inpector
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2.
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION: 07.
Footing ......................
2�3
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Wall .......................... z
Pier/Porch ................. 0
1711
Retaining Wall ...........
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Slab Insulation ..........
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PLUMBING:
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0
Underground .............
0 C
Rough -In ...................
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Commercial Final ......
HEATING:
01T
Gas Test ....................
0 _n
Gas Piping ................. "n
Equipment ................. M M
Commercial Final ....... 0
0 Fn
EXTERIOR SHEATHING
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NAILING .......................... M CO)
M 0
FRAMING ........................
63
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
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Ceiling Insulation .......
MS
SHEETROCK NAILING ... ITI
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR d1A
OCCUPANCY ..................
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CITY OF EDMONDS NUMBER,,�,(
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CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT#
ADDRES
OWNER NAMEINAME OF BUSINESS
P LAT 11 NAME/SUBDIVISION NO. LOT NO. L�D NO.
4 C2,
5 MAILING ADDRESS L D FEE $
TESCP Approved
& x�/ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Aequirod
0 ///, � -- , 44 '<; / Street Use Permit Roq'd
CITY ZIP TELEPHONE EXISTING PROPOSED Inspoct ad
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REQUIRED DEDICATION FT Underground
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NAME Y METER SIZE LINE S!ZE NO. OF Fl URES iREQUIRED
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A5DRESS REMARKS
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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NAME CB�L #
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ENGINEERI�GRPVIEWED OY DATE
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CITY ZIP TELEPHONE
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I VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY REO'D POSTED
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7 .900
67 1 SEPA REVIEW SIGN AREA HEIGHT
Qj PROPERTY TAX ACCOUNT PARCEL NO. ',OMPLETE EXEMPT ALLOWED , PROPOSED ALLOWED , PROPOSED
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NEW RESIDENTIAL PLUMB LOT COVERA GE REQUIRED SETBACKS (Fr.) P ROPOSED SETBACKS (Fr.)
9 'q INb—[M9CH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR
ADDITION COMMERCIAL COMPLIANCE OR 5�/10
13 CHANGE OF USE +5a :4 47-7. 1 br- I Q 15 IG' 2
PARKING PLANNING REVIEWED BY DATE
REMODEL MULTIFAMILY SIGN REO'D PROVIDED LOT AREA
t4 G4 G FENCE ]a /A 3
0 REPAIR CYDS I — X —FT) REMARKS
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DEMOLISH TANK "11 ) ayleroo,
jGARAGE Ei RETAINING WALL E] FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM t t-A A -,A$
(TYPE OF USE. BUSINESS 01`12:r�7�
CHECKED PE OF CONSTRUCTION OCCUPANT
GROUP
NUMBER NUMBER OF CRITICAL 1CV
DWELLING AREAS,? SPECIAL INSPECTION jAFVCA_Mj�44.' (0 -)C' (I
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F6RIES UNITS NUMBE LOAD /
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A&— k A&V2 Iption FEE Description FEE
V%f t 04 1 —
12PA /%7 1111 hk eck 14 State Surcharge
HE.AT SOPRCE GLAZING % LOT SLOPE % 1�
Building Permit City Surcharge
I) Lk 1--t
PLAN CHECK NO- VESTED DATE K.,
Plumbing 10—
L/
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
tz BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
15 PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
0,,
A>
1/1
APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
"'F!
00 Q
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire I ection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MOD:F'4 WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
A
Recording Fee
Receipt #
,
1"\
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; DIAT THE INFORMATION
APPLICATION
APPROVAL
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.
CALL
This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Foos are paid, and
IN VIOLATION OEjHE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space prpvioed.
WORKMEN'S,qXWPOIRATION INSURANCE AND RCW 10.27.
k r I
OFFICIALS tJGNAT�pt'," TE
SIGNATU (OWNER gh AGENT)
DATE SIGNED
(425)
", 11/ - � 'I .
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P,
771-0220
RELEASED 13Y DATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
7.
L
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSF
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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