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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION. Engr. Review I
WPERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
a PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) *APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit '
Lu IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection 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 20,
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.j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due w(J
= NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt #
1 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 AGENT OF This application is not a permit until signed by the
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC• CALL Building Official or his/her Deputy: and Foes are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED FOR INSPECTION receipt is acknowledged to space provided.
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATI NCE AND RCW 18:27, OFFI 1 NAT DATE
SIGNATURE (OWNER NT): DATE SIGNED (425)
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ATTENTION �zct•38,3•/r/N EXT. 1333 �/ ��
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FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 / IRC1106 PINK .OWNER • GOLD • ASSESSOR
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DEPARTMENT OF BUILDINGS
rMIJBI
PER international Building Code Section 110
AL 9629 Firdale Ave Building Permit #:. 2005-0365
Occupancy established by this certificate: Dwelling Units: **N/A** No. Stories: 1
B Type` Construction: VB Basement: No
Maximum Occupant Load **1** (Per IBC 1004)
Room capacity signs, When'.required,; must remain posted at all times.
Owner of Building: Firdale Villane Addresso ,0629,171rdale Ave
THE Sure Shot Espresso HAS BEEN INSPECTED AND APPROVED. AS COMPLYING WITH THE REQUIREMENTS ,OF THE 2003
EDITION OF THE INTERNATIONAL 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 315t. day of May 2005
CHIEF BUILDING OFFICIAL
BY:
This certificate shall be posted in a conspicuous public area and shall not be removed, mutilated or obscured and shall nlained in legible conditional all times. Any change of occupancy or use requires a bullding permit and a new
Certificate of Occupancy Issued by the City of Edmonds Building Official
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DEPARTMENT OF BUILDINGS
rMIJBI
PER international Building Code Section 110
AL 9629 Firdale Ave Building Permit #:. 2005-0365
Occupancy established by this certificate: Dwelling Units: **N/A** No. Stories: 1
B Type` Construction: VB Basement: No
Maximum Occupant Load **1** (Per IBC 1004)
Room capacity signs, When'.required,; must remain posted at all times.
Owner of Building: Firdale Villane Addresso ,0629,171rdale Ave
THE Sure Shot Espresso HAS BEEN INSPECTED AND APPROVED. AS COMPLYING WITH THE REQUIREMENTS ,OF THE 2003
EDITION OF THE INTERNATIONAL 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 315t. day of May 2005
CHIEF BUILDING OFFICIAL
BY:
This certificate shall be posted in a conspicuous public area and shall not be removed, mutilated or obscured and shall nlained in legible conditional all times. Any change of occupancy or use requires a bullding permit and a new
Certificate of Occupancy Issued by the City of Edmonds Building Official
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