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I hereby acknowledge the have read this application; that the In-
ATTENT]ION APPLICATIOk APPIk'10" VAL
formation given to correct; and that I am the owner, or the duly author-
Ized agent of the owner. r agree to comply with city and state laws regu- THii PERMIT, Thidapplication.'�p not a permit until. �i�
lating.cphsli�qVon;. and in doing the work authorized thereby, no person AUTHOMiES - signed, by the Director of BuUding 1nspec.
will 6c employed inviolation of the Labor Code of the Pints of Washington
ONLY THE
relating to Workmen's Compensation Insurance. WORK NOTED tion, Or.his dep�ty; and fees are paid, aiid J
receipt Is acknowled ed,in space provided.
NOTE: PERMIT LIMIT 6NE;YEAR
WE ZIGNED INSPECTION DIRECTOR*B PIGNATURE
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CITY OF
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INSPECTOR
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CITY OF EDMONDS
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
640370
At 290 25th Av nue South Building Permit Number
Occupancy established by this certificate:
Fire Zone No. Stories One
NURSING HOME Type Const. III—One—Hr. Basement None
Floor Load signs in place (per Sec. 13o8 U.B.C.) Capacity signs posted (per Sec- 3301 (i) U.B.C.)
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Floor load and rooni capacity signs, when required, must remain posted at all tinjes.
W THE BUILDING HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this 26th day of March_ 19 6-5
CHIEF BUILDING OFFICIAL By
we J. Slabql4gh
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This certificate shall be posted in a conspicuous public area and sha not be removed, �Oated or obscured and -,;hall be'meln-
tained in legible condition at all times. Any change of occupancy requires a new certificate.
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