670102.pdf3
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I hereby acknowledge that I have read this application; t t the in-
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formation given Is correct; and that I am the owner, or the Zjaytauthor:
ized agent of the owner. I agree to comply with city and state law, reZ:
lating construction; and in doing the work authorized thereby.
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will be employed in violation of the Labor Code of the State Of V
relating to Workmen's Compensation Insurance.
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NOTE: Permit Limit One Year be completed in ninety days.)
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NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction an the public domain (curbs, sidewalks, driveways,
raurquees. etc.) will require separate permission.
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PERMIT FEE
SIGN PERMIT
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FEE
DEMOLITION
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PERMIT FEE
PLAN CHECK
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FEE
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ATTENTION
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INSPECTION
DEPARTMENT
cITY OF
EDBIONDS
PR 6-1107
VA
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APPLICATION APPROVAL
This application is not a permit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
— I;)- / —
FILE l4e 6
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CITY OF EDMOND&S
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
At 555 — 21st AVENUE SOUTH Building Permit Number 670102
occupancy established by this certificate:
Fire Zone III No. Stories
Type Const. V 1—HOUR Basement YES
Floor Load signs in place (per Sec. 23o8 U.B.C.) — Capacity signs posted (per Sec, 3301 (i) U.B.C.)
Floor load and roorn capacity signs, when required, innst reniain posted at all thnes.
THE APARTMENT BUILDING H
— HAS BEEN INSPECTED AND APPROVED AS COMPLYING WIT
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this 13th day of December .19 68
CHIEF BUILDING OFFICIAL By
This certificate shall be posted in a conspicuous public area and shall not be removed, mutilated or obscured and shall be main-
tained in legible condition at all times. Any change of occupancy requires a new certificate.
_g�-INSPECTIONS
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