The URL can be used to link to this page

Home My WebLink About210 E 5th St - BuildingCERTIFIC OCCUPANCY C ity Angeles $41141144 ,Diaqsion This certificate is issued fiursuant to the requirements of Section 1 29 International Building '00 4 Code certib)ing that ap this structure was in compliance with the various ordinances of the City regulatingbeiildirikeon11 the follbWing- ..t if t, -....,Q, Business name LaWOffice ciftrerek.,G Viddiha?f Business address:, gl Ilq 5th St. k` "w 41.1 d ‘,..!-,4 A lr ,i c Property owner John 4,66004.\11 4t 7' Property owner sr t ea-f H 0. 706 W 4thOi. CottAtteles Automatic fire spilinkleiliYStem Not-rOuireck--- Use occupancy elaksiliCation. BusiWss: Building permit nu ber-S'k,L, 11-670, Occupant load. I --PM Type of construction. X :c Post on the premises in a conspicuous place. 4tisxertificate,shafimot be removed except by the Building Official. 4- c,o,ft .0-4 1:* eruA tuay..t CerwvJQA, PREPARED 7/06/11 8 23 47 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/06/11 ADDRESS 210 E 5TH ST SUBDIV TENANT NBR LAW OFFICE DEREK MEDINA CONTRACTOR PHONE OWNER JOHN H DOHERTY PHONE (360) 457 1632 PARCEL 06 30 00 0 2 0025 0000 APPL NUMBER 11 00000676 CO- CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 7/06/11 BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 07/01/11 TIME 16 43 45 July 1 2011 4 42 10 PM 1pangrle JACQUELINE 206 618 0232 C OF 0 FINAL LAW OFFICE OF DEREK G MEDINA AFTERNOON PLEASE CALL HER 10- MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES o4_9_9 PLEASE PRINT IN INK Check one. New business in P.A. ?Change of ownership only? Moving location from within P.A Zoning BUSINESS NAME 1 erte K r; lti1 i v, Business address I o 6 5'' S-fr Mailing address w e Phone number 20 6 -44 7- 6.64 Opening date 7 /l /I) Days hours of operation '3 Business owner's name r.,excx Contact phone Do C 6n4 SG e/ Business owner's address Ii 1 3 d \v-' P A t,oA Brief description of business (_—w Property owner's name 50�, I��•�l u Property owner's address /contact BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes Nom Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways ramps bathrooms electrical heating /cooling /ventilation systems etc) Work planned FIRE DEPARTMENT phone 417 4653 Fire approval by 11 Zf on 7 *h Changes to a fire sprinkler system or fire alarm system? Yes No j Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? cot] Is business moving within the PBIA? Yes No CITY CLERK phone 417 -4634 CERTIFICATE OF OCCUPANCY APPLICATION Permit CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Second -hand dealer /pawnbroker business? Yes No 1 Will there be dancing at this business? Yes No1N A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance, Hotel -Motel Fireworks, Ambulance and Tattoo Businesses: Page 1 of 2 FEES Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee charged for bowntown locations Contact phone 36 ctS 7^- (63 Z Bldg approval by on PBIA notified on City Clerk approval by on C 5 COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off street parking spaces available for employees and customers? .G I I uuuQQJr I re. c 'r,'ooiS J (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 we S c u.c s erJ. OM m ifi he eA S PLEASE-NOTE NO flashing intermittent, or•chasing signs are permitted in the City of Port Angeles PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 Is site work planned (new or re- located sewer or water service excavation grading or filling work in City right -of -way new driveway openings site drainage parking lots downspouts irrigation system backflow devices etc.) Yes No CED approval by on PYYE approval by on PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes No If yes what will be discharged Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information 1 have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Date 1 /l 1 Print Name m P d b Signature T \Forms \Building Division \Certificate of Occupancy Application (2010).doc Page 2 of 2 OF pORT U A 9� °EPARS Last Inspected 2' Drain Test Date CITY OF PORT ANGELES FIRE DEPARTMENT 102 E. 5th St. Port Angeles, WA 98362 (360) 417 -4655 FAX (360) 417 -4659 INSPECTION NOTICE Busi L. v 0jtk ,or DWIr Addr 2 >0 ,0T S 1 Struct. Mail Addr City /State Phone f Plt 2) 'r> Owner Occupant /Manager c1 ,,�WerfL).r,F /17Ej) Phone 4/,- oe' Occ Code Alarm Haz/Mat Spk Knox Emrg. Contact 1,4 P Ca_ .etr /ii tDl l'. Phone yip. G o4L 4 Comments Alarm Tested Static A Reasonable Degree of Fire /Life Safety Exists at This Time DATE VIOLATION I NOTED FIRE CODE VIOLATIONS CLEARED Go ..v Yi A-.4 'Ti.+� /1/14,k L Measures shall be taken forthwith to correct all of the violations listed. RECEIVED BY X 1116 REINSPECTION DATE Our goal is to work cooperatively with the community to provide a fire safe environment. DATE 7.1 /J/ Inspectors Test Residual By i/ 1 2 Fire Inspector(s) Shift C/ee? Page of I Date •7J �l FIRST NOTICE 1 sour CER FICA TE OF OCCUPANCY APPLICATION Permit �I Cn o G NNW CITY OF PORT ANGELES Attn. Permit Technician 321 :E. Fifth St. Port Angeles WA 98362 -360) 41 -7 -4815 fax (360) 417 -4711 Property owner's name Property owner's address /contact BUILDING DEPARTMENT phone 417 -4815 Changes to a fire sprinkler system or fire alarm system? Yes No Work planned CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes No Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel -Motel Fireworks, Ambulance and Tattoo Businesses. Page 1 of 2 PLEASE PRINT IN INK Check one. New business in P.A. ?Change of ownership only? Moving location from Within P.A.? Zoning BUSINESS NAME J J c-e fl ire G h o-- Business.address_ 2_i o. E Si _._Mailing address e- -rne Phone number ,Do ti =/y7 696 1 Opening date 7 /r /II Days hours of operation 5 p Business owner's name. k WAG Contact phone Do C 6 ,o.el Business owner's address r i r 3 i el \v-' P A t,o icl Brief description of business Lew a a Bldg approval by Is the business a restaurant or bar that will seat 50 or more people? Yes No- FIRE DEPARTMENT phone 417 -4653 Fire approval by Contact phone 3( L S 7_ ((03 FEES Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee :charged -for ;Downtown locations Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways ramps, bathrooms electrical heating /cooling /ventilation systems etc) Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business? 900 PBIA notified on Is business moving within the PBIA? Yes No City Clerk approval by on on on C5) COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off street parking spaces available for employees and customers? I I tun uQr, I re cep io hiSIL a (A parking plan may-be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned We, A S -u QP.frm\ �t t1ee�,lS PLEASE NOTE: NO flashing intermittent, or signs are in the of Port Angeles PUBLIC V S UCP ARl lviCNT CNl7IIVCCr IIVC7 phone 417 -4012 Is site work planned (new or re- located sewer or water service excavation grading or filling work in City right -of -way new driveway openings site drainage parking lots downspouts, irrigation system backflow devices, etc) Yes No Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 CED approval by on PWE approval by kV on 7 6-// Alo Cc44 PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes No'\ If yes what will be discharged Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Date 7 1) Print Name 0-F',, m Signature T \Forms \Building Division \Certificate of Occupancy Application (2010).doc Page 2 of 2 M ti �lF CITY CLERK phone 417 -4634 CERTIFICATE OF OCCUPANCY APPLICATION 111 lkian CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK Check one: New business in P.A. ?Change of ownership only? Moving location from within P.A.? Zoning BUSINESS NAME `o J 0 &1"c Business address o 5 -4h 1 S-f Phone number .2o G 44 7 6.964 Opening date Business owner's name ace k Business owner's address .2 ►i 1 i 3, d Rv-P Brief description of business Property owner's name Property owner's address /contact L BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Construction changes planned (moving walls adding /enlarging windows or doors roofing siding, foundation work, adding /altering stairways ramps, bathrooms electrical heating /cooling /ventilation systems etc) Work planned FIRE DEPARTMENT phone 417 4653 Second -hand dealer /pawnbroker business? Yes No 1 Will there be dancing at this business? Yes No Changes to a fire sprinkler system or fire alarm system? Yes No Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business? /00 Is business moving within the PBIA? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance, Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 FEES Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations G. 1>1r Mailing address ��1nne /l I Days hours of operation 9 5 n Contact phone Do C -J PP_wA 67$ o 2 3 z Contact phone 36 4 S 1-- !03 Z Bldg approval by.rl L L Yes Nom Fire approval by PBIA notified Permit _Lk �1 on City Clerk approval by cag on '1 C5� on Z 1l COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by 3g on 7-110-1( Number of off street parking spaces available for employees and customers? C 1 I ctu)ut2r. I re cep J (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned Lew cs oN 110 Y LQA n r. Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 T' Forms \Building Division \Certificate of Occupancy Application (2010).doc Voo we A ‘ScuSSe4 QpMmit t ee.AS PLEASE NOTE NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 Is site work planned (new or re- located sewer or water service excavation grading or filling work in City right -of -way new driveway openings, site drainage parking lots downspouts, irrigation system backflow devices, etc) Yes No Date 7 Print Name �v �n -e, •.e tn 0 d •-n Signature Page 2 of 2 PWE approval by KV on i_ PWW approval by Will waste other than domestic household waste be discharged into the sewer system? If yes what will be discharged Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. ,IM i„ CERTI, PANCY, ~~ .. .itv''''of~Port Ang ,'~slon . be requirements of Section 110 afthe 2~~'internation~1 Building Code e was in co ith the vtlJAious ordinances of the City \ . . .'. '. 1;1; I~ Defender) @rp. t6 This certificate is issue certifying that at the t' regulating building c Business name: Business address: Property oWner: Property owner's Automatic fire spri Use & occupancy c Building permit num Type of construction: Occ'upant load: 01-15-09 Date . Post on the premises in a conspicuous place. Thi I not be removed except by the Building Official. , \'\ ~\ e~ '}J .-" o O\-~O-09 {Tf U1 $= ~ o V f . lO<Xl 0 '- " lO N 0 '- N N 0 '" 0 0101 <.9E-< 01 .0:.0: ;:;: 0.0 H E-< 01 '" <Xl 01 0 :>: '- E-< <I' 0 E-< '- 01 N <.9 0 '" QJ 01::> "H 00 01 >-< Z>< E-<tJ1 01 .0: C "'01 o <\l 01," >< 0. 00 ..:\ H '" '" UW 01 001 H<Xl H ::: 0":\;:;: ..:\ ..:\ 0101 ",".0: <XlCfJ E-< 0 ZZ H<.9 ::>01 CfJ WCfJ ~ 00 O~~ o.E-< 01 >0:01 :>::>: ::> E-< U;:;: CfJ 0.0. " 0. ~i'1 0 H" 01..:1<0 Z E-<r, ;:;: <I' ..:\;:;: H;>l " ..:I , 0 Z " E-<<Xl<Xl ,,0 ~ 000: ..:10'1 HO CfJ ZCOr---U E-<E-< 01 E-< Woo '" CfJ UU CfJ Z H:-:'::: 0 M I W E-< 0101 ::> 01 ,::C,::t;Nr<1 :>: Z 0.0. '- ;:;: ZE-< '0 01 CfJCfJ 0. Z;:;: H -N ..:\ ;>: ~~ U 00 4.(:il'<1't..n~H ;>: U HU 0 <1'0" 0 0 E-<'- OH>' U U o.CfJ 0~~~u(:il '" HE-< 0 00:..:1 W::l~HCJ] ~ 00: , U::> <.9:>>-<0.0:.0: 01 001 >>lCfJCfJ oo.omzw. 0 0<.9 CfJWW ..:\ WWH....:l Z g~ ::>0," III -/( ~ Cl ~ 0.., 01 '- '" ,:>: S W lOU 0 N ~\ 0 , U E-< H U ><00 00...:\ lO H E-< 'U CfJ::> ~ E-<..:\ ,"N ~ZCfJ 0 CfJ~ 01 ," OHW H :>:00'1 00: :>:0. 0 'H >>l 0 E-< 000 ~oo HCfJ lO~ 00 01 :>: '0 k -..:I 01..:\ 00 WW <Xl <Xl 01 ..:\ Z0'10 E-<E-< 0 0'-' 0" ;I; , , CfJW '- ;;,~ H..:\ o <0 <Xl 001..:\ lO ~ NU ,",00 0::>0. 0 0 (l/;>: '- '-E-< 010 N N," '" 00: ,"U 0 ' <Xl '" ,01 8 0. ZO <Xl 0 E-< '13 01'" CfJ -U H 00:0 CfJE-<" ..:IZ E-< (l/ 0 ~ " gj~~gj~>-1 H CfJ 0.>< ~ '- '" ~ WE-< OZZZoo:o. 0. '" ,"H ~WO:;::.o:o. >< 0 o.U E-<UOo." 0. E-< U CERTIFICA TE OF OCCUPANCY APPLICA TION Permit# OS-I'31 CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 '. Print in ink ~ FEES ~ Certificate / Inspection $100.00 Parking Business Improvement Area (PBIA) fee charged for downtown locations Business owner's name " CA. Business owner's home address Phone # '--;ClV1 PLEASE NOTE: A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawn broker, Dance, Hotel- Motel, Fireworks, Ambulance, T C C k 6 f d' . ACTION ./ New business -.7 Transfer of business location from a PBIA location Transfer of business location from a non-PBIA location Change of ownership Remodel Temporary business Change of use ~eJ, attoo shop. ontact the ity Cler at 417-4 34 or ad Itlonal informati~1 ,1 f . \ rl. i~ .~ ht? irtOP e- ~ III <;tG\V\ I::;; lE. Will THERE BE ANY OF THE FOllOWING? {VNO./ YES'/ IF YES,CONTACT Electrical changes _ ^ ;1" Electrical Dep!. at 417-4735 New or relocated sians ..:;>t- y:x <:"1"'1 c. <'..0 ~ (L \) e.', Buildina Division at 417-4815 Construction chanQes " Mechanical chanaes (heatinQ, coolinq, stoves) " Plumbina changes " Fire sprinkler svstem changes " Fire alarm system changes " Is this a home occupation? Plannina Division at 417-4750 Second-hand dealer or pawn broker? ' City Clerk at 417-4634 New or relocated sewer or water service Public Works at 417-4807 Excavation or fillina of lots " Work done in the City right-of-way I " New driveway openings " Grading site drainaae (parking lots, downspouts, etc.) " Landscape irrigation system (backflow devices) .- Water Dept. at 417 -4886 Off-street parkina V Existing streets paved ,- )< Existina sidewalks " Curb and gutter .. " Call for Certificate of Occupancy inspections before openinq business: Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 Please provide a minimum 24-hour notice for inspections Please sign up for utility services at the cashier counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. n ~ 1'XI/) J L!~ l() Date ~-lvCJb printName~VuJA. WlIIl:;, Signature IV [VG For Citv use onlv: Approved I Rejected I Department Initials & date Initials & date Comments I Conditions Building .2. - 5 -(JS J~ l- Type of construction Occupant Load Fire kDD i-IS -0 q Automatic fire sprinkler system required no yes PBIA - Planning SR 2.-~-O~ City Clerk ..B U 2 - ~-o ~ Public Works - TForms/Building Division/Certificate of Occupancy Application (b CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15179 1/ . 1'.... '1'.,/ Port Angeles. Washington......_.__..__....._................._........m..___.._...... 19.::'::.. In accordance with the City Ordinance to regulate the installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure in the CIty of Port Angeles. per- mission is hereby granted to do electrical work as listed below. Address ...m2['-'-....~m.~_-_LL._......'m.....__.m__...........__.........m Occupancy_...._____.:~::!...,i..;.__...._..____.......___ . /' ~} /'~ ~ -,..; - Owner ___._u__n::_~_~_!_::::~.LC______.L__'~.::__:'-__~_.:._~~_:U.________ Tenant.._______.______________h______________..___.__________________u..._____ ," . ,';, (I Wiring Contractor ..__,..~_.:..L__:_.._~-,...--d..::.L:i.'.."~.m:-'c.:~..... By.._.._......_._...._......_..mm..m..__.._.._....m......._.__.. V 1"-.1 J< . ~'7 Light Outletsm__m__:.m__n.__.__mn_::__..:::n, '1 (~I 3" ::.5f' Receptacle Outletsn......'oo___oom__~,_....... Dryer, K\Vj ___________n_______._..h._____._ Range, KW nmmnumnm Water Heater: Kw____k"!_'j1(",____/!':'~t!_... :-'}j( 1'- ~ Heat: RW .n~:m___m._~oom.?ool.-:!...~_':-:.~::~~"!!::J ! Motors: size, volts and phase: j':'. .-'-- ( :-~-?~-~.-~--;-..Z~....i.---::=-.-................. Total Load...m.oonmoonoonmn.. /"'1. ''- " . Service, volts ..!.m..m_mm_mmn._oo___noo .., No. wires ..n..:.h__..nnm.nm_m_mnn Size wiresnn:>_i_/IJ._c~1j______ Main fuse .".-.~:.:.:nm...1_m.......oomm Enclosure _':_::?m..;.Z_:!t:.:::;...:_~::m_:_ ~ 'Type of wiring: Entrance Cable ..m.m...__m_mm___oo Rigid Conduit nnnnnnnn....nnmm. Metall1c Tubing m.mnm_._._mm..__ Current transformers: No. & Size..oonnn__n__nnn.nn.n.oonoo.. Ser. NO.n...._.n.__oo........___........._____..._. Ser. NO._______n.______n.____h......_____._________ Ser. NO..______........_.........................__n_ Ser. N 0........__.00.00__00__..__.0000____._.......... Type of Wiring: Armored Cable. Non.Metallic ..m Knob & Tube._ Rigid Conduit _ Metallic Tubing ....n__nmnmm__"'. Raceway ......;...'....n.....n.._...........m.. Circuits, LighL....'.nmnum.....mm.._m... Utillty ._~.;;.:m......__..........uoo__nm___u Heal n___'t.;(":___;,_..?..........n.....__ Range '_.nnnun..nnn..n_n_n_.....n.h_.. \Vater Heater ...I............oo__nm... Motor Dryer Furnace ............_nn_....n.'__..__..un....... /1 Total.....__..f........._....____...________ Remarks: - .'~ , , f-',..' ) ._..________~_,________..:_____________...:~_=c.u.:.:.n.~u:.~___~__~----______.____~~t.~..,rl::.---u:~--..-::~.;'~::'.:-:-!.::~n-n...n-hun_____.____ , '/ Permit Fee Treas. Receipt A, " _ ! , /. , $____.,2L.?~g!.m.m.m.___ NO..___......____.______m___ By ..__~..:.:.,___.,.~:___:___:.:.~::.:.'!_;___~.:!__~,.'w......._..._ NOTICE--Current must not; be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15179 , r, ", /- r,/ .. ,. " =~ :~~'~~i;E~=;::====:~_=~~:: Total Load 1M 3-72 Olympic Printers, Inc. 12/18/2003 22:55 4579270 SIMPSON ELECTRIC PAGE 01 ! ti b ~"70 Rev~) l!L.i!OTFlIOAL Pl!f'IlMIT APPUCATION . 1I'IIt._.t~-' 'I'M BII8IrIoIiI PetmII ApPIJmlQ1lllWtl!lt f_ aul G~m.'" 1'1""11'11"" NI\lI'lld In 11III. n ""'" hll\luny ~\!'1\I'''11ll'''''1!lI!I (lID. 41'l\dl1'Ca f! rt i J..O 'f flu _1IOr1 (tll1l) 41M7~ 1 Clwnlfllf Illllll, OllllllMlilr Agn~~ p.> ~ v:6:Lcc..t!d:-~ltI1nn6l1 ,i.~~ 'I" 2.2rOl: _..,.A~ __,~, , , ~ I, \ I'" fIlfa,.", Owner: l/'t:J.-.1 ~' L ,~""- I c..._", 4J . . ,_....__.. "mil: ..._....~ ,_... ..-...IIIIItrifIo\t"ft AGllNUi l L d- ~~ 'Ql\y1 f5~,~,,~- _ ,_~.___~pl._ , _ I!Il!llInoa' ClDntIalil'illJ' .~....,t:.;r:l?_'1t'7U,'i<;;-I.lIIlInIl\\4I;_~~__m,IbP:..__..,....._.,rtl,,"D:_ .,;' Aalllll..:.~L(~~~ &0'y/i!'.~ o1lV11~ _ ,,_.._.t:1Io:W~~ INlaTAl.LAT!QN WlMlIlIY: OClWNIIA l:l1li/JIIOTRtOA~ (lCl1I(I'l'WlTOPI t:IrttfIIt O.rd"."", Nan. ~"--"'" . , r "~"_1Il r. If' r--'_,,_.,...a.__ ol' "",.. A...AI_ _l'Jltllt_ ~ ____,....~ _ 111'1 _ .. ....__"',..., /fl. .. ~~"''''_'r._ '11II#1111'....--_ mallllrel^,u. IIHU Q1tq.ll"tr=......_..__.. Ctt11'1IR1Ji .....,,_ ~ ;,..,,~__ U"nIAflPhllifldl_.....,__..... Ornlllll.lIIld..,_........_ '-. , . I'lMtIII 0ItrrI NuntIJM_r ..,_ _"_."_1!1~ .,__CI.I!lIIl. "".......__...__._..._. VJ'.4t_ ~,.MDI_~.".~ flftll"IOUDlIll"'~, '< (2.. 6 ~ :::. t: .li:t:i.-_, _ ty"lJI ql! Wf~ Clh61Qk iIfllhst .~pty: t:'l NfIW Cl AftllrAllIllll/AltdIIkll1 Cl Aealc:lllntel CJ MwllloftI"'11)I )( OommemllAl Ci MClIJIIlII Hamill l1Ia, /l't,_,___.._~ o PlIIIlOlI Mi9t4lr Cl DIlIaOlWf gAltl\9Il CI Hot T!4ll 0 IlWlnl Pmll ClltOl)lfo P\lmp ClI.CI\Y VllllWIJIl Cl "IIl'Il$Q~, 0 $10'" N~mI.l" III Cllf'll"IlM ~dd~ Qr 111II1\lCI: ..1..::. s:~( Z. , OIIlCRIPTl~ OF THI....O'l'RlOAL l'l'IOJIIC'I'f u- c._~ ~~~, "\.-~ 4--L.~!::l-..e;f.$L....~ . _.~ tr"c.1?- ,a-c:_l~-[ ~ (f(S9.-:t:'"" L'r4w.~...__._,.,.._,.___,..__ ., ___~, _......___,._..........~~l"~""~I'_ "I. ..-...-__.. ~ - . --"""""'".....- ...., -~l~u::~--Z~~~~ lI"A1l1Jl1.\.J:j,~ LOItA.OO c;J lolNIl'*'! 7:?' IQI\f i:I fIIwman ~'KW 1:1 Hell rawnp ~ OPen'Wetl -Kw ft-' 1-- rPr --- ClOv~ 11M/IDA r;;! 'rAmp 8111'\11Q8 r.J lmdllruro~ntl ~11II1llI Vattnge: _.......,.....,_,.. Ph6lDG: 0 1 CI $ 1A611\l113~i!l11l'Jl'_.,_,_" FIIlOCllllf'IlI/!l1l:._,,_ ~:~':.14:,~IlQI1l): "'fir ImllIlIlTlllI, ~omm'rol~l " MIIllllll1ll1\l P_tJlllIi'l!8r l/Illn .1lI1P"~1 . lIl1III.1l!lti ~1'I!IWjl'l; 11' lIJlI e1lotrlll/ll' IIlr I~' '" fil....:::....1II1 .... "'"'I 111l8/IQ, 't.), IoIIlI Olloullllllon', /Inti tn. _ " 01 oonr:lllDtlIr. anllillr I\IlGI'"W!y la nlqtll/lld ~n~llllft"lIl1llDm".,lV till ..... '..MIl .1IJII1~lal\, ~c:.~ ~Iy thllll MVII mad and IamlnetJ tIIlJ ,ppUfJlfJrmllln" ImDw rhJiIr .TIII to IJf1 tli~ and ~ s ~;' ~ IIIP1 --- ... Mf/P1y ffJr /hi ptllmfI. / un_11M" " fk>t the CIty's /rip! M'pgneJhlfJry ta c:ltttlBtm/nfi wiler pm 'I'lllil ~~~,.".,.". the RppHMntll re1JPDfM/QH/rJI to ao-:m/nfJ whtIlt ~rmhll l'l/\lI mqulrerl and ~ obtlln S~.oill. ~/( ~ /16 (,.(l....f ((-;..+ wi [,/!-C..,f' V" 0 kft"'; rs --,-t.-f' ~ ~ 0''''''1 ~!II\III~""dlt'. '/Cln.~/'/~. ..-.,-..J.~ " ...,__."J,mlllt L{;;..'-t.:r..:::. ().S? W.Q0111 ClW"l!l~ 'l1~ ~~!!!", Gillie" 1I1!!".1I""'_..""_.~,."..._._"_~.~,__.._.,,._..._._ tlMIIl'___, ,~. ~'""_ 1.tL~ I'z/tQ/03 f 5'9" 7'0