HomeMy WebLinkAbout1919 E 1st St Ste A - Building
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CERTlFICA TE OF OCCUPANCY APPLlCA TION Permit# O~-155
CITY OF PORT ANGELES
Altn: Building Permit Technician
321 E. Fifth St, Port Angeles, WA 98362
(360)417-4815 fax (360)417-4711
Print in ink
BUSINESS NAME -n\ '
BUSINESS ADDRESS
Business owner's name
Business owner's home address
FEES
Certificate I Inspection
Parking Business Improvement Area (PBIA)
fee charged for downtown locations
PLEASE NOTE:
A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawnbroker, Dance, Hotel-
Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information.
.ACT-ION -.{--
New business
Transfer of business
location from a
PB1A location
Transfer of business
location from a
non-PBIA location
Change of ownership ../
Remodel
Temporary business
Change of use
WIU THERE_ElE.hNY 01'" lJ:lEXOLLOWING?
Electrical chances
New or relocated sians
Construction chances
Mechanical chances (ventilation, heatina, coolina, etc.)
Plumbino chances
Fire snrinkler system chances
Fjre alarm system chanoes
New or relocated sewer or water service
Excavation or fWina of lots
Work done in the Cjtv riaht-of-wav
New driveway openinas
Gradina site drainaae (oarkjna lots, downspouts, etc.)
Landscape irriaation system (backflow devices)
Is this a home occuoation?
Is this a second-hand dealer or oawnbroker business?
. Is there off-street Darkina for this business?
. Is the street in front of this business naved?
. Is there a sidewalk in front of this business?
. Is there a curb & cutter in front of this business?
NO"" YES"" IF YES, CONTACT
/ Electrical Deol. at 417-4735
.1 Buildinc Div. at 417-4815
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~ Public Works at 417-4807
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u Water DeDt. at 417-4886
v Plannina Div. at 417-4750
\ City Clerk at 417-4634
..; How many spaces?
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Call for Certificate of Occupancv inspections before openinq business:
Building Department tnspection 417-4815 & Fire Department tnspection 417,4653
Please provide a minimum 24-hour notice for inspections
I hereby apply for a Certificate of Occupancy. I acknowledge that t have read this applica/ion and state that the information I have
supplied is correct to the best of my knowiedge.
Date4\~\o'i<. PrintName S~Q.e..~I\.""* Signature AJ,\Lu- ~
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'onfCertlficaleof Occupancy':'pplic:alion
For Cit use ani'
Department
Building
Fire
PBIA
Planning
City Clerk
Public Works
T:ForrnsiDu'IIJi,,~ [livi
Rejected
Initials & date
Type of construction
Automatic fire sprinkler system required
Please sign up for utility services
at the cashier counter.
Comments I Conditions
Occupant Load
no
yes
.0