HomeMy WebLinkAbout129 W 1st St Basement - Building
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Post on the premises in 3 conspicuous place. ~hi~j[!SllJ~aH o'ot be removed except by the Building Official.
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Permit #
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CERTlFICA TE OF OCCUPANCY APPLlCA TlON
\50,00
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E Fifth St, Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
BUSINESS NAME W i-\. \ \l2:
BUSINESS ADDRESS I;L 0.
Business mailin address "2 Z \
Opening date ASA 'P
Brief descri tion of ro osed business
Print in ink
FEES
ertificate / Inspection
orking Business Improvement Area (PBIA)
fee charged for downtown locations
ClZAIVS"
We-7T F-IfCS,
N oc<- v-{ C-A- f2 ^-.J lZ
Days & hours of operation
Te f'I C.L1/;U b
J... fCDIJVYl~ In \3F\S[
'SI- Phone #;3 &>0
DA-l[...'-I '-i - CJ PWl
r/relf4C AP- S'
Zoning C. B D
f10~ z'Zil
Business owner's name eO E('21 iV! CUoLL Phone# ~O g'()? 227
Business owner's home address "2"Z. i Not<? TJ-( CARNE" S'I',
PLEASE NOTE: Pdtl /Jnbe-z---eS, W.,1- 9f?36;;;2-.
A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer; Pawn broker, Dance, Hotel-
Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information.
Call for Certificate of Occupancy inspections before openinq business:
-:r.. Building Department Inspection 417-4815 & Fire Department Inspection 417-4653
/' f).I. raJ.. ..'-L,\S Please provide a minimum 24-hour notice for inspections
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, II ,J I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have
)"1. 1'1 supplied is correct to the best of my knowledge. ;;l ~
I ~ Dat:?~nt Name \-2 0 ~ e;rz. ~ (1) I eJ-lC) LL~ignature ,2 fi,,~---,
~ For Cit use ani:
Approved
Initials & date
ACTION ./
New business ./
Transfer of business
location from a
PSIA location
Transfer of business
location from a
non-PBIA location
Change of ownership
Remodel
Temporary business
Change of use
Department
Building
Fire
PBIA
City Clerk
Public Works
Will THERE BE ANY OF THE FOllOWING? NO/ YES/ IF YES, CONTACT
Electrical changes V- Electrical Dept. at417~4735
New or relocated sians ,<3 W.o (l,f? nr.;.. rz ",b-U f..A::.T"1U n ~. \/' Buildina Division at 417-4815
Construction chanoes \/ "
Mechanical chanQes (heatinq, coolinq, stoves) '-" "
Plumbing changes \/" "
Fire sprinkler system changes V "
Fire alarm svstem chanoes ,/ "
Is this a home occupation? \/" Plannina Division at 417-4750
Second-hand dealer or pawn broker? \/" Citv Clerk at 417-4634
New or relocated sewer or water service 'J'" Public Works at 417-4807
Excavation or fillinq of lots 'J'" "
Work done in the Citv riaht-of-wav \/ "
New drivewav open in as ,/, "
Grading site drainaqe (parkinq lots, downspouts, etc.) ,/ "
Landscape irrigation system (backflow devices) \/ Water Dept at 417-4886
Off-street parkinq - ./:
Existing streets paved I t/
Existing sidewalks I I V
Curb and outter ./
Please sign up for utility
services at the cashier counter.
Rejected
Initials & date
Comments I Conditions
Type of construction
Occupant Load
Automatic fire sprinkler system required
no
yes
T:Forms/Building Oivision/Cenificale of Occupancy Application