HomeMy WebLinkAbout222 N Lincoln St #4 - Building
This certificate is issue
certifyzng that at the t'
regulatzng buildzng
nternatzonal Buzlding Code
ous ordznances of the City
Buszness name
Business address'
Owner oj busines
Owner's address'
Use & occupancy
Building permit nu
Type of construction'
06/28/07
Date
Post on the premises in a conspicuous pia
removed except by the Building Official.
PREPARED 6/28/07, 8.48 09
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
12
6/28/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
222 N LINCOLN ST # 4
M D SMITH-DVORAK
SUBDIV'
VOANG KHOAN
06-30-00-5-0-0020-0000-
07-00000761 CO- CHANGE OF OCCP/USE
PHONE
PHONE
PERMIT: CO 00 CHANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~~~~-~~----~/;~j~;---~----f:;~;;~!;~~~~~:;~:~~:~;;;;~L~~~~:--::~::~:~---~:~:--::~::-::--
~ MD. SMITH-DVORAK 417-0909
C OF 0 FINAL - SPICER'S DELI & GROCERY
BETWEEN THAI PEPPERS AND INDIA OVEN UPSTAIRS ON THE STREET
-------------------------------------- COMMENTS AND NOTES --------------------------------------
sp, cers belicCAtessen <t Grocer-
WCt-S 0..+ lo~ E.. ~st. \'\() ROUTING SLIP
_" ~e."ex- 0 pene..:,l 'fu~. Move.J Certificate of Occupancy
-+0 2ZZ- N. Linc..o\n st. Ul"~+ (o$50)(certlflcate/lnspection Fee
DATE lo 21 ~
Address of Proposed Business :\~,,\o
2.. 22.. N. U\'\co(n 5+. UV'\\~'f
Applicant M,n, Smi#'--ivDY~
Address I 0 \?:, 0 k VVt P Lt. C\
'"Po\-\- ,A-~tj~
Phone: business4n-O~oc:r home417-o3~"
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New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Transfer of Business Location . . . . . . . . . . . . . . .
Change of Ownership .....................
New Building ....... ....................
Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business. . . . . . . . . . . . . . . . . . . . . . .
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . .
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Bnef description of proposed business: ~ ' \D ----::J
Legal Description: Lot
Current Use of Property:
Zoning Classification of Property:
Block
WILL THERE BE ANY OF THE FOLLOWING? YES NO
Construction changes _ ~
Electrical changes _ ~
Mechanical (heating, cooling, stoves) _ ~
Plumbing changes " . t>o~ -:- ~ _
New or relocated signs C)()e.. :fl~V' _ ~
I · X
New septic tanks . C\\"'Q.\ Y') t --
New sewer service. fot'" 3 -(.0 ~'\r meN\+ ~
$lnl< X
. ~stnK- -
.l\ .. _ ---X-
-~
-~
-~
_ --.2L
_ ---X-
_ --X-
--X- -
1-_
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--
AdmiSSion charged to patrons
Is thiS a home occupation?
Excavation of filling of lots
Work done In City right-of-way
Is there sufficient off-street parking?
New driveway openings ..
A grading plan for site drainage
(parking lots, downspouts, etc )
Are the eXisting streets paved?
Are there eXisting sidewalks?
Is there curb and gutter?
Other
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge.
REJECTED
612$/67 S~
-K\)
~'Z&/Ot BV
~l Rli
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
Subdivision
THE FOLLOWING WILL BE REQUIRED'
PERMITS BUSINESS LICENSE
1) BUilding 1) TaxI
2) Plumbing 2) Peddlers
3) Electrical 3) 2nd Hand Dealer
4) Mechanical 4) Pawn Broker
5) Sewer 5) Dance
6) Sidewalk Installation 6) Hotel - Motel
7) Driveway installation 7) Fireworks
8) Curb Installation 8) Ambulance
9) Sidewalk obstruction 9) Tattoo shop
10) Water meter installation 10) Other
11) Fire
12) Occupancy o~: lOam -tof'h"\j 7 d~
13) Sign ' Noie: i-<:And \ 0 rtl
14) Shoreline pdUS v+l \li-t'es O~
15) Home occupation . d , t.t /.,
16) Conditional ~ ~15 UI'\ It. Unlt (A.I So
17) Other ~llec\ Unit '()~)i s be-+wee-h
,
ftW"s ~~tl.\(~ Oven
vp$~\rs: on --the s+V'eet
Date:J~_ ~.(Ft-
Signed./L1A'D~~
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Comments / Conditions
~
When you are almost ready to open your
bus mess, please call for CertIficate of
Occupancy inspectIOns.
Call 417-4815 for a Building Dept Inspect.
Call 417-4653 for a FIre Dept InspectIOn
Please provide a mimmum 24 hour notice
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