HomeMy WebLinkAbout306 E 8th St - BuildingPost on the premises in a conspicuous place this c
i.�
8th St
Diane Markley-
PO Box 2830
C E RTI FCC '►Te FOC� PA 111 CY
City ofwPort Angeles �;�;Buildi`ngl l3 ,ision
This certificate is ued p suant to the requiremen of Section 1 `141 of the 20009 International Building
Code certiniing that athe.i`tim of isA anee this structure was in compliance with the various ordinances
of the City gibuzldintcons ikttton:;or°usefor the following,
Business name ZrSalorn V
Business address:
Property owner Y.
Property owner s zadressa
Automatic fire spranklersystem. Not=required
Use occupancy classtfacation. Business,
Building permit number 1 379
Occupant load. 9` "I'
Type of construction.
cngeles!
33
09/13/11
r' Date
iticatetshallznot be removed except by the Building Official.
C-
O
1
PREPARED 9/06/11 8 44 02 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/06/11
ADDRESS 306 E 8TH ST SUBDIV
TENANT NBR Z SALON
CONTRACTOR PHONE
OWNER DIANE MARKLEY PHONE (360) 460 5639
PARCEL 06 30 00 0 2 7038 0000
APPL NUMBER 11 00000379 CO CHANGE OF OCCP /USE
PERMIT CO 00 CHANGE OF OCCUP /USE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
CO99 01 6/17/11 JLL BLDG C/O FINAL TIME 01 00
6/17/11 DA OVERRIDE TAKEN BY LPANGRLE DATE 06/16/11 TIME 15 08 28
June 16 2011 3 07 25 PM 1pangrle
SUSAN 460 0621
C OF 0 FINAL Z SALON
AFTERNOON
June 17 2011 4 45 51 PM jlierly
C099 02 9/06/11 L BLDG C/O FINAL TIME 03 15
o, L OVERRIDE TAKEN BY LPANGRLE DATE 09/02/11 TIME 13 57 17
September 2 2011 1 55 14 PM 1pangrle
SUE 460 0621 (I CALLED HER TO FINAL THIS PERMIT
C OF 0 FINAL Z SALON
SHE REQUESTED AN INSPECTION BETWEEN 3 00 5 00 PM
COMMENTS AND NOTES
PREPARED 6/17/11 8 41 18 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPEFTOR JAMES LIERLY DATE 6/17/11
ADDRESS 306 E 8TH ST SUBDIV
TENANT NBR Z SALON
CONTRACTOR
OWNER DIANE MARKLEY
PARCEL 06 30 00 0 2 7038 0000
APPL NUMBER 11 00000379 CO CHANGE OF OCCP /USE
PERMIT CO 00 CHANGE OF OCCUP /USE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
C099 01 6/17/11 J -L rO'
BLDG C/O FINAL TIME 01 00
OVERRIDE TAKEN BY LPANGRLE DATE 06/16/11 TIME 15 08 28
June 16 2011 3 07 25 PM 1pangrle
SUSAN 460 0621
C OF 0 FINAL Z SALON
AFTERNOON
COMMENTS AND NOTES
G-aARNe 7
L i 9dt-
eta
PHONE
PHONE (360) 460 5639
CITY OF PORT ANGELES
Attn Permit Technician
7: 321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
BUILDING DEPARTMENT phone 417 -4815
FIRE DEPARTMENT phone 417 -4653
CERTIFICATE OF OCCUPANCY APPLICATION
Changes to a fire sprinkler system or fire alarm system? Yes No C
Work planned
CITY CLERK phone 417 4634
Second -hand dealer /pawnbroker business? Yes No f�
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? El Moving location from within P.A.? Zoning D
BUSINESS NAME Z- 544-- 0
Business address r I 6 o S .c ail g address 5 (�,1��-
Phone number /,or) '�O(� _1 Opening date 52 Days hours of operation ?--F 9- 5,_
Business owner's name :uS 4 KJ 2- t'i C.�/L_ Contact phone /»_y (D (1
Business owner's address 5g' S. f .A ,a 1 n_4it e, P b 99 61'7,
Brief description of business CPI�I,f -C� C
Is the business a restaurant or bar that will seat 50 or more people? Yes No CY
FEES
Certificate Inspection
Parking Business Improvement Area (PBIA)
fee charged for Downtown locations
Bldg approval by on
Property owner's name ta/P/X- Y f 1 -6 (/I Contact phone 3i/PO —5
5
Property owner's address /contact .J
Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work,
adding /altering stairways ramps, bathrooms electric ealg /c tiling /y entilation syste s tc)
Work planned S'% "19- Z f b6) ult�C 7`e //,ftpi4� ilL.9
Fire approval by _1 on
PBIA (Parking Business Improvement Area Downtown) phone 417 4623
Square footage of business? 3 0 PB /A notified on
Is business moving within the PBIA? Yes No
City Clerk approval by on
Permit#
47;, it
COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by
Number of off street par ing spaces available
customers? 7
(A parking plan may be required.)
Signs? (wall- mounted freestanding projecting, awning A -frame etc
P b, 1a ,Le G
U
Signs planned
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 Er
Work planned
PUBLIC WORKS WASTEWATER phone 417 4845
Will waste other than domestic household waste be discharged into the sewer system? Yes No P'
If yes, what will be discharged
Call for Certificate of Occupancy inspections BEFORE opening business.
Buildiing 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 yAkbi Print Name Su, &lic I e.
T \Forms\Building Division \Certificate of Occupancy Application (2010).doc
for employees and
I chair o fly
Page 2 of 2
Is v ap/.'r uy
PWW approval by
on
o.,
on
lift Signature "7%(/�C. C� '7l
ex
CERTIFICATE OF OCCUPANCY APPLICATION
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 r,
BUSINESS NAME 54-L o k)
Business address /2 I,- 8 t !piling address S 2 'Z
Phone number 4Yh '—(.x(00 J Opening date 5 /Z Days hours of operation F 9- 5,
Business owners name 't/1,S 4 s PL_ Contact phone 7(:)/ ii L
Business owner's address S. _011.A .cei/ P A. 99 2 (.0—
Brief description of business �L—
Property owner's name I Mild Cd/Y L/ ,L4 Contact phone 3 /4 7 —5639'
Property owner's address /contact .J
BUILDING DEPARTMENT phone 417 4815
Is the business a restaurant or bar that will seat 50 or more people? Yes No R
Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work,
adding /altering stairways, ramps bathrooms electria0g /c� /ventilation syste s tc)
W rk plann S %rl 9. l t° /iG�d Y/IAGc iY����.�/�
ft, A_ f74 9Z
FIRE DEPARTMENT phone 417 -4653 Fire approval by
Changes to a fire sprinkler system or fire alarm system? Yes No D/
Work planned
PBIA (Parking Business Improvement Area Downtown) phone 417 4623
Square footage of business? 0 PBIA notified on
Is business moving within the PBIA? Yes No
CITY CLERK phone 417 4634
Second -hand dealer /pawnbroker business? Yes No B
Will there be dancing at this business? Yes No V
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
Bldg approval by on
City Clerk approval by on
Permit# II
FEES
Certificate Inspection
Parking Business Improvement Area (PBIA)
fee charged for Downtown locations
on
PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812
Date
COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on
Number of off street par paring spaces available
customers?
(A parking plan may be required.)
Signs? (wall- mounted, freestanding projecting awning A -frame etc
Signs planned
PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles.
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 a
Work planned
0
PUBLIC WORKS WASTEWATER phone 417 -4845
for employees and
chat- o fly
P 1E apprvvaf RV vii 1 9'c2.7 -1
/lJo YIA w. esA4.-
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 cashie 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.
Print Name SU C ///t. Q Signature %(/r �0/I
T \Forms \Building Division \Certificate of Occupancy Application (2010).doc
Page 2 of 2
At
CERTIFICATE OF OCCUPANCY APPLICATION Permit
FIRE DEPARTMENT phone 417 -4653
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.?
BUSINESS NAME 2- 54-1-0
Business address g ,7 I 6 ail
Phone number (et) '-Oto Opening date 5 Z/
Business owner's name as 4 iC) 2 -f t'
Business owner's addresses S a2
Brief description of business
Property owner's name t (4t.L rn C./Y
Property owner's address /contact .J
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, bathro•ms electric ea g /cooling /ventilation syste
Work planne S/ n e
T� n
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? 33 0
Is business moving within the PBIA? Yes No
CITY CLERK phone 417 -4634
Second -hand dealer /pawnbroker business? Yes No I�
Will there be dancing at this business? Yes No V
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
Parking Business Improvement Area (PBIA)
fee charged for Downtown locations
Zoning v, 7 t
g address S
Days hours of operation 9- CL
Contact phone /09 Q�
1. /iii r.� P p et is oo-
Bldg approval b
k
r'
Yes No
PBIA notified
r
Contact phone 3/PO (Pt 563 9
I II I I
Ir
on
Fire approval by 2 on
5113.144._
City Clerk approval by H on (1
COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750
Date
Number of off- street par ing spaces available for employees and
customers? 1 chair o r y
(A parking plan may be required)
Signs? (wall- mounted, freestanding projecting awning A -frame etc
Signs planned b 411.6t6( C i� ('/�,P� G /1.4(/I
Work planned
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 fillinglwork in City right -of -way
new driveway openings, site drainage parking lots, downspouts,
irrigation system backflow devices etc.) Yes No Cpl'
PUBLIC WORKS WASTEWATER phone 417 4845
Print Name S
T\Forms \Building Division \Certificate of Occupancy Application (2010).doc
Page 2 of 2
CED approval by 6R on 5 121 it
PWE approval by SV on -2i
PWW approval by on
Will waste other than domestic household waste be discharged into the sewer system Yes No Ca'
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
1 hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the
information l have supplied is correct to the best of my knowledge Incorrect information may result in revocation of
permit.
Signature Ad ///t
4 I:
4 7
3
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1
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Business name:
Business address:
62-0333
01-15-08
Date
Post on the premises in a conspicuous place. This
a I not be removed except by the Building Official.
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CERTIFICA TE OF OCCUPANCY APPLICA TION Permit # 015- S(
'-
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
~ FEES
~ Certificate / Inspection
$100.00 Parking Business Improvement Area (PBIA)
fee charged for downtown locations
Print in ink
Business owner's name ~rl;?
Business owner's home address
PLEASE NOTE:
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.
ACTION ../
New business /
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
Will THERE BE ANY OF THE FOllOWING? NO./' YES./' IF YES, CONTACT
Electrical chanQes t-/' Electrical Depl. at 417-4735
New or relocated siQns ~ l.-/' BuildinQ Division at 417-4815
Construction chanaes J ./" "
Mechanical chanaeslheatinQ, cooling. stoves) .,/ "
PlumbinQ chances (../ "
Fire sprinkler svstem chanQes (../ "
Fire alarm svstem chanaes V "
Is this a home occuoation? v Plannina Division at 417-4750
Second-hand dealer or Dawn broker? V Citv Clerk at 417-4634
New or relocated sewer or water service V' Public Works at 417-4807
Excavation or fillinQ of lots V' "
Work done in the Citv riaht-of-wav (./ "
New drivewav ooeninas f../ "
Gradinc site drainaae (oarking lots, downspouts, etc.) (../ "
Landscape irrication svstem (backflow devices) 1./ Water Depl. at 417-4886
Off-street oarkinQ , ,./
Existina streets paved V
Existina sidewalks 1/
Curb and autter ,/
Call for Certificate of Occupancy inspections before openinq business:
Building Department Inspection 417-4815 ..llL /:; i.J 1 w d'
Fire Department Inspection 417-4653 'l-/j"'~i. ~ e.- c t'~ or' '''5
Please provide a minimum 24-hour notice for inspections 0 t/1 /11 ::>/ d-€-o f' W J 1'1 do c.-J
'II! <4: c..t be.- I;J..!J Y I ;J..,!/ (, ''''t:"It~ s)
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. I ~ .~ /'
Datelllt...J/og Print Name .JJOv1J'7a./ lI-f'nJrlx Signat~~/~
f .Lj
Department
Building
Fire
PBIA
Planning
City Clerk
Public Works
----
T:Forms/Building Division/Certificate of Occupancy Application
Rejected
Initials & date
Comments / Conditions
Type of construction
Occupant Load
Automatic fire sprinkler system required
no
yes
r
."
. ,-
Use Classification:
,.~.
CERTI~~..'/~1~.......-E~~~. UPANCY
// .."Clty..O.! Port Angeles,
/ ----", Buildhig Divisio.~ .... \
~ ...,f' ,... .........
This C!tijication.issuedp!!.rsuant to the requirements of Section 109 of the
UnifornJBii/ding Code,certifying that at the time of issuance this s~ructure was
in c1mfilianc.e. Wi.t.h'the\V.Ulario~s rdinances of.ihe City-regulating B.U ilding
I r ~ "" -..... . - \
const~t:Jipn 0 ~ t. FE! thefollowJ11g'", ,
Officee-;;.' ~~7. PermitNoY \ ., BUS. ~.essName:. . Kar...e. n'sBO.r... eeping Service
'. ~ II
Type of Construction: VN :;,' use~ne: ---1 N
K'm"en~S ence KddTesS:"230;Motor"'A:Ve.. Port Angells. W A. 98362
\ l \ L___ --~ /L.
s St - h -.. --'
.,
o r 17 2001
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'R-.~~ ID-2. 0 \
ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
DATE
/t1 /;:; 1//1
Address of Proposed Business
3()~ E p-///
Applicant .KO"I"'n Sh~nrtD
~
Address .:< ;J,,/)ll1(Jf,Jr 17~e.
~,. f AI' 0 ~ I ~ ~< 'u J 17 9 f' .3 t, :2
Phone: business ~- -;?!I~/:' home 45.} -",yO 7
New Business ............................ ( )
Transfer of Business location. . . . . . . . . . . . . . .. ( V)
Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( )
New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Temporary Business ....................... ( )
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Brief description of proposed business:
/f:.,~j 1C"'~h/ I ..
/7 ../ ~
7/1 Y ori'"/M1":41/rn "u"/,,,.,,,,//
y / ~r ,
legal Description: lot '" ~ 9 ~ ~
Current Use of Property: A -Ii r, 1 ,. ,/ '_
./.
Zoning Classification of Property: C1v'
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . .
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . .
Plumbing changes .............................
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New sewer service .............................
Admission charged to patrons. . . . . . . . . . . . . . . . . . . .
Is this a home occupation? ......................
Excavation ot tilling ot lots .......................
Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . .
Is there sufficient off-street parking? . . . . . . . . . . . . . . .
New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . .
A grading plan tor site drainage. . . . . . . . . . . . . . . . . . .
(parking lots, downspouts, etc.) ..................
Are the existing streets paved? ...................
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . .
Is there curb and gutter? ........................
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Block
/J-I ( , ~ r
YES NO
V'"
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2.7C)
7 /;> A-
Subdivision
THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my
knowledge. Signed:
APP~~~ED
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
Io;~/ ~
/1) /~ 101
~h</ _,/p'''''L-
. .
?a.~clID-2-0\
B - V IJ - GAl
ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
ko..,.er/5 Ekl<keepl'f\'j
S e./'v ic.~
DATE
/1) /:2 /a/
Address of Proposed Business
3b~ e P-f-h
Applicant J:d r~ n .s;p P.i1 (" e
Address ~ .=30 .dJtJ 7tnr Il-;e.
~rf- Aat;.e /",..5. kill 9 ~:2.
Phone: business #//- <?J'"i home /fS::z-?J'07
New Business ............................
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
New Building .............................
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business .......................
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Brief description of proposed business: &d L:lc~ ~~),..1 J
legal Description: lot AI ~ 9"'" C( Block:2.. 7 C)
Current Use of Property: A~rn "'1 s d-r:/c.~
Zoning Classification of Property: c.'Iv'
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . .
Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . .
Plumbing changes .............................
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New sewer service .............................
Admission charged to patrons. . . . . . . . . . . . . . . . . . . .
Is this a home occupation? ......................
Excavation ot tilling ot lots .......................
Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . .
Is there sufficient off-street parking? . . . . . . . . . . . . . . .
New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . .
A grading plan tor site drainage. . . . . . . . . . . . . . . . . . .
(parking lots, downspouts, etc.) ..................
Are the existing streets paved? ...................
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . .
Is there curb and gutter? ........................
Other........................................ .
YES NO
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t/ 'r
Subdivision 7" ;:>~
THE FOllOWING WilL BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my
knowledge. Signed:
APPROVED 0 \ REJECTED
R~/b
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
KDiJ
lo~g -OJ-f6u
/tJ /2/01
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Comments / Conditions
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