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HomeMy WebLinkAbout1850 Marine Dr - Building c-- ELECTRICAL PERMIT T CITY OF PORT ANGELES 360- 417 -4735 OJ Application Number 11- 00000768 Date 7/26/11 CA) Application pin number 308992 REPORT SALES TAX Property Address 1850 MARINE DR ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 4600 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning INDUSTRIAL LIGHT Application valuation 0 Application desc Relocate panel Owner Contractor NIPPON PAPER INDUSTRIES USA ANGELES ELECTRIC PO BOX 271 524 E. 1ST ST. PORT ANGELES WA 983620044 PORT ANGELES WA 98362 (:)Q)7 (360) 452 -9264 Permit ELECTRICAL ALTER COMMERCIAL 0 Additional desc Permit Permit pin number 189738 \"1 Permit Fee 119.90 Plan Check Fee .00 Issue Date 7/26/11 Valuation 0 Expiration Date 1/22/12 Qty Unit Charge Per Extension 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Fee summary Charged Paid Credited Due Permit Fee Total 119.90 119.90 .00 .00 Plan Check Total .00 .00 .00 .00 7 Grand Total 119.90 119.90 .00 .00 4 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN 2121 t' R FINAL I bll� 1^ 4V W COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X r Date: G: \EXCI -IANGE \BUILDING 0 t ELECTRICAL INSPECTION U WIRING REPORT 417 -4735 DATE: /1) PERMIT I ECT R OWN ►.1 \WOE CONTRACTOR ADDRESS $�JO ,t o '9i7--1 U e- APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL r CORRECTIONS NEEDED: L bt1 S 6-4- G✓ 1, R 1D4 -1 -T 15 O tkiL 3 o k 4_ -...,i NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE 07/25/2011 15:.22 .FAX 360 452 9265 Angeles Electric 1210001 /0001 0 Cit -JUL JUL 2 6 20ij :---r 6 121 riififrt..ftaotiiso ELECTRICAL Ped rlp ...adfiNto6, 302 1NSP P 4 1Ti191 ECTIONS D ate. •1 4; Single Fa dlyDwe1llr M amrlyct.4ornnteita' mM.erdalAdi$tycri /Alteration 1 Remodel I Repair r PlanRbv1$w.ltiley8 Required, Please Complete Election! Plan Review Information Sheet JobAddtes$ /��A�J �'J footgguartff ape: /J not Desaiptlon of Bbori. il./ IS IL/J 4 4 Q" kwlo�sll •nab '`•r„ ,-Name• L "4 r C '�..L w/ Name L r,: :,MaJUrtgAddris: :15��!` I■lf M the r "':7: S tate: P TV np: 3" City: State: 1 t :Phone• arc PM= —z Roc "Z— i :,UnitCbertte fit ID Total (Ottn.Mut9nifed bl�UnIt Martial f 191 1 11 Se vic.IFaedeT200Amp 1,45:60' SsMalf�rar201- I0OAmp• .$204.60 SenicelF.eder401403 $28220 Senite&Faid r. A00)An :.4372.50 8ern araederbrer1000Amp. j 2.60 Branch *CAW Sankt Feeder :73.50" Br and Cb YYIO :Bm,* Fee 2.60 Each AddIDan Br4itlti "Ctrault Tamp..8ank&f .....$110.30, Tarp. S40rb.IFNdar20140OAmp. ,$148.70 Tamp. Spatiiif oiti409�8011M8i. E 3 Temp,.BerNvVFaeder.004- �O�Mrp Portal b PortettiMaly e 3:eo S i eIhke 55 :90 Sind CtroulR Wad Enp,�r- Cgrrdr�erdai.AaaPoond MOO $6.00 °$,,63.60 Stla Oran/ ponpy 1 A2F 8_:1;390 tom• t •$119.90 A :-5102.0 RaiseBleeAailJret *I S$rirn .rtes :311030 Fi>it1300.BritidsF't '.:.$.1: 3520 EaadrAedmad000`tiprrer.Ror Porond I 73;60 Eath Cu 9 et.ttlrtr+diedG,eraaf y.. Each etrYir or;}fat7tib s .8 Tot Thenni i '-"'.0►Yn.rpa.d Mad wRCMC11uu el: pJ &arrar all Noun' tMetrrrctrrn *An Mat OWOhlsNaetrlafpinpitB finalized. a Orer.►trn6olrkaaAe.an.le al n'' 404'4140plr Allsikpota R after •Droronths ofkallhyeeCar. :A 7a1oi 61r� d roerr edlmrent, I Aer ofi ib that t am tlu a mr d th. a tm named proparq►era. eleetrtd eorrtraeter. /era the ataeblcde or 7idpiiiA(dhlir !hit ttg.eterrh1g41tira, .ttg.O, ROW. CMpbr 19.21, WAC. CtrtPtt6B, Micro d PoRArgo Mll:e ii i' S10petor.9i.tnet; elw6leal eontraatorerelectrical edmiela titer i' i n 26 1/ W Card E 0N ELECTRICAL PERMIT t 1 CITY OF PORT ANGELES 1 360- 417 -4735 C, Application Number 11- 00001060 Date 9/27/11 Application pin number 530740 REPORT SALES TAX CJ' Property Address 1850 MARINE DR our excise tax form ASSESSOR PARCEL'NUMBER: 06- 30- 00 -0 -1- 4600 -0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning _INDUSTRIAL LIGHT Application valuation 0 Application desc 1 circuit 5 flood lights Owner Contractor V .f..,,,\ Nippon Paper ANGELES ELECTRIC PO BOX 271 524 E. 1ST ST. PORT ANGELES WA 983620044 PORT ANGELES WA 98362 (360) 565 -7030 (360) 452 -9264 Ille Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 193292 Permit Fee 73.50 Plan Check Fee .00 Issue Date 9/27/11 Valuation 0 Expiration Date 3/25/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 ..00 74 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 111 Il d INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 1/ FINAL f 1 15,11— c -4Y) COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X s., j Date: G:AEXCHANGE\BUILDING °FP °ATaN ELECTRICAL INSPECTION WIRING REPORT U N ,s�`�� 417 -4735 DATE PERMIT NSPECTOR /DM J, 2. n T -IofO 14PP OWNER/CONTRACTOR ADDRESS /6 56 MAW APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: C ,r) V `p C.7 2, W C--14. A L,L Y--1 A U A .ap A hi d 2, Li )I Frzo utn,MA ICA m 2z5 19 9 OV I t' (1.0749 o1 '6o V Acv 64 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 09/26/2011 12:29 FAX 360 452 9265 Angeles Electric Z0001/0001 1 ECEI'll‘ 1 City o1 •PortAngples Penult Application 01 laldliittilaloNEl OMalletoecttons S 2 6 2011 C7 321 iiittl h' 0.0:111:1150 0.-- PodAlipelydVili1hMbEe9, 8382 ELECTRICAL r Ph 13s0):d1T' 'Rot 4174711 a INSPECTIONS 1 2 Single Famiy-DwoiII g Om tl- Fenim!orCommeldar merdal Addition l AlteraSon Remodel Repair' Plan J3evleMMay84 Required, Please Complete Electrical Plan Review Information Sheet "Job Address: /*►A'1duf LS Bti;llding quarefootspe 42 e Dosaiption of above v A .w O 4 N P! r r rr •Name: 4 •0 ,&uL.✓6 Name: .1 f maid_ ;Mallinp Mg Address: 52Y re iacxr Sr CKy Stets Al gi City State f826t Phone• arc Phone: 4Es'z -f21�� Y Fax: Gd zzG6 :Ucense l.Exp, License E.x p..9Al64 c E$ 4' 'o,P_S Unittheme Qpt Total (ON Multiplied br MitCharoe) `:'.$119:90' SevicalFeeds200Mp. :S :14530' SeMceiFeeder201400 Amp. 204.80 8 ServlceiFeader 401400 Mrp. 826210 SeMealFaeder 001.1000 Mip. •..:$37230 aeMoe/Fords Over 1000Mp. i 2.80 Busch ClraftW(8arvks Radar A :..73.80. Z i •3m Branch CYddt W!O Sake Feeder :260. 1 Eadr Addlam. BMdli Circuit 1••92.70 Temp. Suvloef Fah* 40Pmp. 1 Tarp.BaMarFeeder2014W 4148.70 1 Tamp. SerricaFaeder401400Anp. 167,10: 1 Tamp. 8ervloelPeeder601- 10o0 1 .95:90 Portal to PormlHoudy j •''1 :x1:20 8 8igMOu0netJOhilq I 95:90 1 Sinai ClrwW United Fnapy Curinack.. Additional 1f10015 00 a .Q3.00 Signal CYarl 9 Wiled Bins 1d2 Fan* Nang 1;113.90 i Signal CtaiW IJiNOed •Eroerpl' Mu�Fanroy Melly r•-• 1 119.90 Renewable Dad $cal A *stern or Lass I 11 First 1300 Soots 'FL Each Winona! 60ottquaraFta Patron of j 't `'173 Each 00411 or bitched Garens S T 73 Orlmares •calmed biRCW lULt11: (0 Owmer veal occupy Um soroadrn for Iwo yews Je w aft els Wks! "minis Rabat at a) Ownerk 'overfly bba.an a.eotcal earbaetor B ekIPOpiipli*ruI onto( Mae& Panr: f j ••ARar.nbdlna the above slslm I hanky certify that I am Ma come Ina above named property ore Beanad slscMra1 contractor. 1 am eOefbn or ilteri0oein toarpthinCS rAIN Vie doctrk9bltrs, N:EC.� RCN. Chapter 19.18, WAC. Cheplar215408, Ms Clpr of PonAngslla Mwi1c sl Coda, d the alsoblealigE U1EI L 3;tpputur* ernyaO da con tnctororstaticaladministrator 0 C 0 i! �radtt Card O� 'tom c—,_ ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 vl Application Number 11- 00001154 Date 10/19/11 Application pin number 780800 REPORT SALES TAX Property Address 1850 MARINE DR ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 4600 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning INDUSTRIAL LIGHT Application valuation 0 Application desc Low voltage fire Owner Contractor DAISHOWA AMERICA CO LTD PERFORMANCE SYSTEMS PO BOX 271 7324 SW DURHAM RD PORT ANGELES WA 983620044 PORTLAND OR 97224 00 (360) 457 -4474 (360) 681 -8971 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 194597 Permit Fee 95.90 Plan Check Fee .00 Issue Date 10/19/11 Valuation 0 Expiration Date 4/16/12 Qty Unit Charge Per Extension a i 1.00 95.9000 ECH EL- LIMITED 1ST 1500 SQ FT 95.90 Fee summary Charged Paid Credited Due Permit Fee Total 95.90 95.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.90 95.90 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 6 ti� L cl4V FINAL I�!I COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X 1 d ft Ar 410 Date: �8 G:\ EXCHANGE\BUILDING ""44 '0 ELECTRICAL INSPECTION 0 WIRING REPORT c m`'c w 11.11V 417 -4735 DATE PERMIT INSPECTO /0 1 R 1 Tzle.Q0 L�Z� OWNER /CONTRACTOR ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: L AAJZ_ 42 (.70 2 7 Z oCO L i Zz 2)31 65i 09` PS 1 t xt`r'r 12,O="riS.-J NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 ~ pORT ~ cS~O~~~ ha L~ ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000737 Date .227199 1850 MARINE DR 06-30-00-0-1-4600-0000- ELECTRICAL ONLY 8/30/04 INDUSTRIAL LIGHT o Owner Contractor NIPPON PAPER INDUSTRIES USA PO BOX 271 PORT ANGELES WA 983620044 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 ----~------~------------------------------- Permit Additi'onal desi:: Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL 200/125/50 AMP+F.A.- ANGELES ANGELES ELECTRIC 234.20 Plan Check Fee 8/30/04 Valuation 2/27/05 .00 o " ~ ~ Qty 2.00 1. 00 1.00 Unit Charge Per 48.1000 ECH 95.8000 ECH 42.2000 EL-COM 0-100 NEW ADD SRV FDR EL-COM 101-200 NEW SRV FEEDER EL-LOW VOLT SYS <=2500 SQFT Extension 96.20 95.80 42.20 ~ ~ ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 234.20 234.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 234.20 234.20 .00 .00 ~ ... Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA TION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # - LA PS ~ &2tJ ~ ROUGH-IN 1'tf1 - , k1C. PLUMBING A~ UNDER FLOOR / SLAB 9-.10 -~ A-f? I'(~ ROUGH-IN ~ vc!.. h '" ..... VI WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER I AIR SEAL I WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 17-4735 '1"1O~/)L/ I<.k ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102. 15 [11/14/20031 8-16-204 ~~~. :; 'lC-..u "' _d" 't~ 'l'h.....~.___..,?"1 -u."I1;~ ,.0#:1 8002AM FROM ANGELES ELECTRIC INC 360 452 9265 HI::C IRIC/l,L PERMIT APPLICATION P.l , .\ "T1}(! I:-k>r.lIiC:ll r""C!lIf.il AppliC:::llion must be 1lJlcd out comDlelelv. ,..... \'" '\ "II. \"":U'~', I (h,rlllt<': 1'"",.,11 I),.. 1."I""vr~: U...I........":____... 1- .. Pleas(> 1yPp. or rcptil,l Inlnl1. If you hOllYF!' :'Uly qu~sllons, please call (360. 417-4735 ~ - 937 fa" F1vmtWr: (3&0) 417-4111 ./' REQUEST INSPECTION ~ " Own., 0' Elec, ConlraclOl Ag.nt:-1ll'JGELES--EL~_ rhon,e-4 "> ') _ q ') (;L- r-ax:.A "> ') _ q ') (; 'l r'opM~Ownc" j.hPfbll) Pl'ff~ :zAJ/JVtSTl!.L{;5 Phone: hV- ~ Addless; " z. ~ Cily; Zip: Eleclncal Contfaclo'; ANGELES ELECTRIC INC. Address; 524 EAST FIRST lINGE!.F: 14 60R5 liC0.IlSC n: Exp: Phone' 4 'i7_Q7E;4 CIly: PORT ANGELES. WA Z;p: 98362 INSTALLATION WIREO BY: LI OWNER f.lt'LECTRICAL CONTRACTOR Credil Card Holder Name: _-.:!),n c;; mp""'" City: - Exp. Date: - Q!..l) Zip: VISA:_MC: V TYPE OF WORK: Check allthal apply: [J New o Residenlal 0 Multi-family ~mercial ~alion/Addition PROJECT ADDRESS: . 0 Mobile Home Sq.Ft. o Remote Meter 0 Detached garage [] Hot Tub 0 Swim Pool 0 Septic Pump ~ Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: DESCIlIPTION OF THE ELECTRICAL PIlOJECT, #/~'I..~ j11t:1U.11 JI/Lfl Elecirical Heal Load Additions _KW KW _KW _KW 'J& "rt- v io ( ~ad Service o T ernp Service LJ Underground Service Service Inlormatlon o Baseboard :J Furnace ::J Heat Pump ~ Fan.Wall Vollag.: /2O!z.r.I/J Phase: ~ Service SIZO: ~W~ FeederS;.o: 7~~$Z)~ 'AMC 14.05.060(B): F~r industrial. commercial. & rosidenlial projects large' Ihan a duplex, a one - line drawing of the Electrical Service & =eeders, building size (sq. ft.), load cnlc'JJalions, and 1he type & or conduclors andlor raceway Is required and shall accompany the ::Jectrical Permil application. 'hereby cerMy thai I have read and examined Ihis application and know that same to be true and correet,'and I am wthorized to apply for this permit. I andersland il is nollhe City's legal responsibility to determine what permits ire required; il remains the applicants responsibilily to determine what permits are required and to obtainsuoh. ff4bTp'x . ~- (\ f yjcmK- 6j{(~ ~.",. p 1_ h'/' rf ~\ ::::,:::.::':::::::::::: ~I~ ~'r::: ~/ttr 'W-9019 ~ Z f3;Jc>If ~/t!.-C. ~ 0- 02....-oA 95. ~ 90 ' b4 - O-/:J.'5"A '/8".10 2;;'/ O.-~A"'f"S 7'f}./O !Jj/"/tJY rrN-;#t.- 9~j"o-o</ K!k H' , /)/) .~u~ _. ._ .., .,..01_ $(/ ~ ~ ROUTING SLIP '* DY -1-'13 ~,OItT -1.... "'o~.~ ~~.<;. . ~ 0-1 Certificate of Occupancy . ~..:; l/l L~ -=- $47.00 Certificate/Inspection Fee ~ 'tot",.,.... . DATE AP R-1 L- 0'2...) 2..00 4- New Business ........................... . ( ) Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( ) ~ <2>>~--o ~~~ ~ ~~ Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant "-lIP Po~ -PAPe~ J..JO\lSTfU GS ~-A New Building ............................ . ( ) Address --p ,0. f.:,o'X,. 2(/ Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) ~oa..:; ANGr6"\.6~ I LoA . ge3b2- Temporary Business ...................... . ( /~ Phone: bUSines~~4~"2-~ I home Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( Brief des~ription of proposed business: ?'2a-V ~ 0 VS STr2Ar;r V'E:.~ ~l LJNI~ "&2Al\Cl4- ~-p I (...0 UJI !.,;L" (36- ~6-o AS CFF1~ ~PA c:..E: 13~ rv \ PPON legal Description: lot Block Subdivision Current Use of Property: VA.CANf Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? Y,- NO THE FOllOWING Will BE REQUIRED: Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . PERMITS BUSINESS LICENSE Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~- 1 ) Building 1) Taxi Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . ~~ 2) Plumbing 2) Peddlers Plumbing changes ............................. ~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . 4) Mechanical 4) Pawn Broker New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5) Sewer 5) Dance New sewer service ............................. - 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. . . . . . . . . . . . . . . . . . . . - 7) Driveway installation 7) Fireworks Is this a home occupation? ..................... . - 8) Curb installation 8) Ambulance Excavation of filling of lots ....................... - 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-ol-way . . . . . . . . . . . . . . . . . . . . 2:_ 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . 11 ) Fire New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . ==* 12) Occupancy A grading plan for site drainage. . . . . . . . . . . . . . . . . . . 13) Sign (parking lots, downspouts, etc.) ................. . ~~ 14) Shoreline Are the existing streets paved? ....... . . . . . . . . . . . . 15) Home occupation Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . _7 16) Conditional use Is there curb and gutter? ........................ 17) Other Other........................................ . -- I hereby apply for a Certificate of Occupancy and acknowl- AP R.'! L.-. 021 wo4- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my ~~~f:~~ knowledge. Signed: ~ REJECTED Comments / Conditions Building Section Public Works Department ~/ J 6/o'i SR- Planning Department ~&V- Fire Department City Clerk P.B.I.A. en ::T'''tJ t\,) 0 -tJl - = o 0 -= 0"- ct> ::T' ""'l ct> ct>"O 3 ""'l ct> ~ 3 ct> -. o.~ ct> tJl >< o = ct> t\,) "0 -0 0"'0 '< = OJ~ !:. o. -I: 0.0 = I: to tJl 0"'0 ~Q) o. 0 -. ct> t\,) I:C E. Q: S' a<> o .., ::l ,., E.: > ~ O~ ;:. ("""'t-- ;ON -J N o o ~ ee c 0: 5' ac ~ 0. ~ ~ -- 00 VI o ~ ~ :;:l. t:j (1) o '"1 :;::' (1) "'t:I o ::4- 6'" (1) - (1) rn ~ > \D 00 UJ 0'\ N o ~ 0; S- ee ;;; 5' 0> ~ S' 0- ~ rn ...... :;:l. (1) rn ~ 0. ~ 0> ~ "'t:I o OJ o :x N -J -- "'t:I o ::4- 6'" (1) - (1) rJJ ~ > \D 00 w 0'\ N Cl a c '? ;;; 0> n [ :::; n !':'.. o ::I OJ ..., ~ '" o .., n o ::I q c $? o' ::I ~ 5'~~ ~ ""I '" ~ .;::; (j ~ bj..~ --.;::: ~ i:l'~~ OJ B -.8 ~ ('\) ~::::-. 5' ~. 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