HomeMy WebLinkAbout127 E 1st St Ste 3East - Building
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CERTI FICA;;fE'''()P'''G),CCU P ANCY
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,,/' City of Port Angele~li"", .
"I' Building Division '\'\,
This C?f'cation issued pursuant to the requirements of Sect~~J09 of the
UniformfBuilding Code certifying that at the time of issuance this !tli,ucture was
in c!.mpliance with the various ordinances of the City regulating 'Building
I construction or use. For the following: ,..
Use Classification, Ret1lil Building Pennit No.: 04-300 Business Name: Retroville .
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Group: M \ TypeofConslruction: V-N Use Zone:; C.t5 -
OwnetofBusinesslResidence: Retroville Address: 127 East 1" Street Suite #3E. pol An~eles. W A 98362
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Building Address: \127 East 1" Port Ange1es. W A 98362
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tember 16 2004
Date
M~y
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ROUTING SLIP
Certificate of Occupancy
r , Certificate/Inspection Fee
#--D i.\ -?,60
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DATE
Address of Proposed Business
/2- 7 t;;, / ~ -Sf #- .:s Frrsr
Applicant i<F;rRDU.LLb
Address ll. 7 6 i Sf $, -#-"3 {3
Po f2..1 A-NG.-CU::S \AlA- 'rf'J.sC,2
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business LftjJO-9J777_ home ~57-S5f?'7
Phone:
Brief description of proposed business:
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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 ..
New or relocated signs.
New septic tanks. . . . . . . . . .
New sewer service . . . . . . . . . . . . . .
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. .........
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New Business ............................
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership. . . . . . . . . . . . . . . . . . . . . .
New Building ...... . . . . . . . . . . . . . . . . . . . . . . .
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business ......... . . . . . . . . . . . . . .
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . .
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) 01her
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Holel - 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:
7~":(~~mcr"
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Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
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Yh<llle. {'rclM. I -Ss EG<;t I
Comments / Conditions
-'-2.30'-/
Ma..y j 501 op'u\.
ROUTING SLIP
Certificate of Occupancy
a _ Certificate/Inspection Fee
DATE
L/ /2 .0 t.j
Address of Proposed Business
/2- 7;;:. / 'f>.J 5, # .:s errS!
Applicant .Q riRo V I L Lt-,
Address i Z- 7 6- i ~ 5, -#;>, E
~o 1'<.:1" A7\J& -E u;-s w It "I B 3'2
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Phone: business ~fw()-9J777_ home '157.-558'7
Brief description of proposed business:
J2r?r/'t I L-
Legal Description: lot
Current Use of Property:
Zoning Classification of Property:
Block
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 of filling of lots
Work done in City right-af-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.
YES NO
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New Business
)
)
)
)
)
)
)
Transfer of Business Location.
Change of Ownership. . . . . . . . . . . . . . . . . . . . . .
New Building ,. ..........................
Remodel. ........ . . . . . . . . . . . . . . . . . . . . . .
Temporary Business
Change of Use. . . . . . . .
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
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) 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
REJECTED
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Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PBIA
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