HomeMy WebLinkAbout127 E 1st St Ste 4West - Building
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ROUTING SLIP
of! Certificate of Occupancy
"\t6 $47,00 Certificate/Inspection Fee
New Business """"""""""""""
Transfer of Business Location, , , , , , , , , , , , , ,
Change of Ownership, , , , , , , , , , , , , , , , , , , , , ,
New Building , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,
Remodel, , , , , , , , , , , , , , , , , , , , , , '
Temporary Business , , , ' , , , , ,
Change of Use, , , , , , , , , , ,
Brief description of proposed business:
No,., -('VUdlc~ ~-hDyvt.IL,S1'''IDr-{4~
Legal Description: Lot
Current Use of Property: OfF, >A
Zoning Classification of Property:
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-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.
YES NO
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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, /J Signed:
.e en /-f Sa r/:r ,
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B,IATh:a
12-1'403 S
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Comments / Conditions
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CERTI FICA;;fE'"'<:)'f"'9CCU P ANCY
Iff-'b-.';'< '''''~.
,r City of Port Angele
./,f!' Building Division "',
This Ceffijication issued pursuant to the requirements of seC~ij09 of the
UniformfBuilding Code certifying that at the time of issuance this sti;ucture was
in Clfmpliance with the various ordinances of the City regulating l}uilding
if construction or use. For the following: \
Use Classification: Offi~e Building Permit No: Business Name: VisitiUi! An2:els
o_dL' \ ,.,",~",_,., V-N 01_. CBD
OwnerofBusinesslResidence: Lifeboat Inc. Address: 127 East 1" Street Suite 4W. r/rt Ang:eles. WA 98362
BuildingAddress ~7 EasLl".StreeLSuite.4W __Eort.AJ:les. WA 98362
" /
eptember 16. 2004
pos~" f: ~",,~remtSes OA:~BiCU~US ;;~ce.
Shall not be re"ni"av.e_ .e,xc,~pt"byBuilding Official.
ROUTING SLIP
Certificate of Occupancy
. ' Certificate/Inspection Fee
t'J\o V e.,
v...Y
New Business....",..... . 12'ecy' .... ( )
Transfer of Business Location......"... 'A;...:.-:(J)""t.-)
. hange of Ownership....,." "3-1..1.. ( )
ew Building ...'..............., , . . , ( )
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . , , , , , .. ( )
Temporary Business ..............,'.".,.. ( )
Change of Use. . . . . . . . . . . . . . . . . . . , , , , , , , .. ( )
Applicant
Address
'PO r+ 4-rl:Je 1./25, ?U-::1. 9ft 3 C<>-=3
. /
Phone: business homeq~ ?'G-7 )
Brief description of proposed business:
S7b(ZN:.~ .--
Legal Description: Lot
Current Use of Property: 5.{.o~ '10
Zoning Classification of Property:
Block
b<l--~<"/1.e~;",
Subdivision
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.
F
-+=
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
:!
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,
I hereby apply for a Certificate of Occupancy and acknowl- ~~~ ~
edge that , have read this application and state that the sDia9tne:: ,-. " "
information I have supplied is correct to the best of my .
knowledge.
ED
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB.I.A.
S(<. \2--I/-D/
y,p\J
1j3\J \'L-i-O}
Comments / Conditions