HomeMy WebLinkAbout1403 Delaware St - CofO (4)1'F.t AR rmi.-I I' OF BUILUInG d 110I.-L`1UNITY DfiVEi.UPDiiiNT
OCCUPANCY 1111.1'.ASE REO)TFST LANDS;,Ar'r'
DATE ROUTLI):. ,� ' � - ,71/i_ C� (Div. Pub.W1-.s.
FIRk: 'UBLIC WORKS
PLANNING = HEALTH
e. release for occupancy has I-!cn reque:iled for the building
located and des ribod as follows:
JOB ADDRESS: [S�:ci -��� -/ �, i!i / �i�G'•�ri�L;
JOB DESCRIPTION: _
OWNER:
PHONE:
USE IS DESCRIBED AS:
£W BUILDING
i 1CHANCE OF USE
i rll .NGE OF OCCUPANT
U EXISTING bUILDING
Q CHANGE OF OWNER
Please check the status of this project with respect to
requirements of your Department and contact the owner
regarding any holds.
OCCUPANCY APPROVED:
DATE
HOLD OCCUPANCY:
i DATE'
,
REMARKS: 1%1•L.!'r3/�._
f-THIS FORM IS TO BE SIGNED, , bXA E'D AND REtUHkD 'i`J Tft
DEPARTMENT OF BUILDING_& CbMrtUNITY;DEVELOP'MENT. '073401)
..._ _ i--�M ; C / ! ! ! = ''1 r �11,' i, E i %i� .lr . ]