HomeMy WebLinkAbout1217 England St - CofO (3))t-4 C, C - &AP76TrATION POP CERTIFICATE OF OCCUPANCY
of IiAari tor. Beach �Dci)artment of Building, & Comm,tj�-i
APPLICANT TO FILL IN (Print or type only) DATr .7 ! I.
lication is hereby made for a Certificate of Occupancy for a:
be known as
Located at
Name: DUILI)TPJG 0$
..�� luvelo�ent:
, W , �' d.
�tle y�613usln(�-^r; i;.' 7
USE WOULD BE DESCRT13ED AS:
Newly Constructed Building
Existinq Building
Namc of Busint..':r;
Addt' �s City 7i,,—�— Phot;c1 1Ja.
FVChange of U•«ner �j Chancte of U::ri:pant
C_I Change of Ilse El Additional ncc :,�•�;,t.
Indicate former use �if any
Name: BUSINESS OWPJER Resicienc% AddressCity qq// yy Zip
Phone I3usfr.esc;: c-1 �'? _ Itosidencr:
NOTICE: 1.,,;�,Occupancy of^any building is prohibited and a business Yicei,.;r_ will not: her
issued until thci building' has been inspected and a f ertifi rage cr Oc::I,t�•�n�.y
--as issued.
2. 13-1to electrical service will be releaaed for any existing building until, the
-C2jarvice has been inspected and certified safe. All applicants for occupancy
�, A,nn an existinq building are required to schedule an electrical "fuse u,"
-er'D .nsl.>ection ir. the Department: of Puilding and Community Development at the
time this application is filc•ct.
3. 2CHANGE OF IX,CUPANCY OR USE INFPtXTION FEE. Whenever It in necessary t:a make
inspection of a building or »reirises in order to determine if a change may
'-� e made in the character of occupancy or use of the building or premises
=;ihich would place the building in a different division of the same group of
occupancy or in a differey►t: group o; occupancy, a change of occupancy
inspection fee of $75.00 shall be paid to the City.
(VOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
Sq. ft. cf building �, �, l) _ Plan Check rro.
Occnpancy Group ~ _ pei-mi t No. _
Occupants Load _ — Admin. Action
?;a. of,; .cries �� No. Parking Spaces
Health Dept. Approval
Utilities Released
OAPPit BYE y L�/ DATE
Cl/ ��� L' ERTIFICATE Or OCCUPANCY FEE
15- 91 CHA E�,)r, USL ii.gPEGTION FEE
TOTAL
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