HomeMy WebLinkAbout15041 Edwards St - CofO (7)Applicr+t1011 i'Jr
f?rf"",t r- n
C.er t f icatr of Occnprowf
(7: ty :;f IMnt ingLnn 8WacI',, .Ca l i tornta
y
Application is hereby made for a CvrLificate of t1ceul)an1j5, f(ff{,I: i :cif ( . I,f.
r..
pescribr B►u;ine-;s Use
To be known asJAIIA L11
N.%wc of !)ur;lncs:>
Located .at �� �;L -1 %fl 't►L—_►L�lL1.! _ 1
JFus Iness Acidress
Name: BUILDING OWNER Addrt�ss t; 1 ty -l.11011hom• tin.
This use would be described DINet.: Hui ldinFYt:flstinc Buildinhangi of Us(, -hant;t of Ownet{,'I:an;;e of Occupant
IndFc-atr: forrnc.r +::,z- if any
I.
Narn,• : BUSINESS OWNER fles idc ice Address c; t.y Zip
Phone No. - Bus� iness : Res i dance : c /,
ICE: 1. Occupancy of
~�
any buIIding is
prohibited by law
ano a Ifusiness
will not be
issued unr:il the
building has been
ln;;pcctc:d and a
Certificate
of Occupancy is
issued.
2. No electrical service will be released for any existing
tt+e service has been inspected and certified safr Nil
occupancy In a:: existing, building are requirE:d t
"fuse up" inspection in the Department of Iluildi:
Development: at the brew this application is filed.
3c�ns,.
building unt{1
applicants for
tile an electrical
Cotmnun i ty
OFFICE. USE ONLY (below this line)
DEPARTMENTAL APPROVALS RI-.C'.?IVi:D:
1.. ItAilildinp Departmrnt
NaT : Da tc:
2. 1 1 inning; Department.
tiar.Ira Lt�
3. Firc Department/*, jt
Nana: 1)at
Jv
SUPPI-FMEN't'Al, INFORMATION *V a
Sq . £ t . of building 4 oz 6-RL-444 -�
Occupancy Ctoup
Occupant 1,oad
No. of 'Stories _ !a
(074-009)
4. Public Works bepartme-11L
Y CJ
c
;, cn
T. r-
�; cn
Namt: 1)a L ,
5. lic a 1 t`. DeparLmenL
n (aL-
(0 6to
Plan Check No. _
C.'rmit No.
Admin. Action
No. Parking Spaces
71: i I':ltiou ,fit IcaIed .. ...._._.