HomeMy WebLinkAbout120 14th St - CofO (3)ai
aRTl,FfCArtE t F OCCUPANCY
CITY' Or 'H-Jl1JTIlVti'!'0 `!:!EACH
� Q PARTMt�NT CIF Ult i ll [G &. GfJ Mt I.TY 00Lt�PllJiivtVT
Pebruar 11 J-975
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tiUNTt►GtO!ti BfAii
this is to crrfify that the to TINT AENT as 8
t#�fi`3�ized
under Buildlrtb'l'ermit No.._..--9-L2.3L - a`itiri`is ide f i as 12(} _ _ �x4��_ 5trao.t, l3tfritrington 'Bench,
address
�al oKnin and described as
in the buildinq`oM hod`by _�—Charles berm ins n at 5 7 _ 6 h Nun 3,ia ion
R er�h�� C 13 i ty ig corrijalias Mt— h- "fhf:_4OMWS' ioibs of all06 tindfiCTaws, cones, or"dii `a�ces `a"r i any Ir osi tl
cor ditlans for'the use desc%ihed a 8 ivI` Afieci as ah N oc ti` a icy,
MAkWUM"OCCUPANT L6AD PERWTI tO n/a _
{
IVctYlcc-.
'ibis' Certifica- of Occifnan'cy
SH LC BE paste f in a c6nspicUous place on
the Oedrhises acid shall not be except
by'the 'R+nild ri j'' Official.
irig & cofill—m"tty Development
Aliplication Fo' j - /0/�'
/.
Cbrtificatc 'of `UGclrpancy
City cif Hut tin ton 'Be<�ch, Califo "ta 'Date .--
i
Ap slicatic n is hereby made for ` a Cer-tif. i.cate 'of Occispahcy fog: ' a:
Describe Btu s is nc s s ;U s c>� --__
To be' knol%*n as
Name (if Business
t� c at
e d at
i'
0 u s chess Addi ess
Naiite t I3D l NG OWNER Address City Zi'p -Phone No.
Tl i._, ise wt tild be �describe�t as`
Existln 13t'il'di.n` han` e `af Use-y,�hali e of Owtei � han a of _Occb af%t
eta Bu i l'd n' g g $ [: g � p
Ih8lcate .former use if any
Name T3tlSINESS OWNER Residence Allli�ess - -- `city dip
Phone 'No. - Rusftess: Residence:
OTxOE: "Occdpancy o'f any buildlhg is "prohibi'ted by law and a-hbsi.ness '1.ice�ise
�ai1 not be isstiee uritn the btiil`di� g =has been ihsprcted afid a -
, ce tifyate of Occupancy is 'issb&d-.
.r .
r NU;� trical service will be reletase l .for at y existing tiuil li tg ti`l
p, " -
',.'� th Vice ' has .been irts ected and certified safe. A11pplicarlts ,fbr
oc tic in 'an e istzng V iiathg a;k required to scliedti'le a 616' trical
oinct'i1diig d Crini t
yDe PA in the mt of Buan1
D St dt
menu at the 'time this aplit til6n is T Ilod.
"'� 6FFlCE 'USE 6ftY '(ble4ow this line)
a DBDAItTMENTAL APPkbVALS �Ft1�CEItIED; dcl
cn
1.. BtiiId ng Departmerii: -4. `PtihLIc Works Depai'066-ht m
Nattie Date Name Date
�. Plri'iirii:ng Depattment 5. Nealth--.b pattment
Nafie Uate Name Date
3. Fire Dpar meat
Nate Date
SUOPUMPNTAL INFORMATION
`'Sq: f 1..cat bui I:dng Plain `Check No.
Occupanchify=Groiup Permit No
bccttpt Load ___. e '/� Almin. Actiiih
-No.. of''StoriesNo., Parking Spaces
(10 601) Utilities Re least cd