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certificate of oc n+"evDEPARTMENT OF DEVELOPMENT StRi&'tS
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onmises an`d.shall not tie ►emoveti except
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'D E PA ff i Mffr t6 FDEVELOPMENT OSERVICES
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DATE
Address :5 (3 A% E %D W A IZ-V S S -k rt District
Business , 7-14-, SP sk-� S r-- M j? a P- I U M Tel.
ame
Business * yii �60 T I r, vo, i Occ. Group 2—
e
BUILDING '6WINIER OWNERIMAN6_GER
Name Name V- I? A E tj S S
Address Address _36 j %TAjt-,', QLcity Tel. City a CP A L 30 $1 14 Tel.
SC BED As:
THIS SkW6ft&bEDk-'Ai
CHANGE OWNER CHANGE
HANGE
ST-AV OF 6d PA#T
NEWLY 66N C*T"rD 6613.
EXISTING BUG CHANGE OF USE ADDITIONAL OCCUPANT
Indicate 'jformer use- i If any dccOccupancy(3r. Div.
NOTICE:
1. anVtordIn-g N,'ptgi&d and a';lb�ilfia'sis license will not be issued'6; ih e* b 6 i I d,, i n g
has beMlspicted 516"d'ketrill At -a of occupancy Is issued.
n rij'buildfKA�1
2. No ele-c"M661 service w1lf6q"r'eieai6d for'6 y, fl-ifie service has 'beehln. Red
a6d'ceffifi&'safe. All ap�*)169fiti'for occupancy in an exHtftbulId1l`hg are'r&ruir4d t6schedule'an
t- � - his p lica-
electrical 'fuse up' lrfspec'tiori*fA!'ihe'D6partinent of"bevelopment Services at the (me a p
'?-occupancy'1 �or use lnspe6t166' a
3. Change 'iildfee. Whenever it Is necessary to make inspection'6f a buildy,r,, — — —.41 " ", I er o o- �6ge
ing,or,pren H in -Vider to de"tiarm"MI"b"If a change inay be made ln,thd cha"ract "f"ccupancy or
ses "'the6uildi66(n�"diff6rirntdivisidif'hesa��d"gM,"
of'ihe'buiIdlh6'6rpretWses which would place
of loccifpancy or`fh1b'd[l4-'1'er66t g'rou"ll of occupancy, a change of occupancy inspection fee of $36.60
4.
shall be paid til;114,61
k*urnl�r""9-iiiii,Beach 'Fli�6'Code '!§eeii6n 10.208're�,,.iiresttiatb,6iiat'nTdtfthli'ers'most bea'm"in
6 f' f 66 r� C4 o n I a Off"N'Inch stroke , 'and 6 . a c . o . htrastin , g i ct;,1or'frdMi1h6 6ack-
jri'h6heij*n%el'6At w110f -f isM OM'
Ti
11,.Ljisible fir""' the street.
Huntington Beaci "Piro Code Section0 301 ' �egifres' fire gro.;h' . ese nA96bikMit be posted on your Old
K
extinguisher selection and distribution
per the Nki6iial' Fire Protection Association pamphlet 10 (See rav�-s "Are i,,
7 fv
(FOR 60hd USE ONLY)
SLjWum90TAe1Nr-oFIMATION
SO
ES,TF'r OF B&ADING PLAA K NO.
0., A'4"6
SPACES
fHEACDEPT*'APFRO
APPROVAL R P a PEK0Ab., UTI IES RELEASEDOCCU, aTMaD
Qb1 1N. ACT ON RiES
—7
CERTIFICATE OF OCCUPANCY FEE
APPROVED By r XTt CHANGE OF dcC—UPKNcy'FEE $
—
IAK
I 5bl\it TOTAL
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75-039 REV. DEVELOPMENT SERVICES