HomeMy WebLinkAbout15070 Edwards St - CofO (13)M
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CERTIFICATE OF OCCUPANCYHU CITY OF N7INGTON BEACH
1' DEPARTMENT OF DEVELOPMENT SERVICES nxte
HUNTINGTON of ACH
Address ' `ir" '`-'t District
Business Name
Business Type - "'' "' —_ _ _ _ Occ. Grou
BUILDING OWNER OWNER/MANAGER
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Name }.Z%isf it.4L"f:rar __ Name icte+ i`r_it
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Address ' c :+<� v L a �r,: ; _ Address r s'
City ; �:itv: .,I :a L� �- i :� a :i _ Tel. Cit; >_: — Te .
CI6nstruction No. of Stol ies ___' Occupant Load ' ° ` Spiinklered
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A'atice:
DEPARTMENT OF DEV
`' � EL�OPME�IT SER�%ICES
dica�e"of Occupancy 1
SHAD •BE posted iri 'a conspicuous place on
'the premises and,shall not be removed except
by the Building Official. by !
�---=—------------
DEVELOPMENT SERVICES r
t
UT"ILITY RELEASE
USE '
ADARF«SS ��Q��_��✓�
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E TING BUILDING 0
NEW BUILDING ! D
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0 POWER POLE
Q TEMP. WORT: WITH POWER
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1. Plumbfng Inspector Clear
DATE
2. Electrical'Inspector Clear
DATE
UTILITY RELEASE AUTHORIZED
BY LkiD USE pp
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PATE w
O GAs ELECTRIC r
UTILITY COMPAN
NOTIFIED
ezl
DATE
(#75-007)
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`CERTIFICATE OF 66110MCY
APPLICATIO FOR
Department of "DeVie'l a lip, Lnt t'e14ices
FOR APPLICANT TO'FILL 'IN (Print or type only) DATE
Ap'fi"caiion 'is herzby made'for a Cer"i'if'icate of Occupancy for a:
p
Occupancy: Gr.� Dfy.7�-
Describe Business Use
To be known as ;
Name of Business
Cocdied at Z-252 2 0
Business Wress�
Cit zip
Name:'BUSINESS OWNER Residence Address y
Phone No. - Business: 17 Residence: a
Name: BUILDINU UWNER Address city Lip Phone No.
THIS USE0 BE DESCRIBED AS:
Newly "Con str'U 6teT'B'u"fl'Wihg
Existing Bu ng
In'dfic'a"te foirme'r use if any
GE I
0
3I
Unfit the
tE.1"Ehange of Owner
= Change of Use
A-z�:rW*T
uuaww
ng is,
`as be6nlh
'p-e-q-Te"d and
Of -a 1111�1 - I I
I ing"6te"req,
the Department of
61 n 4 e 4f� I ad
0 Change of Occupant
= Additional "Occupant
066*60d6cy: "Gr. Div.
W, JW4 A =A
)hibittea. and a business of
-�ifIrITM"-rnio—tti;be-,issu
acted and a Cerf iff "te '6f 66 6Tpa�ncy is issued.
ica
0
di for a
_,kM ! t,"
,Jea'sny I g ng,
i'f6'T All a� f 3r,*oc , c , apanc.
-ie
6rfi fi'64 safe 0.1 cants fi
n'r'e-&"tq scheddl'e`m6l . ir6W16`a'l "fu*k`61$11 y
Bull'Jing and Co"
ra"unity Development at the time
Aw
CHANG-E� OF-01-CCV[P)ANP6"VY'IFO'R,�rid"SE INS. -es
Whenever fnit AecessaFY` to bake
,,t*
1, o- order ' to deteHijIfi6 cif � a changd�, may
%sp`dction-of b 1 1 g j r preftifik6s in
be 6' 'd 'f"`-`tk6 cha�a`ct6yI roof ocT�toQ o use o the bffiff!Wi�'or prei.is'6i' -w1h'C'h
a e- n
the
U, I 1- 111", 41" � - "'HOA-rent diVis"Ion of the s;me grob0,.j6f`q-ccu'panc'y
WoUl place]. he b' ilding n a e
or in a df?fir6`ht group of occupancy, a change of occupancy 'inspecfion"fee of
$30.6 , 0 0611 be paid'to the City.
—1V
SUPPL'1EA*AL INFORMATION
,- I" �ftng
Sq `fit. of 'bA'11'
Occtpancy ro 77
Occb6a'ht Load 3
No. of StbHet
075-039)
(FOR OFFICE USE ONLY)
Plan C - 6eck No.
PerIt No.
Admin. A&i—on
No. ,,,,a1rMg Spaces
Heaph"' Dept. - Approval
Utilities Released
4
C'm 6Y,1
CHANGE .-CERTIFRATt"OF 0 C . I . EE $ 6.00
H OF OCCUPANCY OR USE INOECTIONJEE
;7-- TOTAL