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CITY OF HUNTINGTON BEkGy
Phone 536,5241
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DEVELOPMENT SERVICES
Ca INSPECTICRN RFFORT �,✓' -`
0"CORRECTLON NOTICE ('
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0 -8uilding ❑ Electrical 0 Plumbing
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Address
Business. Name Qco. Groins -
Business Type
BI4INESSOW_ t`�,.•,ERIMANAGER
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Name _ - .�
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City
` THIS USE WOULD BE DESCRIBED AS:
a CHANGE OF OCCUPANT
j NEWLY CONSTRUCTED BLDG. a,CHANGE OFrJNlN' r�
is r
BUILDING OF USE
EXISTING BUILDIN[ ADDITIONAL OCCUPANT
i
GccupancY Gr. Div.. ---
Indicate former use, if any
SQUARE FT. OM BUILDING TO BE
NOTICE: 1. C3ccupancV of any building s prohllyltesi and a business license will not be issued anti{ tlTe h�ilding
has been inspected and a certificate of u,opancy is issued.
2. No electrical service u°itt berreleased a for
occupancyexisting
arl existing building
ng building until
are requice ired to schedule an l
ant,' cerLifted safe . 01 apph,a t
etpctrical 'fuse up' > ,pc'ction in the Depart,lent of Development Services at the time this applica
tion is filed.
3. Change Ot accupl pm��e if iWl feea changeemay be made necessarynever it is n the charactmake
r off occupancy or u e
ing car premseu 'norder to deterof
of he building or prpmises which would place the building in a different division fonhfee of gr7up +
of occupancy or in a different group of occupancy,
a change of occupancy p
shall be paid to the city.
4. fit+, four (4) Beach Fire eight wCode �cone half on ( IMinchuireS stol�e,ando building a cont asting c for from theback-
ground.flour (T) inches In g from the areet.
grouting These numbers must bSection�10 3D1 requibuilding
fireaexlocation
ti gusher selectionvisible
and distribution
b. per Huntington Beach Fire Code .f
per the National Fire Protection Association pamphlet ip (see rlversed+l M
U aNLV )
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SUPPLEMENTAL INFQRMATIO ;�q, PARKING SPACES _
OCCUPANCY GROUP ' nLHrV CHECK N0. •-- - HEALTH
DEPT. APPROVAL _;_-------
OCCUPANT LO/,D __.-. •• -_T _ . FERMIT NO. _ _ .�.---- ...- .
_.-------s UTILITIES RELEASED
Abti11N, ACTION
' NO. qF STORIES % _-.— -
5. .,
r <+� ', ", ". CERT1FiCATf `JF CICCUPANCY YL E - ,
DATE CHANGE OF USE OR OCCUPANCY FEE $y rFL.
APPROVED B fi r, y 9 TOTAL �•
,✓`.-/(p"'i, + „_,+:;,c:C Yt;y`i�=z'C:.:d<i.k�:.rva.a.��.�f>.'..,+a.ut. ,,,a. 4 • r7 j
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75-039 REV.
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APPLICATION FOR CERTIFICATE OF OGCUPANGY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SiRVICES
(PRINT OR TYPE ONLY)