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APPLICATION FOR CERTIFICATE OF OCCtIPA►vCX
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
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DATE
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TH--I��S USE WOULD BE DESCRIBED AS: �� -
1_i NEtYL9. CCNSTF?�Jt;7 t) t ! i?t:F f ,_1 CIHAN,16t Of `7'JdrgE:t"t �C^t�� ; °ANIGE OF t)CCUPANT
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NOTICE: i rrtt'C I ails 2 r # trlJ ,�lAl � r ,,_ uk)1tF 1 + � ? t e r t.;- � �
t f will not Lc .,st;v�d u'r.,' "tLM building has
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`' No electrical service will t';,.
tt ty k"wld na it ti thr: rY Ci' t) b--rig inp ef.Ied and
rt r c d tf A t .ali Sltt a >t Sc2r r,r r I t lc y t I n nrf .`nf 1"I,ttl(9i t,r rt r, rapt,trf)o i,D �;cfted: le an eic etrical
ft€`r U(,� ''.II FCi`"�'i.i ;{". •.11i Y�f,ii73e•_:ir1 of �i:6 kPf.lrii:'i,t z Ve.:l a! a??l'tt'7ix'. %'7? sS�Fir,C.;,110."'S ffiP,ti.
Change of occupancy or use Inspection lee V ar fC r lafce (ecI r n I�f a 13t,Iidi i�
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a Pj F ter k`1 u kxyrirt t 01YGizL oq of
,q `hal. hcf; paid totrra =tv _ _� _ _ ►
Y y 4 Huntington Beach Fire Code Section s e )iklr :r- ' �a Y l.tf �Ir rt'itl' C :rz 61, t L't i Yl; atnil tR O( four
(4 Inc t ` m Iit tTIt `lJEtr Cl le half +''. }.4 it 1s'vlk+r, And Ci i s ?vi Itt C3 Ci1it r frorn tnkp background- T i'leie.:
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a. Huntington Beach Fire Code Section 10."01 requlr l fu«� ,,,,,eufion and distribulion per `
the NatiCrut Fite PrT)>a.,�fiCfi A.. C.,a!ion pa'tpijlel !f-` $r. rover,. side)
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(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
OCCUPANCY C,,R0Ur-'_ _ Z-----Z— E't Ai f t,rC rt t'r NO PARK)NG SPACES
OCCUPANT LOAD :_ � _ .__. .; t i-%Ahi"i' #¢C`t w ri"Al.TH DEFT, AJPPROVAAL..--- —
NO OF rS70 1ES _,,. _ :_. .._ _._ -_ rADN'tlq. AC:FI f`f _._ ., _. - tiL;(!iI S, REII:AtEFDIF »• �. _ T _
CERT,WiCAIT CIF
APPRC)V B3CHANGE
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