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HomeMy WebLinkAbout15323 Pipeline Ln - CofO (5).. .�., a .. :.. .: .. t .. ;. : i.... ,. , � .. '."... . ., ,-_.-... W ._......... � - ..- , , . - . '.- �-- -•.• - --- ,-- :--__ - . ti._.. _._�.�......�..._ _.r.. _-,_� __._......._ >.-�..�,.�_.,�...@ �: -ems. - - � - mod•' - - -..tre.�r d !fir Pt.iCf T'l0i`! !~t3�t CERT151CA` E (�F OCCUPANCY t) PAR,�M`tNT"QF C1irVti'I MENT:SFAV'ICtS. ttt:�n*srtc�!s %INOV iP;i1NT fj `TYPt ONLY) DATE U�t'rtct t3yssssess Nastia Tel. Name ---- Ama t : . dreSS Tet. %ttyaly ESC'ii B D A r" NE�if1=Y ccNsT�ttirt CHAN;E..dt `OW�It t= t'IiANE dt= dCCUPANT D CCt~ GHANGE'4F lUSE %A tll'i`IOIVAt O , iPANT tni�idate'fdrinet'Lse if any _ _ Occupancy t3� ; __• __ _ 2Div. t. ., f .. i e utiilVbbt be issi�O t3htil"the` t tait i#1 ig iV(�T�G i. Occtiaticy of`arly Erildirg is prahit ltd and a btlsiltess`iicens has beenkinpitd`i'd a ci`ftficate of 6Cdti"iisidy 4s; #sstse"d ; ,: t 2., No elcatriCal' "ervi e'°wlii`t Aleas6d fnr any e 1S#iity btfildii 1° ie service i�as P een fn?apected a i Q'safe. Ali' id asits fa'r` isy 1n an exlsil bf{{illti ire 1'r>l`ii''d"#o scKedui ari n. c rp elecf�16M, ,fuse` tip' inst eGftt�tt tn'the betiai tr't tlt-af DeVets�} iri>' if Servieg at the °time t`is °Wif a . 3. Ctiatt a otjacu ^hayir i#sa ittS"fis�stitti fet�.;Whri�ver=fit iS necessary t61�ke irlpetiti`t of a br�lld- ::. ., p r de `tti'tJs'terrttriQ'tf a ct�hga'iay ba`rriade 1n�the a:aiact�r cif acct;etcy or itse ",, ilyg er- pt`s�m(ses in t t ofi.the bVildiii or ireft'iisos which �wdili IaF°tli`iitfll}itr`;"a°d1frit divisir5 �fi`ia sameop i f°oc !'pan y' r tt� d ffat`btit'gro��: f oc i` Eti y, a c ti itj 'af`ba pancy instiectio fae'i f 3t : a - still'be:' aid 16'14'Ity,,, : 4. Nuth tii3eactt'tr►t'A Coria`Seti�ti '`:14,2iJ8 �biUtfes ghat ntiidir`lc#�rtters iist be a rriiliitin R . -... e Yt.. 9 of fa°f+1•`{ 'tri pes Ji i i lit Wiiii'aY�e hfi{f (%) 1rtie�l sty � e, #nd hf a i�hfra ifiiiq lar t 1 ft�n back- f c t > ' is Thase`i5itt rs'nii §t ire:�ibsts'tI on:"` r` U tlitt� 3'Ii a°'tac tiori that is iii l le #r i e sfi eet. J s n, 5. _ t tf t iit� leaci� !=#re Cad© Sadti in ii 1 tequires:fiec e i it#iiisher sele t i3n arsd"list #t�titi + t)s?r th'Nafiibriai iire'i'1`tstlon Ass�ri ttarrplilet1b (see"ref/s3 5s3 s"idaj...` { Ot3 OFFts�E'USE'bNLYi SUPpLEMENTAL`ittEOMATtitV _ ND. f ARKING SPACES SC2UAf3C FT: CIF t3U1Li�NC,�~ S-_ _: PLAN t`ifLCi< NCI. _ _ _-_____ Gs CUPANGY GF3OOP _ __.__ _�,_. �� t�r1�MIT No.DFPI. APPF�(?VAI QCCUPAN7 IOAC) �! _ AOWN. 11C:TtQN N0. +nf' STOR1�, �ti,� ,',� 1'c, __._� _.__'�1 _ :-''CFf2TtFiCATi t�f. C?CC(JPAtJCY f`f:[ 'APPR0vt_D Ry DATC C14ANGF O .00CUPANCY'-FE-r-.' $ is TC) i n L 7u^0�.i7 rir V: .. rr Yi:��' - -Jill Ig ri -MANI= Ih A' I CiCATION FOfi CtRTI It;ATC`C1F t3CCUP1 11(CY �`. .J a� CITY OF`F%UNT NQ'TbN BEAM i lfUNii!Vf,Tt1Y QtA! H LIEF�Ai� t iVl Nor OF DES I bPMCNi SEiiVIC ES t7 (ppINTOR'tYPC ONLY) k:l;I 'ESA` :1 Business Type~' i { C3W�i�li/M�iNACiER Nari�o%�ilc 4s �/ Arld�ss� ls�%1�,� s _ . Addr�s Ciry.City �'f r TAIS ISE°i1Gt 0`f E b SC l 3Eb'AS: - Nt:`V1tLY G�bNST1�1CTEb Bh[)G: .:.; C CFIAN f CF f 1 Fft CI EAEVOE=CSF 0GCUP,ANT �yyy ,{ {��+ 1`YIAIVGE IJF V.71: t i_1 AbDIT(U�iVAL �J"CG IndlcatQ former uso, If, _ TOccupency` Or, 1. bciiaray 'of `an . 't . , n y Is,r �itetlr4r1 a tsu'iness licensov�+iilnot he Is up, bass bee 1 06b Ud Arid a ce'r i�ti(i WON o'c u' pb°rripy�is issupcl 2. N�.electrlG�l 'seniico:'`viri((`berr i a� � �. . e se'tl for ey:,ecf5"i� l�iu( if�lf the . ,s. and;tfied safe. I „� a servlc,e has beot� i eted A i a (ic�ts f6r e' ::.�' racy ian"e3iis�i� . t ,: t�. Ce[iji�' ��i"�1�ti�"g"�r�. ryez�ir`�`d fa•�_ii��e°pit' lcei : Rise tIp inspectin" s DeparE`r�nent°cif Devaicit�i�it Services at `tlte't$fns�tfiis appli.ca l - ti�iM611, �l ti, 3.e"ot OccU „ &.; 'i i"y ya1� Ise ihectio>I f6e. Wheraver it'i5 neccs a` « _ 4 :i_. _ .. t, �.. ,, s ry to matte ins ct,c�r1 of a°bill- { ing'& fir t , ges in Oiri3er to ddtdt 6 If a t hat a be matae in 1�e Ci�riraeter'of�OcdY t�U(Iiif1 , or, re...; 1�. Y ., : t�aIcy t`r;use . f f7 p trtises+vtiih wbificiilaceFie"bf�iiiii In a'di%fere : _. ; :: _ :. ;z 9 ttt iivi (t�i'i WIN' `sama .gip Of'­ccirpahey'`or �fitti a diffemt�tro tSf Occuarcji, ah'arige of rOcci` aril `iii$ eciori' :" shad, be pid fdfhe o(ty p Y fee of- ' 4.'HAM, HA to Leach Fire ;' Code Srso I n. meth ices tii`at buiAlF� ` Of'to�lr ) in ielflt fi alf` % �° iitlEfors tnt be a mifin �4 l�ieiies vvi h b o i; (YO Ench sfrake, arid�i f e as itla fib o ibr"fro ri f}i`' beCk- _. . �J x gm i nd These li i61 -6rs must be pnstetf 0t1°ypor fiiiiidirlg ih a fOc tlof►'that` s visiliie frc the `street. 5. Hui tli� ton f3ea6 Fire God Se�fiori `1 ?: 01'''t' ►fires fire eXti � l�ii i e°�' seleefi a tiiiSt�iUtion per e Na"tictnai Fire` PrtSteefion-Assocffitini iiai ,6AIoi -fio'- see reverso' tci i {Ft f"Oi i-iCF�U�§E bNLY) SUPP•LEM04m "IN K4A it l �� r SQUA iE FT. OF 4#t t'Lt31hIG PLAN _CNECK NO NU; PAll'KlNG SPACES ___.._ t OCCUPh:NGY}OtP _ PEfiN11T tV0 :_�_. _ _.. OCCUPAEVT Lt�Ab �� _ HEALTH bFPT. APM6VAL �.� AcMIN ."ACTION wa��:_ w UTIL"ETis FtELCASED NO OF G: 'IDS mom. Nl_�..:�, i'. CATF bF uGCUPANUY FEEE,` $ ---------__ APPE2OVrrb'oy b'ATE CUANGF UF'bCCUPAhbY FEE $ - -- — TOTAL -- -- S___