HomeMy WebLinkAbout15211 Springdale St - CofO (5)f
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:lj ' APPLICATION V6Rt:thTt�ICATE'OF OCCUPANCY
CiT V OF IiUIV�iUL`rON ri tAdh .. C� hAE TiOF D'F E OPME - `5E V!C
11tr" INGT N VA(If ' lPFONt Cif; TYPE &LY) r^ DA! E
Address Disi kI
Tel. Y ? 3- y�--
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i3usiness type z - ;5 AJ 0— y _ w _ _ _w_ �facc. Gr6613
e. hBUiLDINd bWNER UYINER/MANAGER r,
Nartte _ 7 %� ice' '�i J` .� C� Name / �f ".'�' r '_'_._.._. L�: _ 1 , � 3 Lr....
Address L7 ` e . lam- l ' e y 6 _._ Address
City - 1<1�rt�'I?. _ . r Av'1 �L —1 rei. ,2 �fLxoCity '.(� _ ...� !l f Tel. /
THlSbSE 'W0ULO BE DtSCttit3ED AS:
NEWLY Ct)NS'1'R�UCT D`t LDG. El CHANGE OF OWNER CHANGE OF OG.".UPANT
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ERIsl`ING t3l�lLD1(VG CNAtJGE OF'USE kDDI'TiONAL OCCUPAf1T
Indicate former use, if any a ��' __ _ __ Orcunancy Or. Div.
NOTICt:ncy of any bpIldifty'Jis prof lblted and a businesslicense wiil'tirit be" issued if til'the Mill t(iig
teas been inspected and a certlflcate of ticcupancy is is"sued.
Z No eleLfilcal setvice'Wlli he'relPasad for any exlstinq'bctlldlei' g't1rit11 Elie service has been inspected
and certified safe All "il_icants`fnr occ:tpako in, an e iistii@ bdildit *6.-rd�6trdd to scheidiile an
electrnfai 'fuse u'- iri pd&lcl'n?in ttie Department of Develali kt 'Cirtri�" a� the ti(he`this a, Ca-
tla�i is filed.
3. Change ttfocoupancy or, use inspect1ohlee. 'Whenever it; necessan/ t6'make insliectton cif a ttiiiid-
INgOr prerriises'in"deder to'deterebine if a change may be`madQ in'the character b accup ficy ortise
of tt�e 1.1din or ` 'reioises Whl6h w6bld lace'the btu"ililio' ' 'ln a different'division ofA a safie gro`tfp
1 _
of o'ccupsiricye or' in aa' differe`nt grcu`p of ocpcU06i(oy, , a change of me ipar�cy inspectlbn fee of $36A0
e` ald tor'the'cit shall b p Y•
4. Hi iiIfttbfi Beach lire Code Section 10 r)$ti'i rj ieps that bufldlh-g ntixrirS Bars`- fbe a rriltlirr UM
t of four (4� iri hes lr 'height with`' e lfAli ) inr;h stroke, and of a cc is ltig cofoirpfr` n the back
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grciliid: These hAbdrs'mii>t be Hosted `ni-i'���tlrbuiCrlftin a iacatioriftKa't is visible he fr6fWtsheet.
5. Iittt tIW'dt dhW 6ea611 jrifc C6de Section 16.101 rmalebs fire exi:i64disher selection and cii t°rl l n
per the National Firo' Proteidtiori Association'pan phlei 1W §ee'reverse side
(F611WFICE�09E ' 14LY)
SUPPLEh+iENTAL (t` OORMAT1ON
17�7SOUARE FT, OF OUILDtNG � �___ _. __ PLAN CHECK NO. _________ _____._ NO. PAkki: SPACES
'OCCUPANCY GR60P __ ___, —! .r ___._ PERMIT NO. HFALTN OEPT. APPROVAL
OCCUPANT LOAD ADMIN. ACTION UT"ILITIES'RELEAsE-D
No. OF STOfiE5
CERTIFICATE OF OCCUPANCY FFE
APPROVED 3Y -DATE C►4ANOc OF OCCUPANCY FEE
TOTAL $
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n-037 REV. _ i!f'.'tl. f 1-01-101,i1R.i{-.RVii. EIS
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