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CEFiTIFICATE'OF l� C; tiPANCY
CITY OFAUNTtNGTQN BEACtf
DEPARTMENT OF DEVELOPME SOVICES Date
Iful TINGTON etarIf
0
Address
District.-__._^_._.._.
B Siness Names
Tel,
Business Tyra
'Occ. Group—,
f;�n.DiNG OWNER
-_ Ot'VNEF /MA.NAt3ER
Name -
--- Naine
Address Address:�
�_.
City Tel.
Cons truction-__.__—___.No. of Storms__._..___.._.._bccjjt�ant t_oad.-:._.,__.._�.�.Sprinkiernd___' '
A166ce:
h . Certificate of occ,fp n _x DEPARV TENT OF' DEVELOPMENT SFRVICI;S
SHALL BE Posted in a conspicuous Pla:e on
tile Premises ari'i shalt not be removed except
IN the Building`t)fflciaf.
0 f
r
Address
Business Name
6us1hbss,1yPe
Wme
Address
City
TAIS'USt W(j(fLb BE OiEtdjkib'AD AS
NEWLY CONSTRUCTED '4LDG,
EXISTING-BIJILDING
Ind!cat6'f 0imer use, if any
APPLICA1'I64"FIOR CE`Rt10ICATE'0 F'OdCbPANCY
INTY'bO HUNtING'TON
DEPAAiMtNf'OF DEVtLbPMERt StRV16 FS
WRINt OR TYPE ONLY)
P.
-,District Tel.
}Aib L
06C. Group
e 1�te
.4 nWNFRIMANAGER
___ - Tel, ____
Name
K�O,A �__i
Address
A T61.
City
CHANGE!'OF OWNER,
CHANGE-OF'USE
OctupancyGr.
CHANGE OF OCCUPANT
'ADDITIONAL OCCUPANT
1
octuo6ncy of any build I Ing is P , r6fillifted and a business licinse will not be issued dinifil the'bb 1060
NOTICE:
I Ifid6te'.6f 'oddd*aiicy--Is issued,,
has beeninspected and a cdrt "Wihe service ted
I bu'lld.169'Uhtl has been]nSP6C
2.
service Will be released for 4ily existing
No electrical
are required t schedule an
an existh*1061060 o c
nd certified safe. All apOlidaksJor occupancy in `
and M
6f b 'N't M ht c%ervjc(.,s at the t! 'e1his aPPlica
eve op e
'fuse
electrical up' insp66ti6'n"in-ttie'De'partme6t
3.
ti6n is filed. -tion-of a build-
C hi . ng . d"Of oc,.,upancy or use Inspedtlon'fee,., Whenever it it necessary Wmake inspe�
�occtj0brcV or use
,,if a chtii . imaybe ay*'be made in'the character of
ihg't)r prjMj�)s in 'order to determine
. 1 a 'Ace the buildiing-In a-dIfferent divisi6h M the sahie. group
Of
5
of the:buildleig-or OAMI s %�fiich-wcibild 0
a change of 'occupa nicy I n spectl 60 f ee- of $ 3 0'."0
of dcc, up 6 nc,y - or I n A d! f f er'b� n t group' olf'06OU p a ocy,
4.
'
HuntIrgtdn-'Bajch Firo Ca fe 10.208'reclukes that-WildlK tidrs must be a inimum
' I color (rdin the ba k-
of four, (4)'fric"hes In height with one 116'"WC/2) inch stroke, and,6f a contrasting
These rhWt be posted qn*y,�dr`b'0IIdInq'in a locati on- that is visible from'th.9 street.
5.
ground. numbers
n -each Fire'C6de Sed . t16n 1 1 0-101 requires fire extinguisher selection anddistilb tl6h
Hu*6tj`h'qt6' B
se
per the National Fire Pro"tection Association pamphl6t 10 (see'rever e
(FOk'OFrICE USE Otojl_Y)
SUPPLEMENTAL INFORMATION
, 'I - 'K-NO. NO. PARKING SPACES
SQUARE FT, OF BUILOiNG PI:AN
PERMIT HEALTH DEP'ri. APPROVAL
OCCUPANCY GROUP ASED.
ADMIN. ACTION _._'L1'rILITIES RE
OCCUPANT LOAD
NO. OF STOhIES
_L CEfATIFICATE OF or.tUPANCY'FEE
APPROVED 13Y
DATE CHANGE OF OCCUPANCY FFE S_-- 1)_
S
TOTAL
19
75-03t REV
DIA
I t I