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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
HurzPnCrON K#,C DEPARTMENT OF DEVELOPMENT SERVICES,
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THIS USE WOULD BE DESCRIBED AS;
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f ❑ NEWLY CONSTP,UC;TEE) 8LDG. i _A CHAN(ji- OF vviNFR ('
l CHANGE OF OCCUPANT
' EXISTING BU4t )1f4(,, # x'HAi}';E OF (9`i£ t--�t
L J ADDITtONAt. OCCUPANT
indicntp form ar u"C', if
SQUARE FT Or BUILDItlo 'I(j is
NOTICE': r +
rc�p n } f any iakzi ! , f;r iti,,lfr +.teat+ i Y�uSY at .. , ,tr,i n..a Will not p„"t�,. rety ut?ttr P.
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been iNc art. � ate F , cc up afi s ��za:d o building ha3
_ tir. te,.z. aFi(}G�{.'F".itdilf f i
No electrical service vtsdt
r x Y +ki tf4:'z3 G tfiF,"l eV t t� t t1 ' [Yti[.rj! d Ll 111 tl N :3 it7(oC' rta;�ki .��,".i 1r�t�vlSF, S'tE'r� and
Ceiltllr3d Ste AI# i[7l}IIi '3C , fr}F j( inr"'� r t?XM ttrit� buifdln„y Ire Ff.cQ ir' d to sche Ui r t,
'ftrSC tt +{ts e3gtjnr r+, d e B a Iectrdcal i
' tf .t.r? l ,'G.ittit'St'i gat flat' fS3TiY� f3124 1Cpji(;rlCIange of Occupancy rinstel-t$ (IBEi
�rY .4 rt 3k i(1S13B"iirun of 313Utldirwtd rir fsren< �F in r)rttrr to riart rfti, if .tr l „j ii ,1 aj(; n 1he Of O(_UPanMY nr u$e of the
[[ building O t rEMS(I F 43r1i{ 4+a++'d pidC . + 0 buildi:k'f n j dwil it—, cf tlt+ mr grradp of+cCupsn y
or rf ifi rIJilE'"f'Yit groU11 Ct. 0t:C;C1rFICtf,y .{ {„I,i't!i'+r�`.' +raC) -
Shail fic,' p3io tit cill, : 7 t' far.firtra tea J.
4. Huntlnatcn Beach Fire Cade Section
"'Gliding h n' eve nlusl be K1 lll,nimurn of four
(4) inches in hivak'hl With one hBti j ". t ih h stroke, and of a coal Istif7g MCI frOrn the narkc�rpUnd.'rrege
rari7bernitzzd beK ,+,,ted Llr3
yo.t3 .r . ildi kty it, a la ilC tact is v •.tote i (;m he
5. Hunting#ara Beach Fire Code Section t(1 riT reqon, , t,r a riytdnguis, r S-.rF rt;pT 1 dtstri Ufrr n r er
.n F>
the Nationai f~irt) P;otilclirin As ,ocrati:)n panipftlt�t '10 fseeGA
SUPPLEMENTAL INFORMATti7N "'� tFQ11 OFFICE USE ONLY}
OCCUPANCY GROi r,M
OCCUPANT LOAD y` N j
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f f� o P AHYING SPAT ES
NOtar: ST 7EtiES •---•--�- _--- __
HUAI. TH DEPT AFPQOVA,
.:. w. Ui1LOWS RELEASED
APPROVr" ()r 11PAt.4C'Y vlr ry
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