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Certificate of Occupancy Application

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  2. Project Information
  17. Owner Information
  41. Does your business involve the storage, sale or use of the followin: (Check all that apply)
  43. Painting with flammables
  44. Dry Cleaning Solvents
  45. Flammable/Combustible liquids (10Gal. or more)
  47. Alcohol
  48. Combustible Fibers
  49. Dust Producing Process
  51. Floor drains in building
  52. Smoking
  53. Cellulose Nitrate Film
  55. Explosives/Ammo
  56. Food and/or beverage processing, storage or sales.
  57. Fireworks
  59. Compressed Gas
  60. Recycling Waste
  61. Food Products
  63. Liquid Propane Gas
  64. Magnesium
  65. High piles stock. (Over 12' in height)
  67. Vehicle Repair Garage
  68. Vehicles in Building
  69. Poisonous or hazardous chemicals/acids
  71. Welding or Cutting
  72. Woodworking
  73. X-ray Development
  75. **Provide chemical data sheets to the Building Inspection Department listing the maximum quantity of all hazardous materials... List any material discharged into the drainage system, ground, or atmosphere:
  81. It shall be unlawful to use or occupy or permit the use or occupancy of any building or premises created, erected, changed, converted or altered or enlarged in its use or structure until a Certificate of Occupancy shall have been issued by the administrative official. A permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced.
  85. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.

  87. By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. 

  90. I Agree
  99. Amount Paid

    $100.00

    100. Leave This Blank:

  102. This field is not part of the form submission.