HomeMy WebLinkAboutTemp CO Temporary Certificate of Occupancy
l.�I Y of ()IZ()�() DATE APPROVED
BUIL ING & ZONING DEPARTMENT
SITE DDRESS P.I.D.
OWN R BUILDER
MAI ING ADDRESS BUILDING PERMIT:
NO. DATE ISSUED
THE FOLLOWING ITEMS ARE NOTED AS INCOMPLETE OR MISSING. THESE MUST BE CORRECTED
OR C MPLETED AND REINSPECTED WITHIN DAYS OR THIS CERTIFICATE WILL BE VOID.
FAIL RE TO CORRECT THESE DEFICIENCIES WILL CAUSE OCCUFANCY VIOLATION CITATIONS TO BE ISSUED.
I H REBY AGREE TO MAKE THE ABOVE CORRECTIONS AND TO CALL FOR REINSPECTION WITHIN
TH TIME ALLOWED:
O NER/CONTRACTOR DATE
ST RT BILLING FOR: CITY WATER
CITY SEWER
SEPTIC INSPECTION FEE
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BUILDING OFFICIAL
WHITE:OWNER/CONTRACTOR GREEN:BILLING CLERK YELLOW: FILE
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