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X-000* TE OF
OCCUPANCY
City of Rexburg
Department of Building nspection
Building Permit No..,"' i 6'CD3 Zoning/Lan
Building Street Address
Land - Legal it ion
Building Owner,
Address:
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41
Contractor.,
J J.- AS U- 4, if
Description of buildingr portion of buildingt
certificate issued!.
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or
Occupancy Use Classifications(s):
1*
This Certificate, issued pupsuant to the requirements of Section 109 of
the Uniform Building Code, certifies that, at the time of issuances phis
bu"IIduinq or' ��.Q� portion of the building that was inspected on the date
listed was found to be in compliance with the reauinern.ents v� the code
IV ��e group and d"Ivisio� of occuprxncy cxnd the use for which the
proposed occupancy �tras classified.
Approved:
COO* Issued by,
�L
U11ding Off ficial
P
1;
r
This Certificate cif Occupancy shalt be posted in a conspicuous place on
the premises and shrxtt not be removed except by the Building Official*
There shall be no future change in the existing occupancy classif kation of t
he btiilding nor shall any
structural charges f mo ficat-io s or additions he made to the building or an
y pc-rtic)n thereof until the
Building Official has reviewed and approved said fiitur-e%