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CERTIFICATE
PANCY
OF OCCU
City of Rexburg
Department () f suildir�g Inspectlon
Building Permit No
Zoning/Land Use class*
Building Street Address,
Land - Legal Descrin
Bui.ldlng Owner:
0
Address,
Contractor:
I
9
;afthp !e j ,-,?
�- 1 0-1 44 S
owe
Description of build -
Ing or port loon of building for.
which this
1. -0
if ' cate is issued..
I
all
occuPancY Use Classif'cat*
ions(s):
V-0
�ai�e� 'Trr.�u�,rar�-�r�
no
9
3.
'his certi f ic¢te, issued pursuant to the requirements of Section log 0
the Uniform Building Code, certifies that, at the time o issu n f
b.uild
Ing or that portion of the building that wasins
f this
a pected on the date
listed was found to be ire comp iance With the Pequ -
for the, group and division of occup ipements of the cocie
Proposed occupancy, was classified. ancy and the use for which the
DATE: .¢;
Approved:
C.O.
by
k1.
Buitding Offtcta
P
if
P
This Certificate of Occupancy shall be posted in a conspicuous place on
the premises and shall not be removed except day the Building Official,
There shall be no future change in the existing occupancy ClaSsification o -L the build g r h 1 any
in no 5 al
structural changes,mcffificatl
-ions or additions be made to the building or any portion thereof until the
Building Official h -as reviewed and approved said fi2ture chanqes.-