City Of Killeen Application For Certificate Of Occupancy

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APPLICATION FOR CERTIFICATE OF OCCUPANCY
Address of property:
New building
Existing building
Vacant lot
Business name:
Phone No.:
Business address:
Legal description of property:
Lot
Block
Subdivision
Business Owner Name:
Business Owner Address:
Proposed use :
Previous use :
IS THIS AN ADULT-ORIENTED BUSINESS?
Yes
No
PROPERTY MUST BE INSPECTED PRIOR TO ISSUANCE OF CERTIFICATE OF
NOTICE
.
O
OCCUPANCY
CCUPANCY IS NOT PERMITTED BEFORE CERTIFICATE OF
.
OCCUPANCY IS ISSUED
I understand that the use is limited to the proposed use I have described, and repairs, remodeling or alterations are not permitted
without first obtaining a permit.
Signature:
Date:
I am requesting service at this location. If the certificate of occupancy is not approved, water service will be
disconnected.
WATER
Signature:
Date: ____________________
SERVICE
FOR OFFICIAL USE ONLY
Zoning:
Construction Type:
Maximum Occupant
Occupancy classification:
Fire Sprinkler Required:
Y
N
Load:
Approved
Disapproved
F
D
(254-501-3708)
IRE
EPARTMENT
Signature:
Date:
Approved
Disapproved
P
W
(254-501-7625)
UBLIC
ORKS
Signature:
Date:
Approved
Disapproved
H
D
(254-526-3197)
EALTH
EPT
Signature:
Date:
Approved
Disapproved
P
& I
(254-501-7762)
ERMITS
NSPECTIONS
Signature:
Date:
S
C
:
PECIAL
ONDITIONS
C
:
OMMENTS
IO
Date
LO
Date
C
K
ITY OF
ILLEEN
P
& I
ERMITS
NSPECTIONS DEPARTMENT
101 N
C
S
, K
T
76541 (254-501-7762)
ORTH
OLLEGE
TREET
ILLEEN
EXAS
May 2009 (web)

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