Borough of East Pittsburgh Commercial Occupancy Permit Application
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- Bu sahifa navigatsiya:
- Make check for $100.00 payable to Borough of East Pittsburgh.
- Return completed form and payment to: Borough of East Pittsburgh, Department of Public Safety, 811 Linden Avenue, East Pittsburgh, PA 15112
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Borough of East Pittsburgh Commercial Occupancy Permit Application
Date:
Permit No.
I/we hereby make application for a Certificate of Occupancy to be issued in accordance with the Ordinances of the Borough of East Pittsburgh.
Name of Company:
Phone No.:
Mailing Address:
Social Security or Federal ID of Applicant:
Contact Person:
Contact Numbers – Home:
Cellular:
E-Mail Address:
Emergency or Management Contact:
Contact Phone Number (Day):
Type of Business:
Hours of Operation:
List any chemicals/hazardous materials to be used or stored on premises:
Space to be occupied at:
Building:
Square Footage:
Approximate Number of Employees:
Zoning of Property:
Signature of Owner:
Make check for $100.00 payable to Borough of East Pittsburgh. (For Office Use) First Inspection: Building Inspector:
Date:
Fire Chief
Date:
Second Inspection: Building Inspector
Date:
Fire Chief
Date:
Application Approved:
Date:
Safety, 811 Linden Avenue, East Pittsburgh, PA 15112 Telephone: 412-824-0447 Fax: 412-824-0507 Download 29.76 Kb. Do'stlaringiz bilan baham: 
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