Sandy Lk Addn L3-CS050722Application for: Certificate of Occupancy
or Building Final (Unoccupied Building)
City of Coppell
500 Southwestern Blvd., Coppell, TX
(972) 304-3500
Date: '.~2 C 3-COc[ CO#:
Occupant/tenant/or responsible party: (:'~?C,.~ ,.~( ~x/x'~ r'\v,~? ~,",~
Business name: V'~C~ x ~&d~xq.,, :* ,~. c ,. e,,,~,-t Business owner's phone: ' x'/,~-' ~, o't - c~ ~ I C,
Business address: ir~v> h (s~eet) (City) ~ ' (State & Zip)
Prope~y o~er s n~e~ ~ ~ v' , ¢- ,..v., ~'~ Prope~y o~er's phone:
(S~eet) (Ci~, State, Zip)
Please check: ~8~New tenant [] Sub lease
[] Shell building (no occupancy)
Number of stories: I Number of exits: .Q.
Number ofrestrooms: ,ct/ Sq. fi. occupied: .~ ¢5"~ ;)-
StEuctures and Interiors.
--8'ef T6q-a'PCto ntra cto r s
Louise Halprin
Project Manager
Ihalprin @ structures-interiors.com Mobile (817) 825-4150
~594 Had Street Metro Phone (817) 329-4241
Southlake, Texas 76092 Metro Fax (817) 424 5240
[] Clean and show
~ Expanding lease space
Same business owner, new name
Same business name, new owner
[] Other
Number of employees: /7/
New tenant: Yes ~ No__
number:
,tential for generating odors?
ential for generating noise?
is address?
:d in the building or space?
~g or space?
~ a permit from TCEQ?
: building (i.e. compressed gasses, flammable
"yes", please provide list on separate page.
Yes ~o.~,
( o~
Yes
Yes
Yes (~_~
Yes
Yes
Yes
Will there be any potennat ior u~cna~gc u~ ,,,,,,,.rials or by-products into the sewer?
Yes q~)
I he2reby certil~y that ~¢ ab_.q_ove infomz~ion is true and correct to the best of my knowledge:
((Signature) [ /' *' (Printed name)
For Office Use only:
Permit #
Construction type
Construction type
Approvals:
Bldg. lnsp.
Fire Dept. . ._, ~
Planning .~,~t~ll ~//,~,/x/~),{('. F-rd34~.
Health
~ 50~. 77--"--
Dale: