Certificate Of Occupancy Request Template

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CERTIFICATE OF OCCUPANCY REQUEST
Date: ________________________________________________________
Requested by:_________________________________________________
Contact Number
Cell Number: ____________________________________________
Home/Office Number: _____________________________________
Address of Subject Property: _____________________________________
_____________________________________________________________
Plat/Lot: ______________________________________________________
Permit Number/Date: ___________________________________________
Please Check One:
Temporary Certificate of Occupancy
Final Certificate of Occupancy
***Please note: Final cost breakdown must be submitted when
Certificate of Occupancy is requested.***
PLEASE REQUEST TWO WEEKS IN ADVANCE.
Inspection and Standards
Structures & Zoning Division
st
444 Westminster Street, 1
floor
Providence, RI 02903
Phone: 401-680-5201
Fax:
401-680-5482
Email:
or

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