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● ● ● City of Jerome Building Safety Department 152 East Ave A, Jerome, ID 83338 [PHONE REDACTED] x 131 www.cityofjerome.org This application should only be used when no alteration or remodel of the building or space is occurring. Please confirm you are compliant with our planning and zoning department before applying. [PHONE REDACTED] x 100 This application should only be used if you are a first time tenant of the space or if you are applying for a more stringent occupancy group than the previous tenant. Examples could be medical offices, hair or nails salons, daycares, restaurants etc. www.dopl.idaho.gov Completed applications can be submitted to [EMAIL REDACTED] Additional permits may be required from the State of Idaho’s Department of Professional and Occupational Licensing for mechanical, electrical and plumbing requirements. Property Property Owner: Tenant Name: Address: Address: Phone: Phone: Building/Space Information Certificate of Occupancy Only Application Applicant Signature: Date: Email: Email: Number of stories: Number of tenant space(s): Number of exits: Number of bathrooms: Square footage: Historic Building: yes no Fire extinguishers installed: yes no Fire sprinklers installed: yes no Is this a nail or hair salon: yes no Will you be storing combustibles: yes no Are cooking appliances installed or will they be installed: yes no Will you be installing new signs: yes no What type of business are you What's the name of your business: Occupancy group: SIGN