INSPECTICN FORM
TYPICAL FLOOR PLAN

NOTE: Please put appropriate number in box.

QCCUPANCY TYPE rene
Restaurant TYPE OCCUPANCY |

Retail Store OF
Office OCCUPANCY f

Video Arcade your
Bakery urer
Library
Dance School
Gym

9. Hairdresser
19. Bank Tire
li. Apartment OF

12. Laboratory OCCUPANCY &
13. Car Sales Room
14. Woodworking Shop
15. Repair Garage
16. Warehouse

17. Daycare/Preachool .

18. Residential

19; Other, Please Specify Nane of Business

.

TYPE OF
OCCUPANCY fF

See toe oe

OHOmn Don & WwW mw RH

WALL “a
w— CONSTRUCTION &

ey

TYPE
OF
7 OCCUPANCY ¢

YOUR

UNIT IROIC ATE -

TYPE OF OCCUPANCY
ABOVE, GELOW, 8
EACH SIDE OF YOUR
ONET.

shes Seve Sys Sine tape Doers tics rae Bens

CRE EERE EMER
aww

Address

PLEASE INDICATE:
PROPOSED BUSINESS OPERATION -
FLOOR AREA (Square Feet) OF YOUR SUITE ~-
NUMBER OF EXITS ~
DO YOU HAVE SPRINKLER FIRE PROTECTION?
PLUMBING FACILITIES (toilets, sinks, urinals, etc.) -
NO. OF PARKING SPRCES ALLOCATED TO YOUR BUSINESS ~
PREVIOUS OCCUPANCY, IF KNOWN -
FACILITIES FOR THE PHYSICALLY DISABLED —
CHANGES/INSTALLATIONS ~-

NOTE ~
A BUILDING PERMIT IS REQUIRED PRIOR TO ANY INTERIOR ALTERATIONS.

Date:
Signed:

OFFICE USE ONLY

INSPECTIONS: COMMENTS :
BULLDING

Dates __ Signed:
Print Name:

FIRE
Date:
Print Name: