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LNSPECTION FORM
TYPICAL FLOOR PAN Schedule "p”

NOTE: Please put appropriate number in box.

OCCUPANCY TYPE me

Restaurant TYPE OCCUPAIRCY |

Retail Store OCCUPANCY

Office LLLLLI LL
Video Arcade
Bakery one

Library ?
Dance School ; ee
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Gym 7”
Hairdresser 1 CoNSsRUCTION e
Rank tyre Se
Apartment OF
Laboratory OCCUPANCY 7 YOUR
Car Sales Room UNIT
Woodworking Shop
Repair Garage
Warehouse
Nayeare/Preschool .
Residential

19. Other, Please Specify Name of Business

TYPE OF
OCCUPANCY °F

TYPE
Or
2 OCCUPANCY ?

INOICATE -

FUOTE OF OCCUPANCY
AAQVE, BELOW 8
EACH SIOE OF YOUR
UAT,

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Address

PLEASE INDICATE:

A. PROPOSED BUSINESS OPERATION

B. FLOOR AREA (Square Feet) OF YOUR SUITE -

C. NUMBER OF EXITS -

D. DO YOU HAVE SPRINKLER FIRE PROTECTION?

E. PLUMBING FACILITIES (toilets, Sinks, urinals, etc.) -
» NO. OF PARKING SPACES ALLOCATED TO YOUR BUSINESS —-

G. PREVIOUS OCCUPANCY, If KNOWN ~

H. FACILITIES FOR THE PHYSICALLY DISABLED -

I. CHANGES/INSTALLATIONS ~

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

Date:
Signed:

OVFICE USE ONLY

INSPECTIONS: COMMENTS:
BUILDING
Dates

Print Name:

FIRE
Date:
Print