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OCCUPANCY USE INSPECTION COMPLIANCE
Date ___________________________ Fee $50.00
Name of Applicant ___________________________________________________________________ Trade Name of Business ______________________________________________________________ Address of Business _________________________________________________________________ Directions __________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------- Fire In Compliance Non-Compliant Not Applicable Inspector: _________________________________________________ Date: _____________________ -------------------------------------------------------------------------------------------------------------------------------------------------- Electrical In Compliance Non-Compliant Not Applicable Inspector: _________________________________________________ Date: _____________________ -------------------------------------------------------------------------------------------------------------------------------------------------- Handicap Accessibility In Compliance Non-Compliant Not Applicable Inspector: _________________________________________________ Date: _____________________ -------------------------------------------------------------------------------------------------------------------------------------------------- Non-Compliance Reason _______________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
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