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BUILDING FIRE INSPECTION REPORT
Date Inspection Initiated:
STREET ADDRESS SUITE NUMBER
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LOCATION OF VIOLATION AND ADDITIONAL COMMENTS CORRECTED
BUSINESS NAME BUILDING OR COMPLEX NAME (1F APPLICABLE)
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BUSINESS MANAGER OR OWNER BUSINESS TELEPHONE
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OCCUPANCY TYPE CONSTRUCTION TYPE SQUARE FEET
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FIRST EMERGENCY CONTACT/PHONE n �7 �y SECOND EMERGENCY CONTACT/PHONE
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BUILDING SYSTEMS
aTest Records for fire alarm or N/A
Date:
Knox Box 6 N If Yes, Keys current
Test records for sprinkler standpipe or N/A I I Inspection of Fire Extinguishers
Date:
Current pre -plan on file? Y
Date:
Generator/Alt Power? Y N
FIRE CODE VIOLATIONS/COMMENTS
El Exit Sign Damage
Exit obstructed or lockedEl
Improper use of extension cords
Prohibited use of multi=plug adapter
Storage of combustibles in equip room
Improper clearance of combustibles
VIOLATION
LOCATION OF VIOLATION AND ADDITIONAL COMMENTS CORRECTED
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An Inspection has been made of these premises to determine If any violations of the fire code exist. Ifviolations have been found, this shall serve as your official notice. Al,
violations must be corrected Immediately. A re -inspect of the premeds will be made at a future date to verify the required corrections. Failure to correct the violations sha.
cause the owner of the property Prather responsible person to be In violation of City of Glenwood Springs ordinances. A fee may be assessed for follow-up
Inspections If violations are not corrected promptly. Should you need assistance regarding this Inspection, contact the Glenwood Springs Fire Department at 384 6490.
I, the undersigned, am to receipt of a copy of this Inspettlon report and am aware of the hazards noted. I am also aware this Is a routine inspection, and may not
encompass every possible violation or fire hazard
SIGNATURE B7WNE ANAG
PONS
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DATE xGNED
INSPECTOR'S NAME
DATE COMPLETED
SHIFT ESTIMATED DATE OF R RN (F APPLICABLE)
101 W. 8th Street, Glenwood Springs Colorado 81601 970-384.6433 Fax 970-945 85 6
WHITE - File Copy YELLOW - Premesis Copy 2 PINK - Premesis Copy 1
v:Fire Department/Fire Prevention Forms/Fire Inspection Report 052214gjb
