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OCCUPANCY ACTIVITY REPORT _ GLENDALE FIRE DEPARTMENT ~ e r 6835 NORTH 57th DRIVE GLENDALE, AZ 85301 MONTH DAY YEAR PAGE '�Rrsw►' _r 1 OF ADDRESS N0. DIR. STREET NAME TYPE SUITE OR UNIT N ZIP CODE 114/.' - OCCUPANCY NAME PHONE BUSINESS OWNER'S NAME LAST FIRST MI HOME PHONE ILD/PROPERTY OWNER'S NAME ^��� HOME PHONE UBC CLASS CONST.TYPE GRID TYPE OFACTION CONST❑ CMPT❑ OTHER❑ SO.FT.OF OC INSP. STORIES STANDPIPE SYSTEM HOUSE LINES FIRE PUMPS HOOD SYS LOCK BOX FIRE LANES WET❑ DRY❑ NONE E;j I YES❑ NO❑ YES❑ NO© 1 YES❑ Nb❑ YES❑ NO❑' YES❑ NO Q AUTO SPKLR SUPERVISED FIRE ALARM SUPERVISED FULL❑- PART❑ NONE❑ YES Lam"- NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ HAZARDOUS MATERIALS BUILD PLACARDED COMPLETION DATE YES ElNO ElYES ElNO ❑ H: F: R: S: ITEM CODE RECHECK CORRECTED No. SECTION REMARKS DATE DATE The items noted above are in violation of the Glendale Fire Code. This is an official notice of violation and order to comply REQUIRING IMMEDIATE CORRECTION. A follow-up inspection will be conducted on by 4:00 to insure compliance. Failure to comply with this NOTICE AND ORDER will result in a CIVIL or CRIMINAL Complaint. For information regarding this inspection please contact the inspector at COPY RECEIVED (NAME) INSPECTOR BY DATE #3310-027A(5-02) ORIGINAL: FIRE PREVENTION YELLOW: OCCUPANT PINK: OCCUPANT