HomeMy WebLinkAbout8200 Lehigh'. 11 -
OCCUPANCY Irl6uN-e Wk✓e-`dai-e
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LOCATION fi ke kh 4 4UQ, ID# 7
HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V
Unsafe Conditions t�(❑ Accessible JW( ❑ Pa eessi6l ;9 ❑
Ceiling Assembly ❑ Maintenance ❑ Annual Test Vemr ❑ ❑
EXITWAYS /DOORS SPRINKLER SYSTEM NA PREPLAN INFORMATION
Obstructed / Locked I ❑ ible X ❑ Complete ❑
Maintained nual as VE9"17' ❑ ❑ New Emergency Contacts ❑
Proper Hardware ❑ pnnkler Clearance �K ❑
ELECTRICAL FIRE EXTINGUISHERS KEY BOX NA
Exposed Wires ❑ Required X ❑ Knox Box Required ❑
Extension Cords ❑ Charged/Tagged 10 ❑ Keys Tested ❑ O
Panel Obstructed ❑ Accessible/Height �❑
Knockouts Needed ❑
GCFI Outlet ❑ KITCHEN SYSTEMS NA UTILITY SHUTOFFS
EXIT LIGHTING Charged/Tagged ❑ ❑ Accessible ❑ ❑
Clean/Repair El Class Emergency Lights ❑ Class K Extinguisher ❑ ❑ ADDRESS VISIBLE
/ Exit Lights ❑ tP` �/ (front S rear) ❑ ❑
V MECHANICAL / HEAT APPLIANCES COMPRESSED CYLINDERS %NA J HAZARDOUS MATERIALS NA
Clearance to ❑ Storage ❑ ❑ Identification ❑ ❑
Unsafe Conditions ❑ Secured ❑ ❑
VIOLATION DESCRIPTIONS
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COMPANY OFFICER: REINSPECTION DATE: 3
REFUSAL OF INSPECTION
I, do hereby refuse authorized representatives of the Morton Grove Fire
Department entry into my business premises for the conduction of a Fire Inspection.
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