Professional Documents
Culture Documents
Date: ________________
I. GENERAL INFORMATION
Owner/Representative: ________________________________________________________________________
Address: ____________________________________________________________________________________
Contact No.: ________________________________ No. of Storey____________________________________
Total Land Area: _____________________________ Total Floor Area_________________________________
Building Permit No. __________________________________ Date issued ______________________________
Fire Code Fee ___________________ OR No. ________________________ Date issued ___________________
ACKNOWLEDGED BY:
____________________________________________ ____________________________________________
Signature Over Printed Name of Owner/Representative Fire Safety Inspector/s
Date & Time______________________
__________________________________________
Team Leader
__________________________________________
CHIEF, FIRE SAFETY ENFORCEMENT SECTION
APPROVED/DISAPPROVED: