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Record Created Date:	09/22/2011
* facility ID:
* facility name:
* facility street number:
* facility street prefix:
* facility street name:
* facility street suffix:
facility address2:
* facility city:
* facility county:
facility state:	IN
* facility zip:
* facility contact:
* facility telephone:
* facility Email:
Foundation/Footer status:
Concrete Slab status:
Framing Status:
Plumbing status:
Mechanical status:
Electrical status:
Energy status:
Sprinkler status:
alarm status:
sensitivity current :
Interior status:
Pool status:
Egress status:
Suppression status:
temporary indoor stage:
temporary outdoor stage:
outdoor stage equipment :
canopy:
tent :
ust installation:
ust removal:
project Type(select ll that apply):	New: Addition: Remodel: Occ.Change: Existing:
inspection Category:
inspection type:
inspection status:
inspection Date:	(mm/dd/yyyy)
violation to be corrected by Date:	(mm/dd/yyyy)
* inspector:
notes:	Annual AE permit Inspection completed, violations noted. (1). Eixt light sign was not working at the Kitchen door- corrected same day. (2). Provid documentation showing that the smoke alarm system has been tested for an Annual Inspeciton. (3). All exit light signs and emergency lights are working.
Facility Match?:	(Type in Facility Matched, when you match a complaint inspection with facility.)

print order	code	description	remarks	violation to be corrected by date	violation complied date
0	Sec. 907.20 2008 Edition IFC 675 IAC 22-2.4	The maintenance and testing schedules and procedures for fire alarm and fire detection systems shall be in accordance with this section and Chapter 10 of NFPA 72.	Provide documentation showing that the Fire smoke alarm system has been tested for an Annual Inspection.	10/22/2011

Indiana Department of Homeland Security / Fire and Building Safety Division

2020-21 version