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Do you require an extinguisher inspection?
*
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Yes
No
If yes approxametly how many?
Do you require an emergency light inspection?
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Yes
No
If so approxametly how many?
Do you require a fire suppression inspection?
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Yes
No
Do you require a fire alarm inspection?
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Yes
No
Do you require a sprinkler inspection?
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Yes
No
Buisness Name:
*
Address:
Main phone #:
*
Fax #:
Email:
City:
*
Province
*
Postal Code:
*
Are there any particular times you wish for this inspection to be preformed?
*
Please type the letters and numbers shown in the image.
