TO:

FROM: Harnett County Fire Marshal's Office

RE: Request for Occupancy Load/Posting

DATE:

BUSINESS NAME:

ADDRESS:

OWNER'S NAME:

BUSINESS PHONE: OWNER'S PHONE:

FIRE INSPECTOR:

BUILDING INSPECTOR ASSIGNED:

SQ. FT. OF BUILDING:

OCCUPANCY LOAD DETERMINED:

DATE POSTED:

OCCUPANCY CLASSIFICATION:

COMMENTS: