Surfside Beach Fire Department Cross Index Report

• Business Address:

• Business Name

• Owners Of The Business

• Conducted on

  Date

• Prepared By

  Select Prentice Williams Ted Sacra Larry Carter James Behrens Michael Miller Comer Clendennin

  • Prentice Williams
  • Ted Sacra
  • Larry Carter
  • James Behrens
  • Michael Miller
  • Comer Clendennin

Cross Streets

• Cross Streets

• Cross Streets

• Cross Streets

• Cross Streets

Fire Hydrant

• First Hydrant

• First Hydrant Number

• Second Hydrant

• Second Hydrant Number

Type Of Construction

• Construction Type

  Select Type I (1) : Fire - Resistive Type II (2) : Non - Combustible Type III (3) : Ordinary Type VI (4) : Heavy Timber Type V (5) : wood- Framed

  • Type I (1) : Fire - Resistive
  • Type II (2) : Non - Combustible
  • Type III (3) : Ordinary
  • Type VI (4) : Heavy Timber
  • Type V (5) : wood- Framed

Dimensions Of Building

• Length

• With

• Number Of Stories

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15

Summary

• Additional information:

• Additional Comments:

• Completed By

  Select Prentice Williams Ted Sacra Larry Carter James Behrens Michael Miller Comer Clendennin

  • Prentice Williams
  • Ted Sacra
  • Larry Carter
  • James Behrens
  • Michael Miller
  • Comer Clendennin

• Fire Department Representative Signature:

  Sign

• Date Completed

  Date