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Building Information Form
Name of Building:
Address:
Type of Construction:
--Please choose an option--
Loadbearing
Framed
Composite
Other
Please specify:
Material of Construction:
Number of Floors:
Building Age (years):
--Please choose an option--
0-5
5-10
10-15
15-20
20-25
25-30
30 and above
Building Use:
Residential
Commercial
Industrial
Government
Education
Health
Other
Please specify:
Availability of Solid Waste Management:
--Please choose an option--
Yes
No
Practicing Solid Waste Segregation:
--Please choose an option--
Yes
No
Availability of Fire Fighting System:
--Please choose an option--
Yes
No
Name of the surveyor:
Additional Notes:
Pick Location (Click/Tap on map to reposition pin):
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