Scotland County Business Information Form

2. Organization Name

4. Physical Address

6. City

7. State

8. Zip Code

10. Phone Number

11. Fax Number

13. Mailing Address

15. City

16. State

17. Zip Code

19. Operating Hours / Days

21. Emergency Contact

22. Phone Number

24. Emergency Contact

25. Phone

27. Emergency Contact

28. Phone

30. Contact Email

32. Building Owner

    If Different

34. Building Owner Address

36. City

37. State

38. Zip Code

40. Type of Business

42. Alarm System

44. Burgler

    1. Yes

    1. No

45. Fire

    1. Yes

    1. No

47. Alarm Panel Location

49. Fire Sprinkler

    1. Yes
    2. No

51. Sprinkler Control Valve Location

53. Special Information

55. Power Company

56. Water Company

58. Phone Company

60. Send To:

    Scotland County Fire Inspector<br> P.O. Box 489<br> Laurinburg, NC 28352 <br> Fax: 910-277-3160

    Scotland County Fire Inspector
    P.O. Box 489
    Laurinburg, NC 28352
    Fax: 910-277-3160

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61. Print Only

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