HomeMy WebLinkAboutB1103-450 HKY FIRE RPT.PDFHICKORY FIRE DEPARTMENT
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Fire Prevention Bureau
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Ph//oo\ne: (828) 323-7522 Fax: (828) 323-7476
e � l � -� �SCJ FIRE INSPECTION REPORT
Occupant
Address 2o0--2 z3�
Type of Occupancy
Type of Inspection:
Comments:
1-1 Initial Inspection
Date l /_// O
Phone No.
Inspector
�e-Inspection Other
Inspection Status: Approved Temporary Approval Disapproved
No. of Violations: Re -Inspection Date: Re -Inspection Fee:
Name of Occupant: �—a�c �—E Title:
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Occupant Signature:
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