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HICKORY FIRE DEF ARTMENT�p cr
Fire Prevention Bureau
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FIRE INSPECTION REPORT
Occupant 4//1
Date C�-'►�'�
Address ,"el Phone No.
Type of Occupancy Ins ect
Type of Inspection: Initial Inspection
Comments: 4 Z
FP-16-Inspection Other
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Inspection Status: Approved Temporary Approval
No. of Violations:
Name of Occupant:
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Re -Inspection Date:
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Title:
Disapproved
Re -Inspection Fee: _
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