HomeMy WebLinkAboutB1103-618 HKY FIRE RPT 4-20-04.PDFHICKORY FIRE DEPARTMENT - 'Fn0'rS0,s1
Fire Prevention Bureau ip 10-k
kilo Phone: (828) 323-7522 Fax: (828) 323-7476 RH I C -RO A Y
FIRE INSPECTION REPORT
OCCUpant Date
Address Phone No.
Type of Occupancy Inspector
Type of Inspection: El Initial Inspection e-Inspection Other
Inspection Status: Approved-_ Temporary Approval Disapproved
No. of Violations: Re -inspection Re -Inspection Fee:
7
4;
Name of Occupant: Title.
(Please Print) (Please Print)
Occupant Signature'. PaLye of