HomeMy WebLinkAboutBLD03-938-FIRE.PDFb
HICKORY FIRE DEPARTMENT ' Q,�PR°TFCI ,
Phone:
Fire Prevention Bureau
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(828) 323-7522 Fax: (828) 323-7476 „lc_.,; o.Rr
FIRE INSPECTION REPORT
Occupant 6 j d E V J' ; r e. La L Date 267/2 /0 3
Address /V/= Phone No. 3 22 _ _23 a
Type of Occupancy Z% Inspector 2 j )4 C �► �° ��
Type of Inspection:1-1 Initial Inspection [Re -Inspection Other
Comments:
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See FI � e r401-+ 0,+ed. 17 - /CP - d 3 CONCeb�I
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Inspection Status: Approved Temporary Approval Disapproved
No. of Violations:
Name of Occupant:
Re -Inspection Date
(�lease Print)
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Re -Inspection Fee:
Title:
(Please Print)
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