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HICKORY FIRE DEPARTMENT ����PR°TEOroy
Fire Prevention Bureau
Phone: (828) 323-7522 Fax: (828) 323-7476 Ml
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FIRE INSPECTION REPORT
Occupant - `
• _..,) �'` : r� � ', � Date � �
Address 1 Phone No.
Type of Occupancy ~% ector
Type of Inspection: Initial Inspection U" TZe-Inspection Other
Comments:
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Inspection Status: Approved ` Temporary Approval Disapproved
No. of Violations: Re -Inspection Date: Re -Inspection Fee:
Name of Occupant: C Title:
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