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HICKORY FIRE DEPARTMENT
Fire Prevention Bureau
Phone: (828) 323-7522 Fax: (828) 323-7476 CKO Ir
FIRE INSPECTION REPORT
Occupant 5 Date
Address Phone No.
Type of Occupancy Inspector
Type of Inspection: Initial Inspection Re -Inspection Other
Inspection Status: Approved _k__ Temporary Approval
No. of Violations: Re -inspection tea
Name of Occupant:, ef7(P_1eas/ePrint) Title:
Re -Inspection Fee:
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