HomeMy WebLinkAboutB3-1557 HKY FIRE RPT 1-30-04.PDFHICKORY FIRE DEPARTMENT
Fire Prevention Bureau
Phone: (828) 323`1522 •
Fax: (828) 323-747,1",
Us I R 36 19 ju
_4 Date
Occupant
Address 7— Phone No.
ector
Type of Occupancy
Type of Inspection: aInitial Inspection Re -Inspection Other
Comment
/7
Inspection Status: Approved — Temporary Approval _ Disapproved
No. of Violations: Re -Inspection Date:
Name of OccupTitle:
(Please
Occupant Signature:.,�'
Re -Inspection Fee:
(Please Print)
Page — of