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HICKORY FIRE DEPARTMENT
Fire Prevention Bureau
Phone: (828) 323-7522 Fax: (828) 323-7476
FIRE INSPECTION REPORT
Occupant
Address c. , � �✓
Type of Occupancy
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Date
Phone No.
Inspector
Type of Inspection: ❑ Initial Inspection Re -Inspection Other
-FI
Comments:
Inspection Status: Approved Temporary Approval
No. of Violations: Re -Inspection Date:
Name of Occupant:
(Please Print)
Occupant Signature:
Title:
Disapproved
Re -Inspection Fee:
(Please Print)
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