HomeMy WebLinkAboutB3-1948 HKY FIRE RPT 2-9-04.PDFHICKORY FIRE DEPARTMENT
kilo kM"0ndP"PG*wbpft, FIRE INSPECTION REPORT
Fire Prevention Bureauo qW � o
e.- -7522 Fax: (828) 323-7476 WI C ROAM
Occupant 3' ` � r . IX �. � Date �
a
Address
Phone No.
4
Type of OccupancyInspector
Type of Inspection: Initial Inspection Ike -Inspection , Other
Comments:
InspectionStatus: Approved Temporary Approval Disapproved
No. of Violations: Re -inspection ate _ Re-InspectionFee:
Name of OccupatjtTitle
(Please Print) � (Please Print)
Occupant Siinnature