HomeMy WebLinkAboutB3-2046 HKY FIRE RPT.PDFHICKORY FIRE DEPARTMENT
Fire Prevention Bureau
Phone-, (828) 323-7522 Fax: (828) 323-7476 Clio Y
FIRE INSPECTION REPORT
Occupant Date
Address ✓ z1f Phone No,
Type of Occupancy Inspector
Type of Inspection: Initial Inspection Ike-lnspccfion Other
Comments:
13
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Inspection Status: Approved _ Temporary Approval
11o. of Violations: — Re -Inspection Date:
Name of Occupant:
(Please Print)
Occupant Signature:
UM
Disapproved
Re -Inspection Fee:
(Please Print)
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