HomeMy WebLinkAboutB4-25 HKY FIRE RPT.PDFHICKORY FIRE DEPARTMENT
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Occupant Date
Address Phone No.
Type of Occupancy Inspector
Type of Inspection: Initial Inspection O'Re-Inspection Other
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Comments: 1�11D-2
Inspection Status: Approved J/ Temporary Approval Disapproved
No. of Violations: . -------- I.— Re -Inspection Date: Re -Inspection Fee:
Name of Occupant:
Title:
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Occupant Signature: 8auu� Pape of