HomeMy WebLinkAboutB4-269 HKY FIRE RPT.PDFHICKORY FIRE DEPARTMENT C
Fire Prevention Bureau
kilo Phone: (828) 323-7522 Fax: (828) 323-7476 c y
FIRE INSPECTION REPORT
Occupant 2
Date 7 Z��,
Address Phone No.
Type of Occupancy Inspector
Type of Inspection: 0 Initial Inspection L_j Re -Inspection Other
Inspection Status: Approved _ Temporary Approval
No. of Violations: __ Re -Inspection Date:
Name of Occupant:
(Please Print)
Occupant Signature:
wo
Disapproved
Re -Inspection Fee:
(Please Print)
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