HomeMy WebLinkAboutB4-312 HKY FIRE RPT.PDFHICKORY FIRE DEPARTMENT ft 0 T,&C,
Fire Prevention Bureau 0-k
Nita
Phone.* (828) 323-7522 Fax: (828) 323-7476
FIRE INSPECTION REPORT
Occupant
Date
4
Address K/47 f IN
,A
6 Phone No, 1.1 3
Type of Occupancy
Inspector
Type of Inspection: [?O'I'n*itial Inspection LJ Re -Inspection Other
Comments:
Inspection Status: Approved 61/1" TOMPOrary Approval Disapproved
No- of Violations: Re -Inspection Date:----___� Re-InsPection Fee:
Name Of Occupant:
Title�
(Please Prino—,
(pFe—ase
Occupant Signature:
Pa " r