HomeMy WebLinkAboutB4-366 HKY FIRE RPT 3-11-04.PDFBureauHJCKORY FIRE DEPARTME40
FireYrevention
FIRE INSPECTION REPORT
Occupant 71:� -7 X. Ito
Address> Phone No.
Type of Occupancy � � Inspector
Type of Inspection: 11 Initial InspectionEl-Re-Inspection1-1 Other
Comments:
Inspection Status: Approved Temporary Approval
No. of Violations: Re -Inspection Date
N c of Occup t: r
(Please Print)
X
Occupant Signature:
FM
E'
Disapproved
Re -Inspection
(Please Print)
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