HomeMy WebLinkAboutB4-384 HKY FIRE RPT 3-5-04.PDFHICKORY FIRE DEPARTMENT
Fire Prevention Bureau
Phone: (828) 323-7522 Fax: (828) 323-7476
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FIRE INSPECTION REPORT
Occupantc,"A e Date
Address Phone No.
Type of Occupancy
Type of Inspection:
Comments:
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121, Initial Inspection
Inspector
Re -Inspection Other
Inspection Status: Approved _ Temporary Approval
No. of Violations: Re -Inspection Date:_
Name of Occupant: j 'rule-.
(Please Prinkt),
Occupant Signature:
Disapproved
Re -Inspection Fee:
(Please Print)
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