HomeMy WebLinkAboutB4-443 HKY FIRE RPT 7-15-04.PDF, pBOTZC�/
HICKORY FIRE DEPARTMENT
Fire Prevention Bureau 01,
Phone: (828) 323-7522 Fax: (828) 323-7476 Clio Y
FIRE INSPECTION REPORT I
Occupant Date
Address Phone No.
Type of Occupancy _ZI_111_1_r��c � Inspector
Type of Inspection: 2-Initial Inspection Re -Inspection Other
Comments:
N
■
Inspection Status: Approved k4 Temporary Approval
No. of Violations: Re -Inspection Date:
Name of Occupant:
(Please Print)
Occupant Signature:
Disapproved
— Re -Inspection Fee:
Title:
(Please Print)
P,A"- -P