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# HICKORY FIRE DEPARTMENT
Fire Prevention Bureau
Phone.- (828) 323-7522 Fax.- (828) 323-7476
FIRE INSPECTION REPORT
OccupantDate
Address Phone No.
Typeof Occupancy Inspector
Type of Inspection: �] Initial Inspection Re -Inspection Other
Comments:
Inspection Status: Approved __ Temporary Approval
No. of Violations: Re -Inspection Date:
Name of Occupant: Title:
(Please Print)
Occupant Signature:
Disapproved
Re -Inspection Fee:
(Please Print)
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