HomeMy WebLinkAboutB4-707 HKY FIRE RPT 3-8-04.PDFHICKORY FIRE DEPARTMENTVfk0T )>
Fire Prevention Bureau
z -7 7FIRE INSPECTION REPORT
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Address 1622 3 Phone No.
Type of Occupa ney r Inspector
Typ
e u Inspection: Initial Inspection Re -Inspection Other - `
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InspectionStatus: approved Tempgrary approval Disapproved
o. of Violations: Re -Inspection Date:
Re -Inspection Fee:
Name of Occupant. Title:
(Please Print)
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Occupant Signature: 4''--
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