HomeMy WebLinkAboutB4-1112 HKY FIRE RPT.PDFHICKORY FIRE DEPARTMENT
Fire Prevention Bureau "Oil
kilomi Phone: (828) 323-7522 Fax: (828) 323-7476tt lcho Y
FIRE INSPECTION REPORT
Occupant f )IJ V I t I /^
Date
3-1 0
Address W557 Phone No.
Type of Occupancy Inspector
Type of Inspection: 11 Initial Inspection Re -Inspection Other
Comments: 0
Inspection Status: Approved t-," Temporary Approval _ Disapproved
No. of Violations: Re -Inspection Date: ---
Name of Occupant:
(Pleas Print)
4 4,11
Occuoant Sivnature,, 1-l"t, '1� _ ,,
Re -inspection Fee:
Title:
(Please Print)