HomeMy WebLinkAboutB4-1341 HKY FIRE RPT 6-24-04.PDFHICKORY FIRE DEPARTMENT ?Fk0TzC,)11
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Fire' Prevention Bureau 01/01.
-7522 Fax: (828) 323-7476 irl c -Ro R y
Phone: (828) 323
kit) FIRE INSPECTION REPORT
Occupant
Date
Address Phone No.
fype of Occupancy Inspector
Type of Inspection: 11 Initial Inspection
Comments:
Inspection Status® Approved
0 Re -inspection 11 Other
Temporary Approval
No. of Violations: Re -Inspection Date:_
Name of Occupant:
Title:
(Please Print)
Disapproved V
Re -Inspection Fee:
"Mmmm
Occupant Sienature: