HomeMy WebLinkAboutB4-1382 HKY FIRE RPT 6-28-04.PDFHICKORY FIRE DEPARTMENT
Fire Prevention Bureau
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FIRE INSPECTION REPORT
Occupant Date
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Phone No
Type of Occupancy Inspector
Type of inspection: [�fhitial Inspection Re -Inspection Other
Comments:
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Inspection Status: Approved — Temporary Approva
No. of Violations. -5 Re -Inspection Date:
Name of'Occupant: J6,t1,,j —7) - - , I/
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Occupant Signature:
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Disapproved _Az"_
Re -Inspection Fee:
Title: �,-"z
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