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� _ <br />� <br /> i <br /> I <br />� <br />� <br /> l <br />� <br /> STATE OF WASHINGTON <br /> LEE 1.Kl1ECKElHAN IiOWARD MCKEfi <br /> INBYq11ryCt COMMIll10N[R CNI[r OLPIITY lIR[MAR6NIIL <br /> [S.Oli1C10 6TFTC IINt M11RiNPL Nl��.if19 <br /> P <br /> S <br /> l `,-,WnY.��: <br /> OFFICE OF <br /> STATE FIRE MARSHAL <br /> - � B14 DE%TER HOpTON 9LCG. <br /> . SEATTLE.WASHINGTON 98164 <br /> TJ: PTashington State <br /> `�` Departmeat of Health <br /> Licensing Section <br />� Re: I3EfilAIVY HOF16 FO@ TH6 AG6D <br /> (Plame of Aiursing Home) <br /> 3322 Droadway Avenue <br /> ETozett. Washinfltoa <br />_ (A3dress) ' <br /> This is to cerYify that in accor3ance with the <br />� <br />� : provisions of Chapter 11�, Laws of 1SSi, as amendec3, <br /> t:he above named Alursing Home has satisfactorily com- <br /> plied with requirements relative to fire protection <br /> and is i�ereby approved for licenssre for one year, <br /> comnencin; July 1,19�, _, with the following restric- <br /> i <br /> �P ' tions: <br /> ----� �dQVE <br /> 1 <br />, .. <br /> �F .•. �- `__ <br /> i : - <br /> .,;t,. ' <br /> .i` " _ � (If ao restrictions, indicate "None�� <br /> ;,•i <br /> " LE� I . KU�C:CELHAN <br /> Au uet 11 1�66 Insurance Commissioner and <br /> —y—� _ Ex-Offic '•o State Fire ,�,1arshal <br /> _ (Da t e) ` BY �`��tit-a--E'� �(. �i/�-w�-�*/ <br /> DepuLy t � � rFhal <br /> cc; sl�erett Eire Dept. • <br />� Cit� lildg. Oept. HY% . %. / L �'�.i' <br />� Snohwni6h Health District. F re Ch' f, <br />� � City o �ivere�;'Gash. <br />� -, <br /> I <br /> .'.W��tS .. . �. <br /> t��k'i`+��"f�^-- .�;�: � <br />