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o <br />HKAFM I LOCAL ENFORCEMENT AGENCY <br />Department of Labor and Industries dJ <br />............. <br />CONSMUC IONCOMPl1ANCESEC ION' CITY OF EVER t <br />805 Plum St. SE Pudic Works <br />% Olympia, WA 98504 <br />The Factory -Built Unit Identified below requires completion work <br />at the site as specified. <br />I <br />Installation sits Is to <br />DESCRIBE ITEMS REQUIRING COMPLETION WORK AT'rn& aasw <br />lX " <br />Nlre <br />r� <br />' - <br />i,' <br />nspectors name <br />Phone: (Ban to 5pm) <br />Office location.actutera <br />Signature <br />Ve <br />i For Dept. recv <br />i.. ..•nv / <br />t e ee <br />/ S <br />I <br />Y <br />- - -- <br />wntr[ - GLVMP(A Omer <br />can�av - amlenrG orncul <br />Pier - (gPeeroa <br />MLerNwn-MPG <br />F623.013.000 notification to local enforcement agency 3.88 <br />