Laserfiche WebLink
EVERETT PIR6 DEPARTMENT <br /> � '�` lIRE PREVENTION BUREIIU <br /> QONTACf AND/OR CBANGE POAM I <br /> / �In Peceon Ne Called I <br /> Date: 7 - �f0 — �z ^ime: ��fl� f�!'elephone �They Celled �I <br /> ya <br /> /' � � � Number ?.S Z ��'f cL/ <br /> Addceee of Property A�S�/ LhF-tSTXUT <br /> Nerne of Businese �, VE�1T� l �wi/ o1'T,C Y�Cod �e rS <br /> Pe[ean Talked To .OE ✓ D� / �T/12,('LR/y�. C'!�-S' `1���L��� <br /> TAIe contect in cegerd to: � Compleint <br /> � Compeny Inepection <br /> WANC; DOC ID i {_._,� <br /> ti{' PPB Inepectton <br /> rj�� <br /> � Inquiry <br /> � Change <br /> Nhat pcoblem(e) were diecueeed7 <br /> �%E_[�ou r� �i rc� 7t� �LA.v� T7fErk. L PG T,�.iv ,� <br /> UGa f,P�,r� r�v�G ��.'E� iSES. <br /> Nee the problem reeolved7 � Yea � No <br /> xow�_.��� �YI�1-�E OUT �4- cuo�tx m�3�E,� 7'o R�-�io d� . <br /> TN��/,�(ll�� i12TiF� u.f Lr�ffE�✓ s?E�/>DUd v <br /> Mhyt <br /> Signed <br /> r <br /> Inep otet E — co E / llatoon�_ <br /> / ` 3 <br /> WANG �0073f <br />