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- VA OMB No. 2900-0072 <br />UP in nun Nn. 2502Z254 IEaP. 101311841 <br />IA VA CASE NUMBER <br />) DATE <br />Vf IFHANS ADMi NIS I AI ION <br />PIS IltrmllM(NTOI HOUSINGANDUHRANITEVEI.DPMENI <br />6/17/85 <br />18. HIIDIFHA CASE NUMSEn <br />WOOD DESTROYING INSECT INFORMATION <br />EXISTING CONSTRUCTION <br />1'I11 V Ar I .M1 !HI URMAIION - I hr MLnnNPwn mpuamJ nn:hn hxm ..It M ur.l m rnlMum Ire gnFPly Inr . VA., HOT) ..,,it Man AIIMwIh YDu.le mu'Norris M Tar or Private <br />HUD.MINI al Pwmr ovi <br />..... •1 uaulr m Prprin:ul rm' gl a mPa Inm r a r I... 1M Pnlor mlkalyd .0 Tilt W di-I,rvA ou4id[ VAIN <br />r aNn a n nTrn <br />.....1i VA'rnr1 IIVI, an .mhnnrrd b• v...... pe. mi.mm�.m . ....... I IN ILi C. IMInIMpI nW I: L'S (nallul n xa I <br />READ THESE INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS FORM <br />I I hr VA.", mrmM. or 111,1111 HA nv nnmMr shall M bvuM m Ilan I be Ph, Irrdn or Ih1 III I--' ... I umhgm <br />wain o, r. n I e mdr ool a to.,R(, ILr mr... Nu.r, .,If N.named. Ph, or.. Pn APPbrauun Ar, h.0 mA a Mmx.p nvJ atoll hvmnnl m brm 10 1'rnlrP R.nunl mnrwn m>r include <br />M.r .m. nannn.Nnn U.nuLl ab. Lr rnrtnJ habx rrngr •..Anal n w• nmv.1 ND... ... d a. nyuhk ... I...1 .v <br />1 Ir rnml Tints m r p Lnm:l, Ire my .r rauane au,h erxlrnaa' ..IT M hatrd In hem MA .Ad dolt.,, invR nr bnm rue h Alloolnn .JI M APPY m IPem RI) <br />a ba.•. Phu A.'rt mu•nahlr m ..Muur.rd Irm. '1 Aire mdude. No are Pelt Ioneed N•, .dl onum.. bred Pnlor". IInTi. mrrn". Imndam oP almrJ umM Ire Ptah 1 ncbol IlquhA <br />IN IIFrL.wkl I'll. m urn 1. IMnr AhPUurrhmue ......bah mh.hn Me PmgnMn <br />S line PA Piro M Phminl .Mir PM1r N'(1 n nut aummnrA m Ru..A,.nnnM mraamn M1e rM orrvarlln m PnnnM measu:n nnnAl M (anlmrMd cur IP amJnx.m Mennd mnbnL e I <br />..bmn.lmn, ..In,,. ac <br />A S.W4gr. rear nl cnNnx... mmina•rmmlrvahon he. vPMrrunran lnm.ler 11'.11 vq.IrA inn n,ir v.RlM I.,NlnrtA.vxl........ /.Alec inek,..I,Pnr.rtrrnulernn nr! <br />t ranME 11. PNSrr f1111N fOMr Aq\ <br />$A NAME OF PD(letill♦MNER15ELLf11 <br />Compliance lnspeciLon Service <br />Wanda Dunn <br />n�AOnNF$SUf IN51'fC1H1NEOMPANV f I mi, Tr F..dO —_ <br />TB ADDRESS OF PROPERTY <br />6220 Magnolia W. <br />14830 Wallingford Ave. N <br />Seattle, We. 98133 <br />Everett, We. <br />. Tl'Inm2D61M h14,335J1 <br />a.PESST CONTROLOPEn OPERATOR NUMBER <br />SGSTRUCNREISIINSPECTED <br />dwelling <br />364 <br />GO a <br />I FINDINGS <br />I Atll ASOf TIIC PROPERTY OBSTNUCIFD <br />2OBSTRUCTIONS 0p INACCESSIBLCARUSImn UU(NMlrrn IlR Mlrxr mmPln.M/ <br />an IN SIT <br />art <br />I rnAccP ssmt[• <br />i <br />❑Yn ONo <br />none <br />off 1a......-el. to term 71 <br />'. BASED ON CARET UI. V ISUAI. INSPECTION OF THE READILY ACCESSIBLE AREAS OF THE PROPFR7Y I.Cry Ifrm IIA befnrr umlplelnMl <br />A Visible nDkuaofw ml dettmymg insects was observed. No control measures were pedfnmed, Insects OtMfvrd <br />— <br />LNY'd. No visible evidence of Orf stain from w•Pwd destroying 11=ts was ahMrved---- <br />( Visible evidence of infeuaiun wu nmed:gnper eonlml nseannewne pednrmed. <br />I) VlsdJe dnnare dne to has been observed in the <br />following areas: — <br />L) G. Visible evidence of previously treated infellalilm, which is now inactive, was observed. IFafPlain in Item 10 ) <br />IMMA4E LrnSFH V[D ADOVE, IF ANY ((Tura FMr! <br />ID AOD111r1NAL C(IMMfNB /ll nrcM er!nnr ', rurur Tin rnnPrl <br />l <br />A. lYlll behn: been corrected by this umlryny. <br />R. M'dlbeepuecledby2noth0mmpanyty arfadrrdmnimcfI <br />LlC )fill not be criviewd by Phil company. Recou.mend Thal <br />canape be evaluated by gnalifred budding spelt. <br />11. STATEMENT OF PEST CONTROL OPERATOR —_ <br />A. The msmi, ion crimed the readily Acoeuhle nut nl the q.,n,. inefudi)Ig alhm and crawl SnAm. which pa.mit entiV. Slwc rl attention was given to thosneas <br />whiche.pr iemx hat shownto Ire Particularly Nm,ptible 1. attack by wood destroying insects. Ptobmgsod/otswrdingoftMaMen and llb i vs•biewoodmembersthowingevidemeofintntalomwMMrlmnted. <br />Ithe <br />0. The inspeclion did not inclWe Men which ware obstmodorinasmsible at the Time of insptcO. (SetinsnrPcfionnumberdshort) <br />C. Intsisnotasbuetuisidams¢reparl. Neither is this a wananly n to alnenceof wood dmrogrngoR s. <br />U.Neithm I nor thecompany for which I am Acting have had, MNAnIh •M, or mnteryplRe having any intNNt InIre pose y� I do NOW state That tMill <br />company for which I am acting it AttOeialed in mV way wilA MY Pant tP Ihi1 trMnAdion, <br />--- <br />:n R, n� of Of Atll TI 1 A a EPn .E PATIVE <br />NO TITLE --_ <br />DATE <br />DATE <br />•� <br />]Ill <br />5 <br />owner <br />STATEMENT OF rURCl1ASER <br />--^�----- /hnerrcrinvl rhr nnptd nrR lrphfr n'Pr of lhui•Nns <br />m <br />fir C$rJ <br />z <br />IbQ yzy <br />t" x <br />m <br />I.T. <br />S Nrrr[sd <br />Cn <br />r1 <br />i� <br />