Laserfiche WebLink
3 .� <br /> DEPARTTIENT OF LAHOR AND INDUSTR4h5L' (� 1_ I� I,^••�� n : _ ii_�i� � ] ' f�, <br /> FACTORY ASSE\ti3LED � � f� <br /> STRUCTUR��SF.CTTON ' ����"' � � � <br /> JO�W.IIARItISOY SEAriLli,Ns�sF�,��To� 98��9�� 2 7 1984 � � a7 � /ryt �' <br /> (106) 1G4:St110 SUF7)1I7TF:UTO UHPARTMF.\T BY � <br /> fdCIURY 1�SSFMRtE� �iRIIC1UA(S �1��Ck'dCfUflEiiiS51Y6LECOPY <br /> y <br /> NOTIFICATION TO LO�AL ENFORCEMENT AGENCY �� <br /> The Factor;�•Buill Unit Identitied Below Re uires Completion Work at the Site as Speci[ied. �j <br /> ' INSTALLATION LOCATION UNIT ID�NTIFICATION :.''�; <br /> �OUR4:S5 /n 4 O G�/ /pJ�' MFGR'S.SF.R7AI.RU. �EF'T.SEPGL\0. <br /> n.Y � 7C2� t,'ilc�0� U�L�o 81 1 lc D 1 <br /> C NG.�'Tl' ISTATE 21P OCCUPAti \' FINEZO\E '1� '� <br /> <3nahomi�. U/QaN� -�on� - Z <br /> �q TYPE OF CONSTftCCTIUN ETA AT SITE '�,:,� <br /> INSTALLA7I0\ SITE IS IN �pl CItY ❑ COUNTY ' � <br /> n6CRI0E ITE\IS REpUi1JtiG CONPLEIION N'OftK AT T:iG SITE. LIFE SAFhTY ITENS REUUIRE TIIE JUNISOIRION 6UIIDWG Oi'F'IQAIS COVqIqREVCE SIGY�illgE. - y <br /> p <br /> - ! <br /> � ( � I � �U�iF�EIZ f3/aSE 51�,4LL BE lt�5T1}LC.E�7 1r-1 �ICt� _ <br /> � �� <br /> _ A-���5 � � <br /> �i:� I <br /> — ;-:'f i <br /> � 2Z� 2�:c r('T' -r-� 8 E � N S 1'�-�c_r`f� o N S l TC , ��;; <br /> _. • J�I <br /> . • '�' <br /> � r x-re�z i�2 D��12S� �i��2c � 8c � NST�c cEn aK ;:.;r 1 <br /> s �� ' � <br /> :, i �.. <br /> � �.��::��� Ci <br /> �,r . <br /> . . �'..Yi '. <br /> F CJC S . <br /> In� `� (-' ��` .� `� _c'. i! , ;��r. <br /> • H F <br /> yr <br /> l�J l�f�c/�-I i�uh'Il� � � F�l�r�rk.� r��;;�� � r;t��i '�`�'. � � . <br /> .; i N � <br /> ' carr o� '_`I�R€1 T -' ' � S <br /> � ,iA I [T� 1 <br /> • � �ASp�ctian ,t�e��, �;�n' � ` , <br /> �%;.. - <br /> �c% % �"�' � ' <br /> �;:. , <br /> ��, Grr�c. . ��x� � � <br /> ,ac �� ,«. � <br /> :�; � . <br /> .� , <br /> ;� , <br /> ��. <br /> — -���� c : <br /> .�l'Y, " <br /> :`�� � <br /> ���1 �. . <br /> Si(namrt: Tlanul.rtWrer D .��.� <br /> � �' � �� �..Y�� <br /> i�.. � � . <br /> ..��1'�4 � . <br /> " <br /> For Department use: Re 'd....................................By................................File................................ Fee:................................ .�3"�! ? <br /> �'•. . <br /> LEA-TX, TO� ...����.. .��kT:............ Date .......................... -'�`:;' . <br /> ............... ............................................................................... <br /> , ., .� : <br /> OTH-TX, T0: ..............:................................................................................................._................................ Date .......................... . i,'�� <br /> . ,; <br />