Laserfiche WebLink
± ffD INSPECTION SUiVEY - 1,�8 MP Ooc l0: 3,��Si <br />Lest Surveyed: <br />l�E 1N(; (up NpT 085CUFtE pre-prfnted lnfoc�rnatim.) <br />Oistrict:'� fOZ: �'35 Plat/Co: C/�cy� <br />5treet No: 3�p/ Suite/etc: <br />Street Name:�,vern,al� <br />Occupancy Name: SNoNOb1:S/lGouhTY-GAm�u� 3�aR� of R«��s <br />Phpne 1: 'S 34^ 13 b a <br />PREv10U5 BUSINE55 (if any) <br />Mall To Name: <br />Mail To Business: <br />Street/P0: <br />Suite/etc: <br />C1ty, ST� ZIP: <br />Building Owner/AGENT: <br />Street/P0: <br />City, ST, ZIP: <br />SA�� <br />�$20l <br />Person Contacte0: �l„r„��P��iA� C�iF � <br />CG +FCTEO reg<�rding the Clean Air Act? Y CY-/ N or n/a1 <br />Fixeci P:up Use: 54� <br />Type Construct: S <br />81dg Occup Type: fJ-1- <br />//SLOf�@5:1 <br />Number oP Apts:o <br />Elevator: nl <br />Spri�lclers: �1 <br />Stanapipes:N <br />Arxival Test Oate / <br />ff0 Comection OIC?: _ <br />Private HyOrant: nl <br />Alarm System: N <br />Hood System: N <br />Other Protection: n� <br />Knox Box: /J <br />EFO Permits Required:IV <br />list EFO Permits Issued:�1 <br />Hazardous Materials:�tJ <br />--�estTc ees: <br />Radioactive: <br />LPG: <br />Nlt/Oxide: <br />Chlorine: <br />Ammonie: <br />Other: <br />ff •1f <br />d��� <br />Inteke OK? Dischac <br />� SNOHOMISH COUNTY-CAMANO <br />BOARD OF REALTORS" <br />HEALTOF� <br />Lurlyn Cliftord <br />Executive Olficer <br />3201 WaVrare <br />Everet� WA 9f201 �206) 339-1388 <br />Annual Test / / <br />Sem!-annual Test T /_ <br />Flammable Liquids: �i <br />Storage: <br />Handling: <br />Sprayi�g: <br />lk�derground Tank: <br />SURVEYOR'S TRAINING NO.� <br />