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Project: <br />104 �J <br />11 <br />4,5Q, *A'u <br />Fire Alarm: <br />Type of Inspection: <br />c 'n ( eve & <br />Address: Sy" <br />Suite #: <br />% <br />o <br />Contact Person: <br />Fp ,� k 4 c k Pc it <br />Special Instructions: <br />Phone No.: <br />Needs Shift Inspection: <br />Sprinklers: <br />Fire Alarm: <br />Hood & Duct: <br />Monitor: <br />Pre -Fire: <br />Permits: <br />Occupancy Type: <br />INSPECTION NUMBER <br />INSPECTION RECORD <br />Retain a copy with permit <br />CITY OF TUKWILA FIRE DEPARTMENT <br />444 Andover Park East. Tukwila. Wa. 98188 206 - 575 -4407 <br />Approved per applicable codes. <br />COMMENTS: <br />y -r e (I-- <br />Inspector: Ci ti <br />Date: "/370 b <br />Hrs.: <br />$80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from <br />the City of Tukwila Finance Department. Call to schedule a reinspection. <br />Word /Inspection Record Form.Doc 1/13/06 <br />Doti -3 <br />PERMIT NUMBERS <br />n Corrections required prior to approval. <br />T.F.D. Form F.P. 113 <br />