Longview/Cowlitz 2
Fire & Rescue 701 Vine Street Kelso, WA 98626 (360) 577-3333
Quarter Occupancy Contact Permits Key Box Zone Address Phone
Inspection Report
Inspection Date Fixed System Inspection No.
o Regular Scheduled
o Re-inspection
o Special
o New Construction
Compliance Required by
Item No.
Deficiencies Observed
Uniform Fire Code Reference
Re-inspection Date
1 2 3
Comments
Total # Deficiencies
Personally Abated at Site
Your attention is called to the above violation(s) of the Uniform Fire Code and other applicable state and national codes. We appreciate your cooperation in correcting this violation(s) on or before the re-inspection date. Failure to correct this violation(s) will result in such further action as required by law.
Occupancy Representative 1 Inspector
st
2
nd
Inspector
3 Inspector
rd
X
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