Fillable Adult Care Facility Check Sheet - wsp wa

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FIRE PROTECTION BUREAU FIRE AND LIFE SAFETY INSPECTIONS PO Box 42600 Olympia WA 98504-2600 (360) 596-3910 FAX: (360) 596-3934 ADULT CARE FACILITY CHECK SHEET Facility Name Address City Maintenance Representative Facility Administrator Address YES NA Exits 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. City State ZIP (NOTE: "Yes" indicates the area has been inspected. Code violations require completion of the Residential...
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