10016 EDMONDS WAY STE C� ' IIII�lIII /ool(� FOMz0f WAy RE
FIRE PREVENTION
cn Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
AkEDMONDS
Mountlake Terrace 0 BRIER
Everett, WA 98208
FIRE Phone (425) 551-1200 D MOUNTLAKE TERRACE
DISTRI—L";4T www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY STATION& SHIFT
LOCATION: 10016 Edmonds Way Suite C 98020 2018 1 20-B
BUSINESS NAME:The UPS Store PHONE: 425640285E SCHEDULED Feb 2018
DATE DUE 0
MAILING LIFIR 1, 595 54
ADDRESS: 10016 Edmonds Way, Suite C, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
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EMERGENCY-1: Clark, Amy & Nicholis HOME PHON . CURRENT
KEY ACCESS-2: HOME PHONE: CITY YE NO
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BUSINESS
EMAIL: 1,4 LICENSE
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LICENSE F
z - 7 7 117 INITIAL INSPECTION _ CTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: nz OtE2
FIRE SYSTEMS: 1�3/14
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
PERSON
CONTACTED:
EXTENSION FINAL RE -INSPECTION j VIOLATIONS
GRANTED TO: DATE DUE: I CITED:
PERSON
CONTACTED:
PERSON
I CONTACTED:
INSPECTOR:
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INSPECTOR:
DATE:
VIOLATIONSCITATION
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�_LETTER NEEDED F] YES El NO
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VIOLATIONS
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LETTER NEEDED E] YES I—] NO
DATE: 3
ISSUED
PRE -CITATION 4
LETTER §�E
CODE 5
DATE: SECTION:
RETURN RECEIPT
RECEIVED 6
DISPOSITION:
DATE:
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