1011 PUGET DRSewing Brier, Edmonds,
LVnnw god and Mcurntictke °
1242S Meridian Ave .
' Terrace,,
Everett, WA 98208
Phone (425) SS 1-120
wwwSouthwiofire.org
Fax (425) 551-1272
LOCATION: 10 11 Puget Drive 98020
BUSINESS NAME: OIympiC view Deli
PHONE: 42577608!
MAIUNG
ADDRESS:1011 Puget Drive, Edmonds, WA 98020
BUSINESS OWNER:Chang, Moung
HOME PHONE:
EMERGENCY':Park, Jin
HOME PHONE: 7184900633
KEY ACCESS-2:
HOME PHONE: 16
. EMAIL:
PERSON CONTACTED. V ��
NAME OF INSPECTOR:
lft�.
FIf SYSTEMS: FE 2/18
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
O MOUNTLAKE TERRACE
❑ UNINCORPORATED
FRE UENCY STATION & SHIFT
Annual 16-B
SCHEDULED Nov 2019
DATE DUE ►
URR► 571
CURRENT YES CITY
BUSINESS
LICENSE fn El
TIAL INSPECTION DATE
►1/r 4/ 5
HAZARDS FOUND ANO LOCATFONSit MML94CATONS
,2
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS x- -
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violatio
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720;
Mountlake Terrace or Brief,,Call (425) 744-6231.
III Ijj ul
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
LOCATION:1011 Puget Drive 98020
BUSINESS NAMEDIyMpiC View Dell
MAILING
ADDRESS; 011 Puget Drive, Edmonds, WA 98020
BUSINESS OWNERChang, Moung
EMERGENCY-1
KEY ACCESS-2Paric, Jin
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 2117 a I�
D
W:T
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE:
061IT11_:30
HOME PHONE: 7184900633
HOME PHONE: 17
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
ElUNINCORPORATED
FREQUENCY STATION & SHIFT
Annual 17-A
SCHEDULED
DATE DUE ► Nov 2018
UFIR ► 571
CURRENT
CITY YES No
BUSINESS
LICENSE
INITIAL INSPECTION DATE _
mov N'L k<
LOCATIONS /COMMUNICATIONS
1
1
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
CONTACTED:
7
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE-,
3
VIOLATIONS
1 5
VKXATIONS
1
5
PRE -CITATION
LETTER SENT
ITATION ISSUED
NUMBER:
4
2
6
2
6
LUTE:
CODE
SECTION:
B
3
7
3
7
RETURN RECEIPT
RECEIVED
8
4
6
4
8
DATE:
DISPOSITION:
T
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8