10117 EDMONDS WAYSN0130MISI CO. L_ Serving Brier, Edmonds, and
FI_
Mountlake Terrace
R T 1NWW FireDistrictl. o
DISTrg
LOCATION: 10117 Edmonds Way 98020
BUSINESS NAME: Seattle Goodwill
MAILING
ADDRESS:10117 Edmonds Way, Edmonds, WA 98020
12425
Everett,
Phone
FIRE PREVENTION
Meridian Ave S
INSPECTION REPORT
WA 98208
DMONDS
CRIER
(425) 551-1200
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
Fax (425) 551-1272
FREQUENCY STATION & SHIFT
Annual 20-A
PHONE: 425977209C
SCHEDULED Feb 2018
DATE DUE I.
UFIR / 581
BUSINESS OWNER:,JUafeZ, Israel HOME PHONE:
EMERGENCY-1:Seattle Goodwill HOME PHONE: 2063291 OOO CURRENT
KEY ACCESS 2: ` • HOME PHONE: 20 CITY
BUS YES NO
V r �,i tI#2CXn �tCOZ 4 (0 3 LICENSE EMAIL`AL/JI_ :
PERSON CONTACTED:, INITIAL I SPECTION DATE
NAME OF INSPECTOR: CA
FIRE SYSTEMS: AS 10/15 FA 2/17 FE 11I m Z� 16 12:00:00 AMA :A/
Date La - /-N1 E I I
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS Q
3 3
4 4
5 5
6 6
7 ~ 7
I
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL REINSPECTION VIOLATIONS
DATE DUE: DATE DUE: GRANTED TO: DATE D. CITED:
PERSON PERSON PERSON
CONTACTED: CONTACTED: CONTACTED:
INSPECTOR: INSPECTOR: INSPECTOR: 2
3
DATE: DATE: DATE:
VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED "
4
1 5 1 5 LETTER SENT NUMBER:
CODE 5
2 6 2 6 DATE: SECTION: _
RETURN RECEIPT
3 7 3 7 RECEIVED
' DISPOSITION:
7
4 k 8 4 8 DATE:
LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8