10119 EDMONDS WAY (3)WOHC
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LOCATION:10119 Edmonds Way 98020
BUSINESS NAME Taco Bell #20855
MAILING
ADDRESS10119 Edmonds Way, Edmonds, WA 98020
BUSINESS OWNERTOm Cook
EMERGENCY-1-
681IS
KEY ACCESS-2.
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: -A i _,- u
FIRE SYSTEMS: FE 6/17 HD 12/17
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Serving Brier, Edmonds, and r112425 Meridian Ave S INSPECTION.REPORT
Mountlake Terrace Everett, WA 98208 ❑ ❑BEDMORIER S
RIER
Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE
www.FireDistricti.org Fax (425) 551-1272 ❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
Annual 20-B
SCHEDULED
DATE DUE ► Feb 2019
PHONE: 425774
HOME PHONE:
HOME PHONE: 2065262710
HOME PHONE:
20
UFIR ► 16154
CURRENT YES NO
BUSINESS r,_1
LICENSE )(_.j
INITIAL INSPECTION DATE
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LOCATIONS /COMMUNICATIONS
147;
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
°0
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED M:
FINAL RE -INSPECTION
DATE DUE;
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
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VIOLATIONS
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VIOLATIONS
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PRE -CITATION
LETTER SENT
CITATION ISSU D
NUMBER:
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DATE:
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RETURN RECEIPT
RECEIVED
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DATE;
DISPOSITION:
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LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED 0 YES ❑ NO
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