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102 5TH AVE S
f. snoziOrAISTt Serving Brier, Edmonds, and F1�� �� ,, Mountlake Terrace DISTR T www.FireDistrictl.org LOCATION:102 5 th Avenue S 98020 BUSINESS NAME:Treasures and Teas IIII�lIII , © 2 Y-M & F- s 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 PHONE' 4257712601 MAILING ADDRESS:102 5th Avenue S, Edmonds, WA 98020 BUSINESS OWNER: Carlton, Phyllis HOME PHONE: FIRE PREVENTION INSPECTION REPORT ❑ EDMONDS ❑ BRIER ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY STATION & SHIFT Annual 17-A SCHEDULED DATE DUE ► Feb 2018 UFIR ► 545 202 EMERGENCY-1: HOME PHONE: CURRENT YES NO KEY ACCESS-2:Gabbett, Carla HOME PHONE: 4255773936 CITY -� .' �'� ..�`'i!f EMAIL: _!i�P.� del i !c: ��.�,;'i;� 17 BUSINESS INITIAL INSPECTION DATE PERSON CONTACTED: / NAME OF INSPECTOR: FIRE SYSTEMS: FE 8/16 Y)oy' wy wo CIM1 _ _ t}O`C(A�TI /S / CO MUNICATIONS � VQ� I&C ? ?__ 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 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: INSPECTOR: INSPECTOR: I i INSPECTOR: 2 DATE: DATE: DATE: 3_ VIOLATIONS VIOLATIONS _ PRE -CITATION CITATION 1 15 1 5 LETTER SENT NUMBER: a CODE 5 2 6 2 6 DATE: _ SECTION____ -_ RETURN RECEIPT 3 ' 7 3 ' 7- RECEIVED �, 6 .. .. --- - _ -"----- -- DISPOSITION: 4 8 4 8 DATE:., ..._-... .�. ... .... ... . . '_ LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO a