110 JAMES ST STE 200Ito jlmz r sr-
FIRE PREVENTION
CITY OF EDMONDS SAFETY SURVEY
121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215
FIRE DEPARTMENT
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St. 18
LOCATION:
110 dames St
1r BUSINESS NAME:
Stafford Creative, Inc.
MAILING
110 dames St #110
ADDRESS:
Edmonds
BUSINESS OWNER:
Stafford, Christina
i
EMERGENCY-1:
Meeks, Mike
KEY ACCESS-2:
1 !.
PHONE: 4254121550
98020
HOME PHONE: 20666916277
HOMEPHONE: 4256408660
HOME PHONE:
r FRITENCY
STATIC j & SLHIFT
I
SCHEDULED
121011/0
DATE DUE ►
UFIR ► 591
1.202
PERSON CONTACTED: rl S I 1 ✓) -,. INITIAL INSPECTION DATE
NAME OF INSPECTOR: Qif v1 cj�, ZOZ S+ LO 1 l 1
FIRE FE =
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIO
1 Pon V , � I4 C
/ COMMUNICATIONS
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ENTER CODE ONLY ONCE ►
VIOLATION CODE
1 l�� OI
2 1 O C- %e Or v cr v+ 6-E- D ��L �j p A r
Lj G f P G
2 S r C)
3
3
4
4
5
5
6
6
7
7
n
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED.
PERSON
CONTACTED.
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE: / t7 v
DATE:
DATE:
_
3
VIOLATIONS
1 5
VIOLATIONS
•1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
q
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
8
DATE:
DISPOSITION:
8
LETTER NEEDED ❑ YES NO
LETTER NEEDED ❑ YES E] NO
FIRE DEPARTMENT COPY