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D19 7 FIRE PREVENTION
Serving Brier,-Cafnonds, and 12425 Meridian Ave S I SPECTION REPORT
. SNOHOMISH CO. � � EDMONDS
FIRE` £ Mountlake Terrace Everett, WA 98208 BRIER
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STPhone (425) 1-1-1200
� www.FireDistrictl.org Fax (425) SSI-12%2 [1 UNINCORPORATED
FREQUENCY I STATION & SHIFT
LOCATION: 120 West Dayton Street Suite A8 98020 Z�' 2017 17-B
BUSINESS NAME: Animal Dermatology Services PHONE: �-2�D TE DUEED Sep 2017
MAILING UFIR 1 591
ADDRESS: 120 West Dayton Street, Suite A8, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Mundell, Alan HOME PHONE: 2069485537
KEY ACCESS-2: / '� y ,� ��,r HOME PHONE: 17
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FIRE SYSTEMS: FE 6/13 / all (,
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HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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INITIAL INSPECTION DATE
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2nd RE -INSPECTION
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3 7
3 7
RECEIVED 6
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LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
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CITY�OF EDMONDS '
121 5T" AVENUE 4! • EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPART` MENT
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LOCATION: 120 W Dayton St
BUSINESS NAME: Animal Dermatology Services
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MAILING 120 W Dayton St A-8
FIRE PREVENTION
SAFETY SURVEY
A-8
PHONE: 2067892959
' FREQUENCY
STATION & SHIFT
730
17 C
SCHEDULED
09/O1l10
DATE DUE ►
UFIR ► 556
9202
ADDRESS
Edmonds
98020
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BUSINESS OWNER:
Mundell, Alan
HOME PHONE: 2069435537
Mundell, Lhea
3606200999
EMERGENCY-1:
HOME PHONE:
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KEY ACCESS-2:
HOME PHONE:
PERSON CONTACTED:
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INITIAL INSPECTION DATE
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ENTER CODE ONLY ONCE ►
VIOLATION CODE.:"
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3
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4
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5
5
6
6
17
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
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FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
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1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
18
DATE:
DISPOSITION:
-
8
LETTER NEEDED ❑ YES NO
LETTER NEEDED ❑ YES NO
FIRE DEPARTMENT COPY