180 W DAYTON ST STE 101v
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-FIRE PREVENTION
INSPECTION REPORT
Serving Brier, Eamonas, and 12425 Meridian Ave S 7�
SNOHONTISH CO.
EDMONDS
Mountlake Terrace Everett, WA 98208
5BRIER
FIRE Phone (425) 551-1200 0 MOUNTLAKE TERRACE
DISTT www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
LOCATION: 180 West Dayton Street Suite 101 98020
BUSINESS NAME: Blue Collar Dog House PHONE: 4257757152
MAILING
ADDRESS: 180 West Dayton Street, Suite 101, Edmonds, WA 98020
FREQUENCY
2017 17-D
STATION & SHIFT
SCHEDULED Oct 2017
DATE DUE
LIFIR o 556
BUSINESS OWNER:
HOME PHONE:
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EMERGENCY-1: Miller, Tracy
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HOME PHON�E. 53 8971�3
CUR�ENT
KEY ACCESS-2:
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HOME PHONE: 17
CITY /ES NO
BUSINESS
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LICENSE
PERSON CONTACTED: 6N-�
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PE,;TION DATE
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NAME OF INSPECTO�-) atnft
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FIRE SYSTEMS: Fl� 10/16
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Date Last Serviced: A
OMISH CO.'
FIRE
DIST]
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Serv,ing Briet; Edmonds, and, 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
0 R-0 Phone (425) 551-1200
1*T www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 180 West Dayton Street Suite 101 @8020
BUSINESS NAME: _,4L PHONE:
MAILING
ADDRESS: 180 West Dayton Street, Suite 10 1, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
42577571
FIRE PREVENTION
INSPECTION REPORT
REDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
EMERGENCY-1: Miller, Tracy HOME PHONE: 4253989713 CURRENT
T
IT YES NO
KEY ACCESS-2: HOME PHONE: CITY
Y
B USI
USINESS
LIC SSS El
EMAIL: LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
7—
FIRE SYSTEMS: FEJD�L� HD4/13
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS
1st RE -INSPECTION 2nd RE -INSPECTION
FINAL RE
EXTENSION
-INSPECTION
VIOLATIONS
DATE DUE: DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON PERSON
PERSON
CONTACTED: CONTACTED:
CONTACTED:
I
INSPECTOR: INSPECTOR:
INSPECTOR:
2
DATE: DATE:
DATE:
3
VIOLATIONS VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5 1 5
LETTER SENT
NUMBER:
4
CODE
5
2 6 2 6
DATE:
SECTION:
RETURN RECEIPT
7 3
RECEIVED
6
13 _7
DISPOSITION:
14 8 4 18
DATE:
7
LETTER NEEDED E] YES [I No LETTER NEEDED C] Y E S [j] N 0
8
FIRE DEPARTMENT COPY