18401 76TH AVE W STE 100 - FIRE INSP:764-h
Ar, LJ IRE PREVENTION
Serving Brier, Eamonds, and '12.425 Meridian Ave S INSPECTION REPORT
SNIOHONIISH CO. 4 0 EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIRE 0 MOUNTLAKE TERRACE
Phone (425) 551-1200
DISTwww.FireDistrict].org Fax (425) 551-1272 [1 UNINCORPORATED
LOCATION: 18401 76 th Avenue W Suite 100 98026
BUSINESS NAME: Perrinville Animal Hospital
4257754992
PHONE:
MAILING 18401 76th Avenue W, Suite 100, Edmonds, WA 98026
ADDRESS:
BUSINESS OWNER:
EMERGENCY-1: Throm, Robert
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
Dalte Last Serviced:
('a 14 to Al
HOME PHONE:
HOME PHONE: 4254872076
HOME PHONE:
FREQUENCY STATION & SHIFT
2016 1 16-D
SCHEDULED Dec 2016
DATE DUE �
556356
LIFIR 0
CURRENT
CITY YE NO
BUSINESS
LICENSE 0, 1:1
INITIAL INSPECTION DATE
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FIRE PREVENTION
Serving Bilet; Edinonds, and
12425 Meridian Ave'S
INSPECTION REPORT
SNOHOMISH CO.
0 EDMONDS
Mountlake Terrace
FIRE
verett, WA 98208
0 BRIER
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/ Phone (425) 551-1200
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
DISThft:l www.FireDistrictl.org
Fax (425) 551-1272
0' FREQUENCY
STATION & SHIF"�
LOCATION: -184 0 -1 76th Avenue W Suite 10 . 0 98026
2 Yearl
13 16-1-'k
BUSINESS NAME: Perrinville Animal Hospital
PHONE: 4257754992
SCHEDULED Dec 2013
DATE DUE
MAILING
UFIR 0 556
ADDRESS: 18401 76th Avenue W. Suite 100, Edmonds. 98026
BUSINESS OWNER:
HOME PHONE:
Email:
EMERGENCY-1: Throrr, Robert
HOME PHONE: 4254912016[
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED: Lyc�6 6;
INITIAL INSPECTIOI`IrDATE
NAME OF INSPECTOR:
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FIRESYSTEMS: FE—/—
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
E DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
E:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
1 3
7
3
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RETURN RECEIPT
RECEIVED
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4
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED YES No
LETTER NEEDED F —1 NO
YES
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
t 8 '� 43
LOCATION: 18401 76th Ave W
BUSINESS NAME: Perrinville Animal Hospital
MAILING 18401 76th Ave W
ADDRESS: Edmonds
BUSINESS OWNER: Throm, Robert
EMERGENCY- 1: On Call Emergency#
KEY ACCESS-2:
FIRE PREVENTION
SAFETY SURVEY
101)
PHONE: 4257754992
98026
HOME PHONE: 4254872076
HOMEPHONE: 4252209030
HOME PHONE:
FREDUENCY
STA11ON & SHIFT
1 16 A
SCHEDULED
12/01/10
DATE DUE 11
UFIR 0
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PERSON CONTACTED: 2eAy_Ae—
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NAME OF INSPECTOR: B C bz'�C^ .2 /// / I
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SYSTEMS:
A�NLIZ
HAZARDS FOUND AND LOCATIONS COMMUNICATI�NS ENTER CODE ONLY ONCE 0,
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VIOLATION CODE
2
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In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the City of
Edmonds.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the City of Edmonds.
Please call (425) 775-7720 within 30 days to schedule a reinspection.
Any overlooked hazards or violations of the fire regulations does not imply approval of such condition or violation.
If you require additional information or assistance, please contact this office by calling (425) 775-7720 between
the hours of 8 a.m. and 5 p.m., Monday through Friday.
BUSINESS COPY