18401 76TH AVE W STE 102 - FIRE INSPN . iis ., Se tr, Zdmonds, and
SNOHO H CO.
Mountlake Terrace
F1 E
DRSTL R T www-FireDistricti-org
LOCATION: 18401 76 th Avenue W Suite 102 98026
BUSINESS NAME: Nancy's Designs on Canines
1906
FIRE P REVENTION
12425 Meridian Ave S
INSPECTION REPORT
Everett, WA 98208
0 EDMONDS
0 BRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
Fax (425) 551-1272
PHONE:
MAILING 18401 76th Avenue W, Suite 102, Edmonds, WA 98026
ADDRESS:
4256722149
2 SHIFT
FIRE 6 71 6V
207UENCY
SCHEDULED Dec 2016
DATE DUE 0
556356
UFIR 0
BUSINESS OWNER: HOME PHONE:
Parker, Nancy 4257437122
EMERGENCY-1: HOME PHONE: URRENT
KEY ACCESS-2: HOME PHONE: �ITY YES NO
BUSINESS F--A
EMAIL: LICENSE
PERSON CONTACTED: V Ck INITIAL INSPECTION DATE
NAME OF INSPECTOR: 41-� fI
FIRE PREVENTION
Serv,ing Briet; Edniofids, and
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.'
DMONDS
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Mountlake Terrace
IRE
Everett, WA, 98208
BRIER
DISTRT
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
wwwFireDistrictl.org
Fax (425) 551-1272
FREQUENCY
STATION & SHIFT
I LOCATION: 184 01 76th Avenue W Suite 102 98026
2 Yearl
"1 3 1 &A
BUSINESS NAME: Nancys Designs on Canines
PHONE: 4256722149
SCHEDULED Dec2013
DATE DUE
MAILING
UFIR 5515
ADDRESS: 18401- 70tht Avenue W Suite 102, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
Email:
EMERGENCY-1: Rarkp.r,'Nancy
HOME PHONE: 12574,37122
CURRENT
KEY ACCESS-2:'
HOME PHONE:
CITY YES NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: C__
FIRE,SYSTEM!�:".FE
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS
I st RE -INSPECTION
2nd RE -INSPECTION
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FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
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CONTACTED:
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INSPECTOR:
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DATE:
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VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
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RECEIVED
POSITION:
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4
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DATE:
7
LETTER NEEDED E] YES [__1 NO
LETTER NEEDED YES NO
8
FIRE DEPARTMENT COPY
Serving Briei: Edmonds
SNOHOMISH CO. M6untlake Terrace, and
FIRE
www.FireDistrict].org
the Town of Woodway
DISjunr
i It I
LOCATION: 18401 76th Ave W
BUSINESS NAME: Nancys Designs on Canines
MAILING 13401 76th Ave W #102
ADDRESS: Edmonds
BUSINESS OWNER: Parker, Nancy
EMERGENCY-1: Lund, William
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR: j1Q\A.4�LeV%j
FIRE
SYSTEMS:
12425 Meridian Ave S
'1! """'W
Ei erett, A'98208
Phone (425) 551-1200
Fax (425) 551-1272
102
PHONE: 4256722149
98026
HOMEPHONE: 4257437122
HOMEPHONE: 4257719043
HOME PHONE:
FIRE PREVE110"01
INSPECTION R,
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED X
FREQUENCY ATION & SHIFT j .
731 16 C
SCHEDULED 112/01112
DATE DUE
UFIR o 556 1;356
CURRENT
CITY YES NO
BUSINESS
LICENSE El El
INITIAL INSPECTION DATE
FE��
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
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116
6
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
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INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
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PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
DATE:
CODE
SECTION:
5
13
7
3
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7
RETURN RECEIPT
RECEIVED
6
,8
4
18
LTE
DISPOSITION:
7
L=ETTERNEEDED El YES [:1 NO
LETTER NEEDED YES NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5� AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) T71-0215
FIRE DEPARTMENT
t . 1 B 9 (3
LOCATION: 18401 76th Ave W
BUSINESS NAME: Nancys Designs on Canines
MAILING 18401 76th Ave W #102
ADDRESS: Edmonds
BUSINESS OWNER: Parker, Nancy
EMERGENCY- 1: Lund, William
KEY ACCESS-2:
FIRE PREVEN71ON
SAFETY SURVEY
102
PHONE: 4256722149
98026
HOME PHONE: 4257437122
4257719043
HOME PHONE:
HOME PHONE:
FREQUENCY I STATION 1, SHIFT
731 16 A
SCHEDULED
DATE DUE 11 12/01/10
LIFIR P. 556 1;356
PERSON CONTACTED: INITIAL INSPECnON DATE
NAME OF INSPECTOR: -�'12 ////
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FIRE 4:1 mo:sffis�_ FE 2-1
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SYSTEMS: PC -
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNIC ONS ENTER CODE ONLY ONCE I�
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VIOLATION CODE
2
2
3
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4
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5
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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 ltem(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