18510 76TH AVE W-7V
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SNOROmIS11'CO. Serving Brier, urflonds, and 12425 Meridian Ave S
IDEDMONDS
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Phone (425) 551-1200 0 MOUNTLAKE TERRACE
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18510 76 th Avenue W 98026
LOCATION:
BUSINESS NAME: Nelson Professional Carpet Cleaning PHONE: 4256403241
MAILING 18510 76th Avenue W, Edmonds, WA 98026
ADDRESS:
Nelson, James
BUSINESS OWNER: HOME PHONE:
Nelson, James 4256403241
EMERGENCY-1: HOME PHONE:
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EMAIL:
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FIRE PREVENTION
Ser.ving Briei; Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
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Mountlake Terrace
Everett, WA 98208
EDMONDS
19BRIER
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Phone (425) 551-1200
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
www.FireDistrictl.org
Fax (425) 551-1272
FREQUENCY STATION & SHIFT
LOCATION:
18510 76th Avenue W 98026
2 Yearl 13 I&A
BUSINESS NAME:
Nelson Professional Carpet Cleaning
PHONE: 4256403241 SCHEDULED Dec 2013
DATE DUE
MAILING
LIFIR 0 567
ADDRESS:
1115111 7111h Avenue W, Edmonds. WA 911026
BUSINESS OWNER:
Nelson, James
HOME PHONE:
Email:
EMERGENCY-1:
Nelsb n, Ja tmes
HOME PHONE: a256403214
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY . YES NO
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EMAIL:
LICENSE
PERSON CONTACTED:
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INITIAL INSPECTION DATE
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS—X�_�_.
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2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE,
DATE DUE,
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PERSON
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VIOLATIONS
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CITATION ISSUED
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NUMBER:
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DATE:
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DISPOSITION:
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DATE:
7
1�1 LETTER NEEDED C] YES El NO
LETTER NEEDED [] YES NO
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FIRE DEPARTMENT COPY
FIRE PREVENTION
INSPECTION REPORT
SNOHOMISH CO. Serving Brier, Ednionds 12425 Meridian Ave S 0 EDMONDS
Mountlake Terraceand Everett, WA 98208 0 BRIER
F I R E �RE OWOODWAY
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the Town of Woodway Phone (425) 551-1200 0 MOUNTLAKE TERRACE
DIST R,,%- T. www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
I'- FREQUENCY I STATION & SHIFT'*�
LOCATION: 18510 76th Ave IN 730 16 B
4256403241 SCHEDULED 42/01/11
BUSINESS NAME: Nelson Professional Carpet Cleaning PHONE: DATE DUE
MAILING 18,510 76th Ave W LIFIR � 567 1;356
ADDRESS: Edmonds 98020
BUSINESS OWNER: Nelson, James HOME PHONE: 4256403214
EMERGENCY-1: Longsine, Blake HOME PHONE: 4257718985 [-6—URRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS -1 R
LICENSE F
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE �FE �f
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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2
3
3
4
4
5
5
6
6
7
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1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
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:
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
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RETURN RECEIPT
RECEIVED
6
4
18
4,
18
DATE:
DISPOSITION:
7
k, LETTER NEEDED [] YES NO
LE17ER NEEDED C] YES [I NO
8
FIRE DEPARTMENT COPY