21014 76TH AVE WFIRE PREVENTION
SNOMOMIS11 CO.
ServingBrier, Lamo'nds, and
12425 Meridian Ave S
INSPECTION REPORT
Flimm
Mountlake Terrace.
Everett, WA 98208
0 EDMONDS
0 BRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
DIST
0 UNINCORPORATED
www.FireDistrictl.org
Fax (425) 551-1272
21014 76 th
Avenue W 9'8026
FREQUENCY
2017
STATION & SHW�
16-A
LOCATION:
Auda Barber Shop
4257786334 SCHEDULED Apr 2017
BUSINESS NAME:
PHONE:
DATE DUE
557206
MAILING
LIFIR 0
ADDRESS:
BUSINESS OWNER:
Al-Thalabi, Auda
HOME PHONE:
EMERGENCY-1:
HOME PHONE: 16
"'CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
EMAIL:
LICENSE
INITIAL INSPECTION DATE
FPERS N ONTACTED.
N M 0 SP CTO
A E0 FCN E R.
Date Last Serviced:
SNO
F
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Serving Brier, Edmonds, and
Mountlake Terrace
www. FireDistrict]. org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
r FREQUENCY
STATION & SHIFT
LOCATION:
.
21014 76 th
Avenue W 98026
2016
16-D
BUSINESS NAME:
PHONE:
SCHEDULED
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4257786334
DATE DUE I Apr 2016
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MAILING
UFIR 0 557206
ADDRESS:
BUSINESS OWNER:
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EMERGENCY-1:
HOME PHONE: CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
EMAIL:
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LICENSE
PERSON CONTACTED:
INITIA1 Ih SPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FIE aj
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WOWRI61M XgffbcATiONS COMMUNICATIONS
2
2
3
3
4
4
5
6
6
7
I AGREE To cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE-INSPECTIO17
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
,EONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
2
INSPECTOR:
INSPECTOR:
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS,',,,"
PRE -CITATION
CITATION ISSUED
1
LETTER SENT
NUMBER:
4
2 6
2
6
DATE:
CODE
SECTION:
5
RETURN RECEIPT
3
3
7
RECEIVEP
DISPOSITION:
4
8
4 18
DATE:
7
k, LETTER NEEDED F] YES 0 NO
LETTER NEEDED [-] YES D NO
8
Serving Brier Edmonds
SNOHOMISH CO.
FIREMountlake
Terraceand
DISTRI
the Town of Woodway
-
www.FireDistrictl.org
LOCATIO N:
21014 76th Avenue
BUSINESS NAME:
Fre(f s Cut-N-Style
MAILING
21014 76th Ave W
ADDRESS:
Edmonds
BUSINESS OWNER:
Afthalabi, Auda
EMERGENCY-1:
Afthalabi, Vicki
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
vi d1T
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257786334
98026
HOMEPHONE: 2069193184
HOMEPHONE: 4257128741
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
UEDMONDS
f5BRIER
E]WOODWAY
MOUNTLAKE TERRACE
UNINCORPORATED
FREQUENCY I STATION& SHIFF'*'
731 16 A
SCHEDULED
DATE DUE 04/01,113
LIFIR � 557 4 206
"I j I
AC_nVE
CURRENT
CITY YES NO
BUSINESS K7el
LICENSE '1312:1 1:1
INITIAL INSPECTION DATE
FE I
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
0
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 X 41
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRA TED TO:
j1dAVE-INSPECTION
/ DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
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
4
18
4
.8
DATE:
DISPOSITION:
7
11 LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
CjW OF EDMONDS
121 !�'-'AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE D)EPARTMENT
LOCATION: 21014 76th Avenue w
BUSINESS NAME: Freds Cut-N-Style
MAILING 21014 76th Ave W
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257786334
ADDRESS: Edmonds 98026
, 10 , BUSINESS OWNER: Afthalabi, Auda HOME PHONE: 2069193184
EMERGENCY-1: Althalabi, Vicki HOMEPHONE: 4257123741
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION& SHIFT
731
16 C
SCHEDULED
ll�
04/0114 1
DATE DUE
UFIR I� 557
.4206
AC-nVE
PERSON CONTACTED: INITIAL INSPECTION DATE
t
NAME OF INSPECTOR: qll
FIRE --- FE 3 /1,'/
FIRE DEPARTMENT COPY