21400 72ND AVE W STE A- - - - - - - ---
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INSPECTION REPORT
SNOHOMISHN6061 Serving Briet: and 12425 Meridian Ave S []EDMONDS
FIREC(A,)av, Mountlake Terrace Everett, WA 98208 0 13RIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
DISTR�krTr 14114)14�FireDistrictl.org Fax (425) 551-1272 [1 UNINCORPORATED
FREQUENCY STATION & SHWIF_'�
LOCATION: 21400 72nd Avenue W Suite A 98026 2 Yearl 13 /1 &C
BUSINESS NAME: HairSalon PHONE: 4257751961 SCHEDULED Dec 2013
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MAILING
ADDRESS: 21400 72nd Avenue W, Suite A. Edmonds, WA 98026
BUSINESS OWNER: Danielson, Bob HOME PHONE:
Email:
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE I Ll
7
DATE DUE
LIFIR 593
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
HAZARDS FOUND AND LOCATIONS /COMMUNI
TIONS
2
2
3
3
4
4
5
5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
ist RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
QBANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
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
18
DATE'
DISPOSITION:
7
LETTER NEEDED [:] YES F-1 NO
LETTER NEEDED [] YES NO
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_ - -..- - FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving, Brier, Edmonds
'12425 Meridian
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
FIRE
0 j., ......
Everett, WA 9�208
0 EDMONDS
OBRIER
the Town o oodway
fW
DISTR
Phone (425) 551-1200
0 WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
e- FREQUENCY
STATION & SHIFT
LOCATION: 21400 72nd Avenue
A
731
16 c
I
BUSINESS NAME: HairSalon
PHONE: 4257751961
SCHEDULED
DATE DUE 1' 12/01/11
MAILING 21400 72nd Ave W4254789407
UFIR � 557 1;157
ADDRESS: Edmonds
98026
BUSINESS OWNER
: Fout, Barbara
HOME PHONE: 4254789407
ACTIVE
EMERGENCY-1: Danielson, Bob
HOME PHONE: 2064408464
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
ff El
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
3
FIRE,
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SYSTEMS:
A IiN—U Z_-
HAZARDS FOUND AND LOCATIONS COMMUN!I�ATIONS
2
2
,.3
3
4
4
5
5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st 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
7
RETURN RECEIPT
RECEIVED
6
4
'8
4
18
DATE:
DISPOSITION:
7
\� LETTER NEEDED [-] YES C3 NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY