21632 HWY 99_2FIRE PREVENTION
INSPECTION REPORT
Serving Brier, E.muiius, and 12425 Meridian Ave S
SNOHONIISH CO. Mountlake Terrace DEDMONDS
Eve#ett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
0 UNINCORPORATED
-DIST T www.FireDistrict].org Fax (425) 551-1272
LOCATION: 21632 Highway 99 -,Bldg 98026
Swedish Cancer Institute
BUSINESS NAME:
MAILING 21632 Highway 99, Bldg, Edmonds, WA 98026
ADDRESS:
PHONE:
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FIRE PREVENTION
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FIRE
Everett, WA 98208 -
0 EDMONDS
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BUSINESS NAME: Swedish Cancer Institute
PHONE: 4256738300
SCHEDULED
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Serving Brier,'Edmonds,.'aiid
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Serving Brier, Edmonds 12425 Meridian Ave S
Mountlake Terraceand Everett, WA 98208
ITthe Town of Woodway. P�ono (4W) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
21632 Highway 99 Bldg 98026
Swedish Cancer InstitLite PHONE:
21632 Highway 99, Bldg, Edmonds, WA 98026
HOME PHONE:
4256738300
FIRE PREVkATIt
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
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DATE:
DATE:
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PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
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6
2
6
DATE:
CODE
SECTION:
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RETURN RECEIPT
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DATE:
DISPOSITION:
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LE71*ER�NEEDEd [j YES El NO
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FIRE DEPARTMENT COPY
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CITY OF EDMONDS
USINESS LICENSE APPLICATION- COMMERCIAL
I FEE: $125.00
CITY CLERK'S OFPiCE, BUSINESS'LICENSE DIVISION
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ik�21, 15 TH AVENUE NORTH, EDMONDS, WA 98020 PHONE: 425.775,2525
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INSTRUC'nONS: Please complete the application In full and attach the required floor plan. Middle Initial or name required of all
parties concerned. If no middle name, please Indicate by writing NMN. Sign and return application with fee. Please advise of -
Any change In status. New license required If business changes location or ownership. Notification to City of Edmondi required
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BUSINESS NAME &Vedlq�j CatCCA_ Xt7SH�-tl�-- �4�L iEdO`10nd-S SeJe--y "10
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DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES? XYES 0 NO,
PREVIOUS BUSINESS USE AT THIS ADDRESS
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