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2
3
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5
6
6
7
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I AGREE TO.CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
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2ATE DUE:
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FIRE PREVENTION
Serving Briet; Edmonds, and
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HOME PHONE: 4253612737
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HOME PHONE: 4252180745
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5
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7
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DATE DUE.
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CITATION ISSUED
NUMBER:
2
6
2
6
DATE:
CODE
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3
7
3
7
RETURN RECEIPT
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6
4
18
14
18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES El NO
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8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5- AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
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FIRE PREVENTION
SAFETY SURVEY
22617 76th Avenue W
205
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Primerica Financial Services
4252180746
BUSINESS NAME:
PHONE:
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22617 76th Ave W #206
ADDRESS:
Edmonds
98020
13USINESS OWNER:
Laibson, Adam
HOME PHONE: 4253612737
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4252180745
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HOME PHONE:
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8
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2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
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RETURN RECEIPT
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6
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18
4
8
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