22618 HWY 99 STE 105 (3)FIRE PREVENTION
SNOHOMISH CO Serving Brier, Edt�onds, and
12425 Meridian Ave S
IN�ffCTION REPORT
OtDMONDS
Mountlake Terrace
F1
Everett, WA 98208
0 BRIER
DISTR T.wwwFireDistrictLorg
Phone (425) 551-1200
0 MOUNTLAKE I TERRACE
[3 UNINCORPORATED
Fax (425) 551-1272
FREQUENCY
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STAT16N&SHIFT
LOCATION
22618 Highway 99 Suite 105 98026
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BUSINESS NAME: j.&444air
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PHONE: _2ja65 4694-9a
SCHEDULED
DATE DUE i Mar 2016
MAILING
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ADDRESS:
BUSINESS OWNE R:
HOME PHONE:
EMERGENCY- 1
HOME PHONE:
'CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
EMAIL:
BUSINftb5
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PERSON CONTACTED:
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INITIAL INSPECTION DATE
NAME OF INSPECTOR:
4,
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FIRE SYSTEMS: FE 3/�4
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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I AGREE TO CORRECT THE ABOVE
VIOLATION(S) IN THE NEXT 30 DAYS
X
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
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INSPECTOR,
2
DATE:
DATE:
DATE:
VIOLATIONS
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PRE -CITATION
CITATION ISSUED
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1 5
LETTER SENT
NUMBER:
2
6
6
DATE:
CODE
SECTION:
RETURN RECEIPT,
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7
3
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RECEIVED
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DISPOSITION:
4
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8
DATE:
7
LETTER NEEDED [] YES [I NO
LETTERNEEDED [] YES 0. NO
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Serving Briei: Edmonds, and
Mountlake Terrace
wwwFireDistrictLorg
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
EDMONDS
AgIBI, R I E R
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY
STATION & SHIF"'
LOCATION:
226 18 Highway Q@ Suim 105 E18026
2 Year 11 1 20-0
BUSINESS NAME:
J .0 1 1 bir Sabri
PHONE:
20E54F.010C SCHEDULED Mar 2014
DATE DUE
MAILING
UFIA0
ADDRESS:
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
HOME PHONE:
CURRENT
i KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS m [-]
EMAIL:
LICENSE /19J
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
I- I HE 5YS I E MS:
FEI_
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
5
6
4
5
6
7
7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE
2nd RE -INSPECTION
DATE DUE
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
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PERSON
CONTACTED:
INSPECTOR:
PERSON
CONTACTED:
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CONTACTED:
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INSPE T R:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2 _1
6
2 6
3 7
4 18
DATE:
CODE
SECTION:
5
3
7
RETURN RECEIPT
RECEIVED
6
4
8
DATE:
DISPOSITION:
7
N, LE 7 ER NEEDED [:] YES NO
LETTER NEEDED C] YES [--]'NO
8
FIRE DEPARTMENT COPY
/ SNOHOMISH CC
jFIRE
DIST
Serving Briei: Edinonds
Mountlake Terraceand
the Town of Woodway
www.FireDistrict].org
LOCATION:
22613 Hwy 99
BUSINESS NAME:
& I Hair Salon
MAILING
22618 Hwy 99 #105
ADDRESS:
Edmonds
BUSINESS OWNER:
Jung, Gasook
EMERGENCY-1:
Kim. Seong
KEY ACCESS-2:
PERSON CONTACTED
NAME OF INSPECTOR
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
105
PHONE: 2065460100
93026
HOME PHONE: 4257737909
HOME PHONE: 4258695670
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
OWOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION & SHIFT')
730 20 6
SCHEDULED
DATE DUE � 03/01/12
LIFIR � 557 3106
CURRENT
CITY YES NO
BUSINESS
LICENSE El El
INITIAL INSPECTION DATE
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FE
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
1 Vf c� 2,—,/j
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
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:
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
8
L4
8
ETE
DISPOSITION:
7
LETTER NEEDED E] YES NO
LETTER NEEDED [I YES NO
8
FIRE DEPARTMENT COPY