22727 HWY 99 STE 110d. rc I
z7 10 FIRE PREVENTION
INSPECTION REPORT
Servink Brier, r-amonds, and 12425 Meridian Ave S
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DEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
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Phone (425) 551-1200 0 MOUNTLAKE TERRACE
0 UNINCORPORATED
D I t-12 AL www.FireDistrict].org Fax (425) 551-1272
LOCATION: 22727 Highway 99 Suite 11.0 98026
JS Hongik Acupuncture 2063938252
BUSINESS NAME: PHONE:
MAILING
ADDRESS: 22727 Highway 99, S . uite 110, Edmonds, WA 98026
BUSINESS OWNER:
EMERGENCY-1: Kwon,Yoon
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: t_p-) I rotj
HOME PHONE:
HOME PHONE: 2063938252
HOME PHONE:
FREQUENCY I STA�8�6 SHIFT'*'
2016
SCHEDULED Oct 2016
DATE DUE �
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CURRENT
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YES NO
BUSINESS
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LICENSE
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INITIAL INSPECTION DATE
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SNOHOMISH CO. Serving Briei; Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
"IRE *�Nl, 0, 1 EL Phone (425) 551-1200
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LOCATION: 22727 Highway 99 Suite 110 98026
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BUSINESS NAME: JS Honqik Aculouncture PHONE: 206393825' ,
MAILING
ADDRESS: 22727 H i ghway 99, Suite 110, Edm onds, WA 98026
BUSINESS OWNER: HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
A EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION 1, SHIFF"'
2 13 20-A,
SCHEDULED Oct 2013
DATE DUE k
UFIR 0 1593
EMERGENCY-1: Kwon, Yoon HOME PHONE: 2063938252 " CURRENT
KEY ACCESS-2: HOME PHONE: CITY YESO NO
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EMAIL: _zjMg-tx=4
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PERSON CONTACTE6 �'Jet)j'
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NAME OF INSPECTOR:
FIRESYSTEMS: �FE I
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
A
V
2
2
3
3
4
4
5
5
6
6
7
7
F
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
E DUE:
EXTENSION
GRANTEDTO:
FINALYRE-INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
E:
DATE:
3
VIOLATIONS
5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
,2
6
2
6
DATE:
CODE
SECTION:
5
13
7
3
7
RECURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES Cl NO
LETTER NEEDED E] YES [I NO
8
FIRE DEPARTMENT COPY