22727 HWY 99 STE 208_209SNQ1:&1ffH 0.
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227Z7 FIRE'PREVENTION
208 INISPECTION REPORT
Serving Brier, Edmurtua, .,,d 12425 Meridian Ave S EDMONDS
Mozintlake Terrace Everett, WA 98208 8BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
[] UNINCORPORATED
"Ak-03 A JLIoJ.%.o L. www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 22727 Highway 99 Suite 209 98026
BUSINESS NAME: Edmonds Implant & Dentistry PHONE: 4255828921
MAILING 22727 Highway 99, Suite 209, Edmonds, WA 98026
ADDRESS:
FREQUENCY STATION & SHIFT
2016 20-D
SCHEDULED Oct 2016
DATE DUE �
593
LIFIR
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: ?e7b '5'Cj-? 3e2j CITY YES NO
BUSINESS
EMAIL: LICENS1
INITIAL INSPECTION bATk
PERSON CONTACTED- /0 - n- 3 -14a
NAME OF INSPECTOR:
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Serving Briei; Edmonds, and 12425 Meridian Ave S
SNOHOMISH CO.
Mountlake Terrace Everett, WA 98208
FIRE Phone (425) 551-1200
DISTRI T www.FireDistrict].org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
I?1f6MONDS
El BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
" FREQUENCY
STATION & SHIF`�
LOCATION:
22727 Highway 99 Suite 209 98026
13
I
20-A
BUSINESS NAME:
Edmonds Implant & Dentistry PHONE:
4255828921
SCHEDULED Oct 2013
DATE DUE
MAILING
UFIR � 593
ADDRESS:
22727 Highway 99, Suite 209, Edmonds, WA 980215
BUSINESS OWNER:
HOME PHONE:
tP�Aqo
EMERGENCY-1:
Lee, Shaun DIDS HOME PHONE:
92578901150'
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES
NO
BUSINESS 1;7
El
EMAIL:
LICENSE
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PERSON CONTACTED:
6) 'Y�C-e_
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
3
FIRE SYSTEMS:
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HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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0
2
2
3
3
4
4
5
5
6
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7
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1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violation.
If you require additional information or to schedule a re -inspection for Edmonds or the Town of Woodway, call (425)
775-7720; for Mountlake Terrace or Brier, call (425) 754-0434.
BUSINESS COPY