22939 HWY 99.zz 1—ii6"Wfq� 95
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountla.ke Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:
.22939 Highway 99 98026
BUSINESS NAME:
Alisa's Beauty &Accessories
MAILING'
ADDRESS:
22939 Highway 99, Edmonds, WA 98026
BUSINESS OWNER:
EMERGENCY-1:
KEY ACCESS-2: Yakubova,Alisa
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: <
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FIRE SYSTEMS: FE IQ N
PHONE: 4257755010
HOME PHONE:
HOME PHONE:
HOME PHONE: 2063547575
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FIRE PREVENTION
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VIOLATIONS
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PRE -CITATION
CITATION ISSUED
5
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LETTER SENT
NUMBER:
4
DATE:
CODE
SECTION:
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DISPOSITION:
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\,,LETTER NEEDED [] YES NO
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Fi RE PREVENTION
Sei.-Wnj? Bi`ie�r, Edinonds
12425 Meildian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIELVIEW
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Mountlake Terraceand
Everett, WA 98208
1. . El EDMONDS
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the Town o Woodway
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MOUNTLAKE TERRACE
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wwwFreDistrictl.org
Fax (425) 551-1272
El UNINC04PORATED
LOCATION:
22939 Highway 99
FREQUENCY
731
STATION & SHIF7
20 C
BUSINESS NAME:
Alisa!s Beauty & Accessories
PHONE: 4257755010
SCHEDULED 04101/12
DATE DUE 0
MAILING
22939 Highway 99
UFIRo557 4056
ADDRESS:
Edmonds
98026
1.,
BUSINESS OWNER:
Yakubova, Allisa
HOME PHONE: 2063547575
ACTIVE
EMERGENCY-1:
'Wisner, She"
HOME PHONE: 4254131284
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
rLICENSE
BUSINESS
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PERSON CONTACTED: t S
INITIAL INSPECTION DATE
NAME OF INSPECTOR: ofl
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FIRE
FE
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
6
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1 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
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
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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
18
4
8
DA TE:
DISPOSITION:
LETTER NEEDED C] YES [I NO
LETTER NEEDED C] YES El NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98.020 (425) 771-0215
FIRE DEPARTMENT
LOCATION: 22939 Highway 99
BUSINESS NAME: Alisa's Beauty & Accessories
MAILING 22939 Highway 99 '
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257755010
ADDRESS: Edmonds 98026
BUSINESS OWNER: Yakubova,Alisa HOMEPHONE: 2063547575
EMERGENCY-1: Wisner, Sherryl HOMEPHONE: 4254181284
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION & SHIFT
20. A
SCHEDULED
,DATE DUE 01
04/01110
UFIR ll� 557
4056
ACTIVE
r I INITIAL INSPECTION DATE
PERSON CONTACTED: '-(p'v_Ue0\/ps
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NAME OF INSPECTOR: 14Q 1,40 0
FIRE
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ANNUAL
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ENTER CODE ONLY ONCE ll�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
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8
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lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
NTACTED:
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
7
4
IS
4
a
DATE:
DISPOSITION:
8
\ LETTER NEEDED 0 YES NO
LETTER NEEDED 0 YES NO
FIRE DEPARTMENT COPY