23200 EDMONDS WAY STE A (2)SNOHOMISH CO.
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Serving Brier, 's INSPECTION REPORT
12425 Meridian Ave S
0 EDMONDS
Mountlake Terrace,and Everett, WA 98208 0 BRIER
the Town of Woodway Phone (425) 551-1200 0 WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrict].org Fax (425) 551-1272 0 UNINCORPORATED
r FREQUENCY
F-STATION & SHIFT
LOCATION: 23200 Edmonds Way
A
731
20 C
BUSINESS NAME:
Vacant
PHONE:
SCHEDULED
DATE DUE 07/01/13
MAILING
LIFIR " 593 7055
ADDRESS:
BUSINESS OWNER:
HOME PHONE:
ACTIVE
EMERGENCY-1: Brudvik, Ann
HOME PHONE: 4257781082
e CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
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LICENSE
INITIAL INSPECTION DATE
PERS N CONTACTED:
NAME OF INSPECTOR:
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FIRE
FE
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
I 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
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the Town of Woodway
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0 WOODWAY
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www.FireDistrictl.org
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6
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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
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VIOLATIONS
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PERSON
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VIOLATIONS
11 15
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LETTER SENT
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NUMBER:
4
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6
2
6
DATE:
CODE
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5
3
7
3
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RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
LETTERNEEDED [-] YES No
LETTERNEEDED E] YES [I NO
8
FIRE DEPARTMENT COPY
LOCATION: 23200
r e Edmonds
�fning B i r,'
n ldk,�'Tdrraceand
the Town of Woodway
www.FireDistrictl.org
Edmonds Way
BUSINESS NAME: Vacant
MAILING
ADDRESS:
BUSINESS OWNER:
EMERGENCY-1: 13ruftk, Ann
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
A
PHONE:
HOME PHONE:
4257731082
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
CEDIVIONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
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SCHEDULED 07/01/12
DATE DUE II'
UFIR 1,. 593 7055
ACTIVE
CURRENT
CITY YES NO
BUSINESS
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INITIAL INSPECTION DATE
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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2
2
3
3
4
4
5
5
6
6
7
7
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
CITED:
PERSON
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PERSON
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PERSON
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INSPECTOR:
IN SPECTOR:
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DATE:
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DATE:
3
VIOLATIONS
5
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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
18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
PRE20110018 (PT -LIVE) - PermitTrax by Bitco Software
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PRE APPLICATION PERMIT #: PRE20110018
PROP OWNER: WOODHAVEN VETERINARY C... STATUS: APPLIED
ADDRESS: 23200 EDMONDS WAY, EDMONDS BALANCE: $0.00
ISSUED: CREATED: 7/20/2011
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DATE:
CODE
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7
4
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4
8
DATE:
DISPOSITION:
8
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FIRE DEPARTMENT COPY