23303 HWY 99 STE AP 0
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Serving bnonds 12415 Meridian Ave S INSPECTION REPORT
Mountlake Terraceand Everett, WA 98208 0 EDMONDS
,0 BRIER
the Town of Woodway Phone (425) 551-1200 E]WOODWAY
[I MOUNTLAKE TERRACE
wwwFireDistrictl. org Fay (425) 551-1272 0 UNINCORPORATED
" FREQUENCY STATION& SHIFT—'*-'
LOCATION:
23303 Highway 99
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366 20
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BUSINESS NAME:
Indoor Garden
PHONE: 4256732755
SCHEDULED
DATE DUE 11' 05101/11
MAILING
23303 Highway 99 #A
LIFIR � 547 556
ADDRESS:
Edmonds
98026
BUSINESS OWNER:
Long, Mike
HOMEPHONE: 2532621069
ACTIVE
EMERGENCY-1:
Sully, Tammy
HOME PHONE: 4254249032
eCURRENT
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KEY ACCESS-2:
Allen, Rich
HOME PHONE: 5096740372
CITY YES
NO:
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PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
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SYSTEMS:
ANNUAL
I "
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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
D E 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
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES' El No
LE�TER NEEDED YES NO
F
FIRE DEPARTMENT COPY.,
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDi'strictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1206
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
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0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
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23303 Highway 99 Suites A-C 98026
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23303 Highway 99, Suites A-C, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: HOME PHONE:
'CURRENT
.:KEY ACCESS-2: Artim, P Mathew HOME PHONE: 2069142231..-
EMAIL:
CITY
BUSINESS
YES NO
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PERSON CONTACTED:
INITIAL INSPECTION DATE
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VIOLATIONS
GRANTEDTO: DATE DUE,
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DATE:
7
LETTERNEEDED C] YES [:1 NO
LETTER NEEDED C] YES [I NO
8
FIRE PREVENTION
Sery
'ing Brier, Edmonds
12425 Meridian �ve S
INSPECTION REPORT
Motihtlake Terraceand
Everett, WA 98208
DEDMONDS
0 BRIER
te Town of Woodway
Phone (425) 551-1200
E]WOODWAY
www.FireDistrictl.org
Fax (425) 551-1272
Ej MOUNTLAKE TERRACE
0 UNINCORPORATED
e FREQUENCY
& SHIFT.)
LOCATION:
2330 Highway 99
A
366
7STATION
20 5
BUSINESS NAME:
Indoor Ga n/WI3
'PHONE:
4256732755
SCHEDULED
DATE DUE 05101113
MAILING
ADDRESS:
23303 Hig #A
UFIR
547 556
Edmonds
98026
BUSINESS OWNER:
Long, i e
HOME PHONE:
2532621069
AC"nVE
EMERGENCY-1:
'CESS_.
Ily, Tammy
HOME PHONE: 4254249032
CURRENT
KEY AC
Allen, Rich
HOME PHONE: 5o 96740372
CITY YES NO
BUSINESS F_�
LICENSE
",PERSON CONTACTED-
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
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SYSTEMS:
A�NUZ
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
If I
V
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
11 st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
Vf IONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
15
1 5
LETTER SENT
NUMBER:
4
CODE
2 IJ-
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
3
7
RECEIVED
DISPOSITIOR
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DATE:
7
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