23303 HWY 99 STE G�y
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SNOHOM SH CO. Serving Brier, Ed, onds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
IF1
www.FireDistrictl.org
Phone (425) 551-1200
Fax (425) 551-1272
LOCATION:
23303 Aighway95 SuitesF-998026
BUSINESS NAME: PHONE:
Nash Chiropractic 4256975188
MAILING'
ADDRESS:
23303 Highway 99, Suites_I>K, Ed , monds,*WA .98026
BUSINESS OWNER: HOME PHONE:
Nash, Mathew
EMERGENCY-1: HOME PHONE: (—/;s C
KEYACCESS-2: Nash, Mathew HOME PHONE: 4253189055
EMAIL:
PERSON CONTACTED: 0-
NAME OF INSPECTOR:
FIRE SYSTEMS: FE TIN
FIRE PREVENTI0�"`.--`,`.-,,,
INSPECTION REPORT.
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY STATION & SHIF"I
20% T] 20 G
SCHEDULED
DATE DUE 0
May 9016
UFIR 0
593
CURRENT — _
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BUSINESS
LICENSE
INITIAL INSPECTION DATE
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I AGREE TO CbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
2nd RE -INSPECTION
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EXTENSION
FINAL kElINSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
PERSON
CONTACTED:
PERSON
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INSPECTOR:
INSPECTOR:
2
DATE:
3
,DATE
DATE:
VIOLATIONS
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2
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:'
CODE
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4
5'
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16
7
DATE:
RETURN RECEIPT
RECEIVED
6
DISPOSITION:
4
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[] YES El NO
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LETTERNEEMID [:] YES El NO
LETTERNEEDED
8
FIRE PREVENTION
Serving Brier, Edmonds 12425 Meridian Ave S INSPECTION. REPORT
0 EDMONDS
Mountlake Terrace, and Everett, WA 98208 0 BRIER
the Town of Woodway Phone (425) 551-1200 OWOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrict].org Fax (425) 551-1272 0 UNINCORPORATED
LOCATION: 23303 Highway 99
BUSINESS NAME:
Nash Chiropractic
MAILING
ADDRESS:
23303 Hwy 99 Suite F
Edmonds
BUSINESS OWNER:
Nash, Mathew
EMERGENCY-1-.
Nash, Tara
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
!;VqTPI1w1q-
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PHONE: 4256975188
98026
HOME PHONE: 4253489055
HOMEPHONE: 4253461925
HOME PHONE:
FREQUENCY I STATION & SHIFT_*�
731 20 6
SCHEDULED
DATE DUE 11' 05101,113
UFIR 10
593 5056
CURRENT
CITY YES NO
BUSINESS
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ANNUAL
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
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DATE DUE: F,
2nd RE -INSPECTION
DATE DUE:
EXTENSION
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INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE: k
DATE:
DATE:
3
1 ��OLA IONS
15
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
8
4
18
DATE:
DISPOSITION:
7
LETTER NEED D [] YES NO
LETTER NEEDED [-] YES NO
8
FIRE DEPARTMENT COPY
SNOHOMISH CC
TIRE
DI nn
SL
Serving Brier, Edmonds
Mountlake Terraceand
the Town of Woodway
www.FireDistrict].org
LOCATION: 23303 Highway 99
BUSINESS NAME:
Nash Chiropractic
MAILING
ADDRESS: 23303 Highway 99 #G
Edmonds
BUSINESS OWNER:
Nash, Mathew
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
12425 Meridian Ave S
Everett, WA 98208
Phone'(425) 551-1200
Fax (425) 551-1272
G
PHONE: 4256975188
98026
HOMEPHONE: 4257721780
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
OEDMONDS
0 BRIER
D WOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION & SHIFF"I
731 20 B
SCHEDULED
DATE DUE 115/011,113
UFIR �
593 556
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE 1:1 11
INITIAL INSPECTION DATE
FE I
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