23416 HWY 99 STE AI
H16-4QAy-Q9- S-1 -0 P
FIRE PREVENTION
Serving Brie�, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
I r 0 EDMONDS
Adountlake Terrace 'Everett, WA 98208 D BRIER
[I MOUNTLAKE TERRACE
Phone (425) 551-1200
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T w'W`W.FireDistrict1..org Fax (425) 551-1272
r FREOUENCY STATION & SHIFT
LOCATION:
.23416 Highway 99 -!9�98026 29ira* 2Q A.
BUSINESS NAME: PHONE: SCHEDULED
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BUSINESS OWNER .: HOME PHONE:
EMERGENCY-1: 1100 -q I S - (06 6 HOME PHONE: '—CURRENT-
KEY ACCESS-2: Shin, Daniel HOME PHONE: 4256102545 CITY YES NO
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EMAIL: LICENSE
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INITIAL INSPECTION DATE
PERSON CONTACTED: Lhk I L'a A
NAME OF INSPECTOR: 06 /;tq /16
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I AGREE To cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1stRE-INSPECTION
2nd RE -INSPECTION .
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EXTENSION
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LETTER NEEDED F] YES NO
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CITY OF EDMONDS
BUSWESS ucrzNSE APPUCATION- COMM15RCIAL
FEE: $125.00
CITY CLEWS OF�M BUSINESS -LICENSE DIVISION
121 5�m AVENUE NORTH, EDMONDS. WA 98= PHONE. 425.775.2525
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