23632 HWY 99 STE J7 '--r'77-
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Z-36SZ" 14'Z44 1 q'9. S' '7FIRE:PREVENTION
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Serving Brier, Edmonds, and 12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mozintlake Terrace Everett, WA 98208
OEDMONDS
0 BRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
www.FireDistrictl.org Fax (425) 551-1272 �
LOCATION: 23632 Highway 99 Suite J 98026
BUSINESS NAME: Super Cuts PHONE:
MAILING
ADDRESS: 23632 Highway 99, Suite J, Edmonds, WA 98026
BUSINESS OWNER: Gab relle — HOME PHONE:
EMERGENCY-1: Sand Dollar Corporation
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED: C." *r
NAME OF INSPECTOR: Z-7�
;YSTEMS: FE 12/12 /.
4256729105
HOME PHONE: 5109356862
HOME PHONE:
FTJENCY STY6)
2 1 _V SHIFT
SCHEDULED Sep 2016
DATE DUE �
591
U
FIR
CURRENT
CITY YES NO
BUSINESS
LICENSE El" 1:1
INITIAL INSPECTION DATE
W
Set-ving Brier, Edmonds
Mozintlake Terrace,and
the Town of Woodway
www.FireDistrictl.org
LOCATION: 23632 Highway 99 Suite J 98026
BUSINESS NAME: Super Cuts
FIRE PREVENTION,,.,.
INSPECTION REPORT
0 EDMONDS
0 BRIER
0WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY ST ION & SHIFT�
2 Year 13 20-B
SCHEDULED
DATE DUE 0 Sep
MAILING FIR 591
ADDRESS: 23632 Highway 99, Suite J, Edmonds, WA 98026
BUSINESS OWNER: Gore, Michael HOME PHONE:
Email:
EMERGENCY-1: Sand Dattar Corporation E PHONE: 51139S568152 CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED.,
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4256729105
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
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR
2
DATE:
DATE:
DATE:
3
VIOLATIONS
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
14
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED [0] YES 0
fLETTER NEEDED [—] YES NO
8
FIRE DEPARTMENT COPY