23632 HWY 99 STE U (2)0,,,f11RE PREV�NTION,,-
NSPECTION
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Serving Brier, uatnonA and 12425 Meridian Ave S
SN'0110NIISH CO. t.., -
eEDMONDS
Mountlake Terrace Everett, WA 98208 D BRIER
FIRE V D MOUNTLAKE TERRACE
Phone (425) �51-1200
[I UNINCORPORATED
www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 23632 Highway 99 Suite U 98026 FREQUENCY STATION & SHIFT
Annual 20-B
Teriyaki Way -b--;2017
BUSINESS N PHONE: 425.6723378 SCHEDULED S
DATE DUE
MAILING UFIR 0 513
ADDRESS: 23632 Highway 99, Suite U, Edmonds, WA 98026 k,
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Lee, Kwang
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: CIZ.A-Vi
SYSTEMS: FE 7/16 HD 7/16
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HOME PHONE: - 2134469636
HOME PHONE: 20
CURRENT
CITY YES NO
BUSINESS
LICENSE Fkfo
INITIAL INSMCTION DATE
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'FIRE,PREVENTION
INSPECTION REPORT
Serving Brier, Edmonds, and 12425 Meridian Ave S
SNOH01MISH C
EDMONDS
Moiintlake Terrace Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
F1
DI'Ory 0 UNINCORPORATED
A T www.FireDistrictl.org Fax (425) 551-1272
LOCATION:23632 Highway99 SuiteL198026
BUSINESS NAME: Teriyaki Way
MA ILING
ADDRESS: 23632 Highway 99, Suite U, Edmonds, WA 98026
PHONE:
4256723378
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SCHEDULED Sep 2016
DATE DUE �
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: 2.133, - 9�3 YES
KEY ACCESS-2: HOME PHONE: CITY 100,-, NO
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PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: A
FIRE SYSTEWS--FE 7/15 HD 1/15
Date Last Serviced: -Vlt� 71%
SNOHOMISH CO.
FIRE
DIST:
Serving Brier, Edmonds, and
Mountlake Terrace.
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
A_EDMONDS
[3 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
e FREQUENCY STATION & SHIFF)
LOCATION:
23632 Highway 99
Suite U 98026
Annual
20-D
BUSINESS NAME:
Teriyaki Way
PHONE:
4256723378
SCHEDULED
DATE DUE � Sep 2015
MAILING
UFIR � 513
ADDRESS:
23632 Highway 99, Suite U, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1.
Lee, Kwang
HOME PHONE:
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5
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
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2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
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2ATE DUE,
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DATE:
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VIOLATIONS
VIOLATIONS:-
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CITATION ISSUED
LETTER SENT
NUMBER:
4
CODE
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2 6
2 6_
DATE:
SECTION:
RETURN RECEIPT
3
7
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DATE:
7
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
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FIRE PREVENTION
Serving Brio: Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
2)940-60NDS
FIRE
Mountlake Terrace
Everett, WA 98208
El BRIER
IwIff,
DISTRT
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
www.FireDistrict].org
Fax (425) 551-1272
FREQUENCY
STATION & SHIFT
LOCATION:
236321 HiqhAay W Suite U QM26
Annual
2C-C
BUSINESS NAME:
I nriyaki Way
PHONE: 426E,772337f
SCHEDULED Scp 21314
DATE DUE
MAILING
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ADDRESS:
23632 1 lighway 09, Suk LI, Edmands, VIJA OBL-12E
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
Lcc, Kmorq
HOME PHONE: 20E,44014IL-3
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
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INITIAL INSPECTION DATE
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DATE DUE:
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DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
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PERSON
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DATE:
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3
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5
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PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
DATE:
CODE
SECTION:
5
3
7
3
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RETURN RECEIPT
RECEIVED
6
4
8
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED F] YES No
LETTER NEEDED I—] YES NO
8
FIRE DEPARTMENT COPY
W
SNOHOMISH CO.
FIRE
DIST:
Serving Brier, Edmonds
Mountlake Terraceand
the Town of Woodway
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
LOCATION: '23632 Hiahwav 99 Suite U .98026
BUSINESS NAME: Teriyaki Way PHONE: 656723378
MAILING
ADDRESS: 20,632 Highway 99, Suite U, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
Email:
EMERGENCY-1: Lee, Kwano, HOME PHONE:
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED: &
NAME OF INSPECTOR:
FIRE SYSTEMS: FE.</ 117HD
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FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
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0 MOUNTLAKE TERRACE
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Annual 20-6
SCHEDULED
DATE DUE 0 Sel?
UFIR 0 513
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INITIAL INSPECTION DATE
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
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1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
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PERSON
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PERSON
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INSPECTOR:
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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
18
DATE:
DISPOSITION:
7
"I LETTER NEEDED [] YES NO
LETTER NEEDED F] YES NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
4S' t
LOCATION: 23632 Highway 99 u
BUSINESS NAME: Tedyaki Way
A MAILING 23632 Highway 99 #(J
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4256723378
ADDRESS: Edmonds 98026
BUSINESS OWNER: Lee, Kwang HOMEPHONE: 2064401453
EMERGENCY- 1: Lee,Euno HOME PHONE: 2062278061
KEY ACCESS-2: HOME PHONE:
FREOUENCY
STATION & SHIFT
366
20 C
SCHEDULED
09101110
DATE DUE ll�
UFIR P- 513
9006
ACTIVE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: 191
FIRE Hu t)/u,5 t-t= I
SYSTEMS: ANNUAL
HAZARDS FOYND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 0
VIOLATION CODE
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DATE DUE:
2nd RE -INSPECTION
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DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
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INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
LATIONS
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
7
4
8
4
8
DATE:
DISPOSITION:
8
LETTER NEEDED I.D YES NO
LETTER NEEDED YES Ej NO
FIRE DEPARTMENT COPY