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FIRE PREVENTIM
Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPOF
SNOHOMISH CO
FIRMountlake Terrace
Everett, WA 98208
DEDMONDS
0 BRIER
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Phone (425).551-1200
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
www.FireDistrictl.org
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LOCATION:
23821 Highway 99 98026
Annual
BUSINESS NAME:
PHONE:
SCHEDULED
DATE DUE
K&E Motel
4257782181
11109()16
MAILING
LIFIR 0
ADDRESS:
23821 Highway 99, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
Hyun, Myong Hee
EMERGENCY-1:
HOME PHONE:
"CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
EMAIL:
BUSINESS 17171
LICENSE ni El
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: -714 0
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FIRESYSTEMS:. FA11/15FEl/15 Q/
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I AGREE To cbRRECT �HE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE;
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
C ONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE: .
DATE:
VIOLATIONS
V IOLATIONS;-
PRE -CITATION
CI rATION ISSUED
1 5
1 5
2 6
LETTER SENT
NUMBER:
4
2
6
DATE:
CODE
SECTION:
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RETURN RECEIPT
3
7
3 7
RECEIVED
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DISPOSITION:
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k-L ETTER NEEDED F] YES NO
LETTER NEEDED [] YES NO
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Serving BrierEdinonds,,and 12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
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FIRE PREVENTION
INSfE�UION REPORT I
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LOCATION:
23821 Highway 99 98026
Annual
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BUSINESS NAME:
K&E Motel?
PHONE:
4257782181
SCHEDULE@ n 20-15-
DATE DUE
MAILING
ADDRESS:
23821 Highway 99, Edmonds, WA 98026
UFIR
BUSINESS OWNER:
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HOME PHONE:C),o6)366
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NAME OF INSPECTOR:
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FA7/13FEftL/
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
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
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
8
4
'8
DATE:
DISPOSITION:
7
"', LETTER NEEDED [-] YES NO
LETTER NEEDED [:] YES NO
FIRE DEPARTMENT COPY