320 DAYTON ST STE 24057-EZqo FIREPREY1,JW,
3ZO DoqtroAj Sr N
ISH CO.
Serving Brier,".Pdm
12425 Meridian Ave S
INSPECTIPIlt, ,ftPORT
F1 E
Mountlake Terraceand
Everett, WA 98208
VJEDMOND8�
16BRIER
the Town of Woodway
Phone (425) 551-1200
E3 WOODWAY
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www.FireDistrictl.org
Fax (425) 551-1272
E3 MOUNTLAKE TERRACE
13 UNINCORPORATED
FREQUENCY
S ION & SHIFT�
LOCATION:
320 Dayton Street
240
731
17 5
BUSINESS NAME:
PHONE: 4256734800
SCHEDULED
DATE DUE 1' 03/01/13
MAILING
320 Dayton St #240
U FIR 591 3202
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
Johannessen, Kad
HOMEP . HONE: 4257762616
ACTIVE
EMERGENCY-1:
PHH & Assoc.
HOME PHONE: 4�§?718230
e-C-URRENT
KEY ACCESS-2:
Main, Susan
HOMEPHONE: 4254816703
CITY YES NO
BUSINESS
1:1 0
LICENSE
PERS N CONTACTED:
INITIZL INSPECTION DATE
N M 0
A E0 F INSPECTOR: K,- At L
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FIRE
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SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
6
6
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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
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
[N-SPECTOR:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
1
INSPECTOR:
INSPECTOR:
2
IDATE:
DATE:
DATE:
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VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
____ _____T1T_ATION ISSUED
NUMBER:
4
1
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
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�LE77ER
8
DATE:
DISPOSITION:
7
LETTER NEEDED YES NO
NEEDED E] YES [I NO'
0,
FIRE DEPARTMENT OOPY
OF EDMONDS
C
121 STH AVENUE N. EDMONDS, WASHINGTON 9802D (425) 771-0215
FIRE DEPARTMENT
LOGA'nON: 320 Dayton Street
SS NAME: Nordic Saga Tours
BUSINE
MAIUNG 320 Dayton St #240
ADDRESS:
FIRE PREVENTION
SAFETY SURVEY
FREJUENCY STATI N �1,6"IFT
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240 7 1 7 �T
:: 0.1/1 1 -
PHONE: 4256734800 SCHEDULED
kDATE DUE 01 03/0-1/11 -
UFIR 0, 591 3202
Eumones 98020
BUSINESS OWNER: Johannessen, Karl
HOME PHONE: 4257762616
rEMERGENCY-1: PHH & Assoc. 4257718230
KEY ACCESS-2: Main, Susan HOME PHONE: 4254816703
HOME PHONE:
PERSON CONTACTED. 4f��
.01.,-
NAME OF INSPECTOR:
FIRE
SYSTEMS:
rimt L&PARTM'ENT Copy
ACTIVE
INITIAL INSPECTION DATE
ANNUAL