330 DAYTON ST (2)3 3'6 DA 0
FIRE PREVENTION
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Serving Brier, L;a 7onas, and
12425 Meridian Ave S
INSPECTION REPORT
SNOHON11S14
Mountlake Terrace
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Everett, WA 98208
EDMONDS
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0 MOUNTLAKE TERRACE
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org.
Fax (425) 551-1272
330 Dayton �treet 98020
MROCY ST�T4%& SHIFT -S
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PHONE:
SCHEDULED
DATE DUE
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MAILING 330 Dayton Street, Edmonds, WA 98020
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McDevitt, Pat
4257720848
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FIRE PREVENTION
INSPECTION REPORT
SNOHOMISH CO. Serving Brier, Edthotids, andj.-. 12425 Meridian Ave S OEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIRE Phone (425) 551-1200. [3 MOUNTLAKE TERRACE
0 UNINCORPORATED
DISTRJLUT 'www�.'FireDistrictl.org Fax (425) 551-1272
LOCATION: 330 Dayton Street 98020
BLISINESS NAME: 4th & Dayton Bldg PHONE: 4257748876
MAILING
ADDRESS:
330 Dayton Street, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Mcdebt, Pat HOME PHONE: 4257720848
KEY ACCESS-2: HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE-5/13 -P�7% -5
FREQUENCY I STATION & SHIFT
Annual 17-A
SCHEDULED
DATE DUE � Mar 2016
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FIRE PREVENTION
'Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
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FIRE
Alountlake Terrace
Everett, WA 98208
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NUMBER:
4
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DATE:
CODE
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4
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DATE:
DISPOSITION:
"I LETTER NEEDED F] YES NO
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FIRE DEPARTMENT COPY
FIRE PREVENTION
Sei -ving Brier, Edmonds
SNOHOMISH Co.
-12425 Meridian Av e S
INSPECTION REPORT
Mountlake Terraceand
TIR
Everett, WA 98208
0 EDMONDS
0 BRIER
the Town qjAbodway
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Phone (425) 551-1200
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0 UNINCORPORATED
FREQUENCY STATION & SHIFF"
LOCATION:-,,,�C Dayton Street
17 A
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BUSINESS NAME: 4th &'94yton E;Idg
PHONE: 4257748876
SCHEDULED
DATEnuF 1, 03/01112
MAILING 7507 6rdemar Dr
UFIR � 509 3202
ADDRESS: Edmonds 98026
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BUSINESS OWNER: HOME
Patton, Cathleen
PHONE: 4257455733
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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:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 15
VIOLATIONS
1 15
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:
LETTER NEEDED F] YES 0 NO
LETTER NEEDED YES NO
F
FIRE DEP4RTMENT COPY
p
F�
V 'OF EDMONDS
(425) 771-0215
-112i'�T�AVENUE N.
EDMONDS, WASHINGTON 98020
MENT
-FIRE DEPART
LOCATION: k330 Dayton Street
BUSINESS NAME� -.4thl Dayton Bldg
MAILING Braemar Dr
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257748876
11
71 ADDRESS:.' 98026
BUSINESS OWNER: Patton, Cqithleen HOMEPHONE: 4257455733
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PERSON
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PERSON
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CONTACTED:
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INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
6
3
7
3
7
RECEIVED
7
DISPOSITION:
4
18
4
8
DATE:
8
LETTER NEEDED [] YES NO
LETTER NEEDED YES E] NO
FIRE DEPARTMENT COPY
FIRE PREVENTION
CITY OF EDMONDS SAFETY SURVEY
121 5� AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
C3
LOCATION:
330, Dayton Street
BUSINESS NAME:
4th & Dayton Bldg
PHONE: 425.7748876
MAILING
7507 Braemar Dr
ADDRESS:
Edmonds
98026
BUSINESS OWNER:
Patton, Cathleen
HOMEPHONE: 4257455733
EMERGENCY-1:
HOME PHONE:
KEY-ACCESS-2:
HOME PHONE:
FREOUENCY STATION & SHIFT
365� 17 C
SCHEDULED
DATE DUE 11 03/01,110
LIFIR 10 509 3202
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PERSON CONTACTED: Y\,�� INITIAL INSPECTION . DATE
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NAME OF INSPECTOR:
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S�STEMS: ANNUAL
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ENTER CODE ONLY ONCE 110
VIOLATION CODE.,
2
2
3
3
4
4
5
5
6
6
7
7
8
11st RE -INSPECTION
DATE DUE�
2nd RE -INSPECTION
DATE DUE.
1
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE.
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTO14-
INSPECTOR-
INSPECTOR-
2
. 1
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 15
PRE-CITAMON
LETTER SENT
CFFATION ISSUED
NUMBER:
4
2
6
2
6
DATE
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
4
8
DATE:
DISPOSITION:
8
\,UETTER NEED6. 0 YES NO
LETTER NEEDED E] YES NO
FIRE DEPARTMENT COPY