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BUSINESS NAME:
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12425 Meridian Ave S
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Everett, WA 98208
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FIRE PREVENTION
Serving Brier, Edmonds, and
12425 Meridian Ave S
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SNO110MISIL CO. -
OIDMONDS
Mo.untlake Terrace
Everett, WA 98208
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Anjewierden, Rebecca
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2063672780
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FIRE PREVENTION
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SNO I HOMISH CO. Set 12425 Meridian Ave S []EDMONDS
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BUSINESS NAME: PHONE: DATE DUE 0 -2/01/12
MAILING 404 Main St LIFIR 0 521 2 202
ADDRESS: '120
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'BUSINESS OWNER: AnjevAerden, Rebecca HOME PHONE: 2Q696-7'L?'70q0 ACTIVE
EMERGENCY-1: HOME PHONE: 60) 5*7 _8URRENT YES NO
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SYSTEMS: ANNUAL
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2
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
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NUMBER:
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—LETTER
DATE:
CODE
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LETTER NEEDED 0 YES 0 NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
Illch 121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION: 404 Main St
BUSINESS NAME: Designer Consigner LLC
MAILING 404 Main St
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257752058
ADDRESS: Edmonds 98020
BUSINESS OWNER: Rebecca HOME PHONE:
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
"FREQUEN STATION & SHIFT
365 Cyl 17 C
SCHEDULED
DATE DUE 11 02/01/11
LIFIR 0 521 2202
ACTIVE
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NAME OF INSPECTOR: wr-z —7 . ( k�
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lst RE -INSPECTION
DATE DUE:
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DATE DUE:
EXTENSION
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DATE DUE:
VIOLATIONS
CITED:
PERSON
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PERSON
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1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
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PRE-CRATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
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RETURN RECEIPT
RECEIVED
6
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4
18
4
8
DATE:
DISPOSITION:
—
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LETTER NEEDED E] YES F-] N6"
FiT—TER NEEDED El YES 0 NO
FIRE DEPARTMENT COPY