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418 Main Street 98020
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BUSINESS NAME:
Edmonds Bakery
PHONE:
4257786811
SCHEDULED
DATE DUE 0 Feb 2016
MAILING
UFIR 0 716 202
ADDRESS:
1505 10th PL N, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
Bellingham, Ken
HOME PHONE:
4257752981
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KEY ACCESS-2:
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.12425 Meridian Ave S
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Annual
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BUSINESS NAME
Edmonds Bakery
PHONE;�" _,.4257786811
SCHEDULEcFeb 2015
DATE DUE
MAILING
716202
LIFIR
ADDRESS:
1505 10th PIL N, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
Bellingham, Ken
HOME PHONE: i4257752981
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DATE DUE:
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DATE:
LETTER NEEDED 0 YES El NO
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11
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FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMI
Mountlake Terrace
FIRE
Everet't' WA 98208
;M EDMONDS
0 BRIER
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Phone (425) 551-1200
Fax 551-1272
El MOUNTLAKE TERRACE
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F—STATION & SH I FT
LOCATION: 416 MainStreet 98020
Annual
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BUSINESS NAME: Edmonds Bakery
PHONE: 42577BB811
SCHEDULED F 2
DATE DUE eb 014
MAILING
UFIR7016
ADDRESS: 1505 -10th PL N, Edmonds, 14VA, 98020
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1: Bellinqham, Ken
HOME PHONE: 4257752081
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
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FINAL RE-INSPECT71ON
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PERSON
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CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
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DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
4
1 5
1 5
LETTER SENT
NUMBER:
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
6
3
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RECEIVED
DISPOSITION:
7
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DATE:
LETTER NEEDED [] YES NO
LETTER NEEDED [-] YES [Ell NO
1
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FIRE DEPARTMENT COPY
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SNOHOMISH CO. Serving Brier, Edih&nds
FIRE Mountlake Terraceand
e Town of Wo�a!way'
DISTRI T thwwFireDistrictLorg
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LOCATION:
418 Main Street
BUSINESS NAME:
Edmonds Bakery
MAILING
1505 1 Oth PI N
ADDRESS:
Edmonds
BUSINESS OWNER:
"Bellingham, Ken"
EMERGENCY-1:
KEY ACCESS-2:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257786811
98020
HOMEPHONE: 4257752981
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365 17 6
SCHEDULED o 21
DATE DUE 11' 01/13
UFIR 11, 716 2202
ACTIVE
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LICENSE X1 1:1
01 PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE HD 5102 17 FE S117
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
IAAZ: A,
2
2
3
3
4
4
5
5
6
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I 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:
VIOLATIO - NS_:
CITED:
PERSON
CONTACTED:
PERSON
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PERSON
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INSPECTOR:
INSPECTOR:
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
8
4
8
DATE:
DISPOSITION:
7
\1 LETTERNEEDED [] YES NO
LETTER NEEDED F] YES El NO
8
FIRE DEPARTMENT COPY
0
SNOROMIS11CO Serving Brier, Ednionds
Mountlake Terraceand
FIRE the Town of Woodway
www.FireDistrictl.org
D I !.' 3, r. rL R T
LOCATION: 418 Main Street
BUSINESS NAME: Edmonds Bakery
MAILING 1505 10th PI N
ADDRESS: Edmonds
BUSINESS OWNER: "Bellingham, Kenn
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED: Kta ty/ 4
NAME OF INSPECTOR: kw-l-w e s-
FIRE HD 5/02
SYSTEMS:
FIRE PREVENTION
12425 Meridian Ave S INSPECTION REPORT
0EDMONDS
Aelrett, WA 98208 El BRIER
Phone (425) 551-1200 OWOODWAY
0 MOUNTLAKE TERRACE
Fay (425) 551-1272 0 UNINCORPORATED
PHONE: 4257786811
98020
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HOME PHONE:
FREQUENCY
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DATE DUE I`
LIFIR 1, 716
2202
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CURRENT
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YES NO
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LICENSE
INITIAL INSPECTION DATE
AN
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
vapl&
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) I
E-NZXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRAN�:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS'
CITED:- _t"JI
PERSON
CONTACTED.
PERSON
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1
INSPECTOR:
INSPECTOR:
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
4
7
8
RETURN RECEIPT
RECEIVED
6
14
18
DATE:
DISPOSITION:
7
LETTER NEEDED F] YES NO
I LETTER NEEDED [-] YES NO
8
FIRE DEPARTMENT COPY
M
LLoCITY
IRE EXTINGUISHER CO.
.Q�,_-Box�:W59.--LAM, woqdi69aQ4,6,` 0 (206) 7744911
SYSTEM LOCATION:
Edmonds Bakery
418 main st.
Edmonds. Wa. 98020
PROTECTED AREAS:
Hood(s): 24'�C3811
Duct (a): 2411 x 811
Plenum(s): 10" x 38"
.Appliances: 24" X 2611 Fryer
SYSTEM MODEL:
Kidde HDR-25DC
-1 Nozzles
2 ea in Duct
2 ea in Plenum
.2 ea Over Fryer
1 ea 360 Degree Fdssible Link in Duct
*A manual control station is located in the path of egress. -tjp
*The system is equipped with an.sutomatic fuel shut-off: gas electic
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