515 MAIN ST STE B (2)110
SNOHOMISH CO.
LOCATION: 515 Main Street
BUSINESS NAME:
Your Table is Ready/Rear Bldg
MAILING
ADDRESS: 515 Main St 6
Edmonds
BUSINESS OWNER:
Young, Michael
EMERGENCY-1: Peterson, Strom
KEY ACCESS-2:
PERSON CONTACTED
NAME OF INSPECTOR
FIRE
SYSTEMS-
44A X?,,) 7 Str L
Serving jUrier.- Js 12425 Meridian Ave S
Mountlake Terraceand Everett, WA 98208
the Town of Woodway Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
1
365 17 A
SCHEDULED
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519 5203
6
PHONE: 4257715757
98020
HOMEPHONE: 4258769329
HOMEPHONE: 206799730
HOME PHONE:
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0 BRIER
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FIRE DEPARTMENT COPY
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FIRE PREVENTION
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4 -7425 Meridian Ave! S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terrace, and. I
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Everett, WA 98208
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LOCATION: 515 Main Street
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SCHEDULED
DATE DUE � 05/01/12
MAILING 515 Main St 13
UFIR �-519 5203
ADD . RESS: Edmonds 980,20
BUSINESS OWNER: Young, Michael
HOME PHONE: 4258769329
AC-nVE
EMERGENCY-1: Peterson, Strom
HOME PHONE: 2067997363
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
FE I
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ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
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7
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I 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:
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DATE:
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3
VIOLATIONS
1 5
VIOLATIONS
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PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
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4
IS
DATE:
DISPOSITION:
7
LETTER NEEDED C] YES El NO
fLETTER NEEDED. F] YES Nq
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8
FIRE DEPARTMENT COPY
6
FIRE PREVENTION
CITY OF EDMONDS
SAFETY SURVEY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
/FIRE DEPARTMENT
4S'
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STATION & SHIFT
LOCATION:
515 Main Street
6
365
17 6
BUSINESS NAME:
Your Table is Ready/Rear Bldg
PHONE:
4257715757
SCHEDULED
DATE DUE 111'
MAILING
515 Main St 6
UFIR I� 519 5203
ADDRESS:
Edmonds 98020
0.,t,
BUSINESS OWNER:
Young, Michael
qQME-PHONE:
4258769329 ACTIVE
EMEIRGENCY-1:
Peterson, Strom
HOME PHONE:
2067997363
KEY ACCESS-2:
HOME PHONE:
PERSON CONTACTED: 71p_ 11�0 Ch/1 0
INITI AL IN9PECTION DATE
NAME OF INSPECTOR:
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8
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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
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PERSON
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1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
E-
DATE,
DATE,
3
VIOLATIONS
1
VIOLATIONS
5
PRE-CITAMON
LETTER SENT
CITNTION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
1 8
DATE:
DISPOSITION:
8
LETTERNEEDED [] YES NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY
A