533 ELM WAY (3)!k; Serving Brierzamonds, 'and
SN0110AIISI-1 CO.
-Mountlake Terrace
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www.FireDistrictl.org
533 Elm Way 98020,
LOCATION:
Neckas Five-Plex
BUSINESS NAME:
MAILING 309 S Cloverdale St A#7, Seattle, WA 98108
ADDRESS:
Welsh, H
BUSINESS OWNER:
Neckas, Christina
EMERGENCY-1:
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
1 11 %1- 5 , 8f EMS. 1-t
Date Last Serviced:
'77""72
12425 Meridibn Ave S
Everett, WA 9820ff-'-
Phone (4��) 551-1200
1 1
Fax (425) 551-1272
2069385100
PHONE:
HOME PHONE:
2067623877
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
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DATE DUE �
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INITIAL INSPECTION DATE
Serving Brier, Edmonds, and
Mo�ntlake Terrace
12425 Meridian Ave S
Everett, WA 98208
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Fax (425) 551-1272
LOCATION: 533 Elm Way 98020
BUSINESS NAME: Neckas Five-Pl6x
PHONE: 2069385100
MAILING
ADDRESS: 309 S Cloverdale St A#7, Seattle, WA 98108
BUSINESS OWNER: Welsh, H
HOME PHONE:
EMERGENC Y-1: Neckas, Christina
HOME PHONE:
2067623877
KEY ACCESS-2:
HOME PHONE:
EMAIL:
PERSON CONTACTED:
N AME OF INSPECTOR: F)005_�
FIRE SYSTEMS: FE 12/12
FIRE PREVENTION
INSPECTIOU REPORT
DEDMONDS
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[3 MOUNTLAKETERRACE
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Annual 17-A
SCHEDULED
DATE DUE 0 Dec 2015'
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CURRENT
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LICENSE L-i
INITIAL INSPECTION DATE
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
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I AGREE TO CORRECT THE ABOVE VIOLAtION(S) IN THE NEXT 30 DAYS X
11st RE -INSPECTION
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PERSON
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2nd RE -INSPECTION
DATE DUE:
EXTENSION
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6
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8
DATE:
DISPOSITION:
7
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LETTER NEEDED [:] YES NO
SNOHOMISH CO.
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Alountlake Terrace
www.FireDiskicll. org
LOCATIO . N -. 5M Elm Way 98020
BUSINESS NAME: Ncfkwi Fivc-Plcw
MAILING
FIRE PREVENTION
12425 Meridian Ave S INSPECTION REPORT
WDMONDS I
Everett, WA 98208 OBRIER
Phone (425) 551-1200 El MOUNTLAKE TERRACE
[I UNINCORPORATED
Fax (425) 551-1272
I` FREQUENCY I STATION & SHIF")
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SCHEDULED
PHONE: DATE DUE 0 Om 2014
U F I R o 4,22
ADbRESS:
300 ' S , Claverdalt- SLAP, Scaft, WA 08108
BUSINESS OWNER:
'W44.1 i, H HOME PHONE:
EMERGENCY-1:
Nc(;�ms_ChriiiIJna HOME PHONE:
20PE23377
KEY ACCESS-2:
HOME PHONE:
CITY S
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EMAIL:
BUSINESS
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PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
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1 Va bo'.Lk' b O'L'
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
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
,CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
'b)ATE:'
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
14
4
8
DATE:
DISPOSITION:
.8
LETTER NEEDED [:] YES NO
LETTER NEEDED E) YES NO
8
FIRE DEPARTMENT COPY