538 MAIN STFIRE PREVENTION
'Serving Brier, EUMVIlLiJ,'and 12425 Meridian Ave S INSPECTION REPORT
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Mountlake Terrace Everett, WA 98208 0 BRIER
F1 E Phone (425) 551-1200 0 MOUNTLAKE TERRACE
[I UNINCORPORATED
DlSfii T www'.FireDistrictl.org Fax (425),551-1272
538 MainStreet 98020
LOCATION:
Salon Moda
BUSINESS NAME: PHONE: c4z
MAILING 538 Main Street, Edmonds, WA 98020
ADDRESS:
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SCHEDULED m5y 2ul I
DATE DUE �
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BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: HOME PHONE: 17 CURRENT-A�&-
KEY AC . CESS-2: HOME PHONE: CITY YE NO
BUSINESS � '
EMAIL: P LICENSE. El
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF -7
_INSPECTOR: J
Date Last Serviced:. 3111-1
Serving Briei; Edmonds, and
Mountlake Terrace
www.FireDistrict].org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY
STATION& SHIF_*"
LOCATION:
538 Main Street
98020
2f Year 14
17-A
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BUSINESS NAME:
Salon Moda
PHONE: 4257786630
SCHEDULE'10,y 2014
DATE DUE
MAILING
UFIR P57 203
ADDRESS:
538 Main Street, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
HOME PHONE:
�_CUFIRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
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EMAIL:
LICENSE
PERSON CONTACTED: AU
-s(:n�: tyE A-Tf..j
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS:
FE
HAZARDS FOUND AND LOCATIONS/ COY
ICATIIQS
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2
2
3
3
4
4
5
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5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
I
2nd RE -INSPECTION
D E DUE:
'I
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
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
13
7
3
7
RETURN RECEIPT
RECEIVED
6
4
'8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED F] YES No
LETTER NEEDED [] YES NO
1
8
FIRE DEPARTMENT COPY