611 MAIN ST BLDG (2)Phone (425).551-1200
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
IT w'ww.FireDistrict1.org Fax (425) 551-1272
LOCATION:
FIRE PREVENTION
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INITIAL INSPECTION DATE
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DISPOSITION:
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FIRE DEPARTMENT COPY
FIRE PREVr
SNOHOMISH CO
Serving Briei: Edinonds
1,2425 Meridian Ave S
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BUSINESS NAME: 611 Bldg
PHONE: 42577114115
SCHEDULED
DATE DUE � 07/0-1/11
MAILING
UFIR � 509 7203
ADDRESS: Edmonds 98020
BUSINESS OWNER:
Campbell, Scoff
HOME PHONE: 2067793597
ACTIVE
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HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
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LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
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8
DATE:
DISPOSITION:
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LETTER NEEDED [:] YES El NO
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FIRE DEPARTMENT COPY
T.,
FIRE PREVENTION
CITY OF EDMONDS SAFETY SURVEY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIR DEPARTMENT
LOCATION: 611 Main Street BLDG
BUSINESS NAME: 61113ldg PHONE: 4257711415
MAILING
ADDRESS:
Edmonds
BUSINESS OWNER: Campbell, Scott
EMERGENCY-1:
KEY ACCESS-2:
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HOMEPHONE: 2067793597
HOME PHONE:
HOME PHONE:
FREQUENCY
STATION 1, SHIFT
17 A
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SCHEDULED
DATE DUE 10
07/01/10
UFIR 1- 509
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NAME OF INSPECTOR: 114 vo ?n 06 / 5-
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INSPECTOR:
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DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
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1 5
PRE -CITATION
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
18
DATE:
DISPOSITION:
8
� LETTER NEEDED [] YES C] No
LETTER NEEDED C] YES NO
FIRE DEPARTMENT COPY