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ADDRESS:
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12425 Meridian Ave S
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Everett, WA 98208
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Serving Brier, Edmonds, and 12425 Meridian A�e S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-IM0
www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 700 Main Street Suite 122 &124 98020
BUSINESS NAME: Olympic Ballet PHONE: 4257784006
MAILING
ADDRESS: 700 Main Street, Suite 124, Edmonds, WA 98020
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FIRE DEPARTMENT COPY
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LOCATION:
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BUSINESS NAME:
Olympic Ballet
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12425 Meridian Ave S
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122 & 124
PHONE: 4257784006
93020
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HOMEPHONE: 4257747570 ACTIVE
HOME PHONE: 249"8
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HOME PHONE: ITy NO
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INITIAL INSPECTION DATE
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
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4
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6
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7
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1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
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DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
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CITED:
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DATE:
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3
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1 5
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LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
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6
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DISPOSITION:
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FIRE DEPARTMENT COPY
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Serving Brier, Edmonds 6
12,425 Meridian Ave S
INSPECTION REPORT
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Mountlake Terrace, and
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Everett, WA 98208
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LOCATION: 700 Main Street
122 & 124
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365 1 17 C
BUSINESS NAME: Olympic Ballet
PHONE: 4257784006
SCHEDULED 12101/11
DATE DUE �
MAILING 700 Main St #124
LIFIR 0 141 1203
ADDRESS: Edmonds 98020
BUSINESS OWNER: Olympic Ballet
HOME PHONE: 4257747570
ACTIVE
EMERGENCY-1: Wilkins, Helen
HOME PHONE: 2064988899
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
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PERSON CONTACTED: IFY 0
INITIAL INSPECTION DATE
NAME OF INSPECTOR: S�6vAlbpLd,,N
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2
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Ist RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
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INSPECTOR-
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2
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
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
LETTER NEEDED E] YES [I NO
rLETTER NEEDED E] YES El NO
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 STH AVENUE N. . EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
t
LOCATION: 700 Main Street
BUSINESS NAME: Olympic Ballet
MAILING 700 Main St #124
FIRE PREVENTION
SAFETY SURVEY
122 & 124 i
PHONE: 4257734006
ADDRESS: Edmonds 98020
BUSINESS OWNER: Olympic Ballet HOMEPHONE: 4257747570
EMERGENCY-1: Wilkins, Helen HOME PHONE: 2M988899
KEY ACCESS-2: HOME PHONE:
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STA�l IN & 6HIFT
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SCHEDULED
102/01/10
DATE DUE 1�
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FIRE FE _!�Lq_ZC
SYSTEMS: ANNUAL
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6
6
7
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8
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DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
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
3
7
3
7
RETURN RECEIPT
RECEIVED
6
.4
18
4
18
DATE:
DISPOSITION:
7
8
LETTER NEEDED F] YES No
LETTER NEEDED E] YES F] NO
t
FIRE DEPARTMENT COPY