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100 2ND AVE S (2)AJO nv9 FIRE PREVENTION ' Edmonds, and Slid?kiC7SYi 1Sli CO. i Serving BYIeY, Mountlake Terrace FIRE`�TW-'- 12425 Meridian Ave S Everett, WA 98208 " INSPECTION REPORT ❑ EDMONDS ❑BRIER �� , SFax42S Tenbg4�#4k�6ctl.org Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED i SS1-1272 Annual 17-C FREQUENCY STATION & SHIFT LOCATION: Harbor Bldg 4257711755 N v 2017 BUSINESS NAME: PHONE: SCHEDUL 9202 DATE DU 100 2nd Avenue S, Bldg, Edmonds, WA 98020 MAILING UFIR ► ADDRESS:Hassen, Rick 415 - 2.6q - Sit 3 1-0 - f,1 7 BUSINESS OWNER:gf�s,� HOME PHONE: I �yU 1V EMERGENCY-1: HOME PHONE: CURRENT KEY ACCESS-2: t EMAIL: A a SSA pr-op C L o t,C.,c,4 HOME PHONE: CITY YES NO BUSINESS LICENSE PERSON CONTACTED: ; L�, Airr. INITIAL INSPECTION DATE IRE SiYA%T PEC A 4/16 E 4/16 12:00:00 AM Date Last Serviced: \ \ \ HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 00 -.2__-_.__--_ 3 _..---._..___._...._. .. 3 4 4 6 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: PATE DUE.. DATE DUE: i CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: _ 3 VIOLATIONS VIOLATIONS PRE -CITATION 1 5 1 5 LETTER SENT NUMBER: 4 _ CODE 5 2 6 2 r 6 DATE.._... _._ ....»,. .... SECTION. _ .. _.... » ... RETURN RECEIPT B 3 7 3 7 RECEIVED DISPOSITION' 4 : 6 4, ' 8 DATE: LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO q