10014 238TH ST SWServing Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:10014 238 th Street SW 98026
BUSINESS NAME 1- (Vacant) PHONE: 20?U -1
MAILING OG?��iG.7 SCO (r. J�� (1W usL—t "S 1 3&
ADDRESS10014 238th /Street SW, Edmonds, WA 98026
BUSINESS OWNER: V\ �q�, CrI HOME PHONE:
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
EMAIL: ,l 1^ J �cl ` A4 (-O 20 .
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
D
FIRE PREVENTION
INSPECTION REPORT
E•EDMONDS
` BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
2019 20-D
SCHEDULED
DATE DUE I`Jan 2019
UFIR / 0
CURRENT
CITY YES 'NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
LOCATIONS (COMMUNICATIONS
1
1
Nv ceAAArae
? _.___.....
3
2
3
4
4
5
5
6
7
6
7
I AGREE TO CORRECTTHE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
_
2nd RE -INSPECTION
DATE DUE:
-
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
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
5
4
8
4
$
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
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