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10016 EDMONDS WAY STE D (2)III I�� III 1601(p FD1)')0ti0�f W /ly J 7-f- SNO) F D Serving Brier, Edmonds, and Mountlake Terrace I www.FireDistrictl.org 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 FIRE PREVENTION INSPECTION REPORT PrEDMONDS BRIER ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY STATION & SHIFT LOCATIONA0016 Edmonds Way Suite D 98 2018 20-B BUSINESS NAM Subwa�228011 .� 1��r. PHONE: (425478185$'ATEDUEED Feb 2018 MAILING UFIR / 513 54 ADDRESS:10016 Edmonds Way, Suite D, Edmonds, WA 98020 BUSINESS OWNER: E PHONE: / EMERGENCY-lHollek, Mathew HOME PHONE: 2532A82,543 CURRENT YES KEY ACCESS-2: HOME PHONE: CITY `NO BUSINESS EMAIL: LICENSE PERSON CONTACTED: D.- p+ INITIAL INSPECTION DATE % 1 NAME OF INSPECTOR:���� �(4/15 FIRE SYSTEMS: J Date Last Serviced: HAZARDS FOUND FOUND AND LOCATIONS / COMMUNICATIONS lt 2 3 _.. �— W.-- --- - — �— _ 3 5— 5 —_ _ 7 �__-- _ 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION DATE DUE: PERSON CONTACTED: INSPECTOR: EXTENSION GRANTED TO:_ FINAL RE -INSPECTION k DATE DUE: -~PERSON �, CONTACTED: I� INSPECTOR: VIOLATIONS CITED: .. . ` 2 PERSON CONTACTED: INSPECTOR: DATE: DATE: ' DATE: 3 VIOLATIONS 1 5 2 -_ - 6 3 `7 - - LETTER NEEDED ❑ YES ❑ NO VIOLATIONS 1 5 PRE -CITATION --CITATION ISSUED LETTER SENT NUMBER: CODE DATE: SECTION: RETURN RECEIPT RECEIVED DISPOSITION: 4 5 5 8 2 6 ! 3 7 - -- LETTER NEEDED ❑ -YES ❑ NO