101 MAIN ST/ /I -J
AJ
SNOHOMisx CO. Serving Brier, Edmonds, and
FIREMountlake Terrace
DISTRT www.FireDistrictl.org'
LOCATION: 101 Main Street 98020
BUSINESS NAME:Demetri's Woodstone Taverna
MAILING
ADDRESS:101 Main Street, Edmonds, WA 98020
BUSINESS OWNER:Anna (manager)
EMERGENCY-1:Huffman, Sofeea
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: t; ,�. �' '/-7) $ i
FIRE SYSTEMS: FE 1/14 HD (2) 11/15 12:00:00 AM
Date Last Serviced: 2 /? 12- /9
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: .42577
FIRE PREVENTION
INS ECTION REPORT
DMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY I STATION & SHIFT
Annual 17-C
SCHEDULED Oct 2018
DATE DUE �
UFIR / 161 202
HOME PHONE:
HOME PHONE: 2064062933 CURRENT YES NO
HOME PHONE: 17 CITY ❑
BUSINESS
LICENSE
INITIAL INSPECTION DATE
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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I AGREE TO CORRECT THE 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:
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�-^
DATE:.
DATE:
DATE:
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VIOLATIONS
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VIOLATIONS
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PRE -CITATION
_ LETTER SENT
CITATION ISSUED
NUMBER:
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DATE:
CODE
SECTION:
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RETURN RECEIPT
RECEIVED
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DATE:
DISPOSITION:
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO