102 5TH AVE N STE A,, 4.illlIII i ��
�!
FIRE PREVENTION
h INSPECTION REPORT
sNoxaMrsx co. ' Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208 I�DMONDS
FIRE 2 51-1200 ❑BRIER
DISTR T Phone (4 5) 5 ❑ MOUNTLAKE TERRACE
wwwFireDistrictl.org Fax (425) 551-1272 [1 UNINCORPORATED
LOCATION:102 5 th Avenue N Suite A 98020
BUSINESS NAME Garden Gear
MAILING
ADDRESS:102 5th Avenue N, Suite A, Edmond:, WA 98020
PHONE: 425778611
FREQUENCY STATION & SHIFT
2018 17-B
2 SCHEDULED Jun 2018
DATE DUE 1'
UFIR / 547 203
BUSINESS OWNERHall, Llli HOME PHONE:
EMERGENCY-1 Campbell, Terry HOME PHONE: 2069998924 CURRENT YES NO
KEY ACCESS-2: HOME PHONE: 17 CITY / El
L�(d/
EMAIL: � LICENSE .
INITIAL INSPECTION DATE
PERSON CONTACTED.
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 7/15//�
Date Last Serviced:'
HAZARDS FOUND AND LOCATIONS/ COMMUNICATIONS
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE IJEXT 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:
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INSPECTOR:
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VIOLATIONS
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PRE -CITATION
LETTER SENT
DATE:
CITATION ISSUED
NUMBER: 4
CODE g
SECTION:`_ _
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RETURN RECEIPT
RECEIVED
DATE:
DISPOSITION:
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LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES [] NO
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