102 5TH AVE S (2)to
FIRE PREVENTION
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Serving Brier, hamunds, and
12425 Meridian Ave S
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Mountlake Terrace
Everett, WA 98208.
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www.FireDistrictl.org
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LOCATION: 102 5 th Avenue S 98020
BUSINESS NAME: Treasures and Teas
MAILING
ADDRESS: 102 5th Avenue S, Edmonds, WA 98020
BUSINESS OWNER: Carlton, Phyllis
PHONE: 4257712601
HOME PHONE:
FREQUENCY STATION & SHIFT
Annual I 17-D
SCHEDULED Feb 2017
DATE DUE 0
545202
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NAME OF INSPECTOR:
FIRE SYSTEMS: FE 8/15
Date Last Serviced: g) I
SNOHOMISH CO.
FIRE
DISTR.
.Serving Brier, Edmonds, and 12425 Meridian Ave S
-Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 102 5 th Avenue S 98020
• BUSINESS NAME: Treasures and Teas PHONE: 4257712601
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BUSINESS OWNER:
HOME PHONE:
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NAME OF INSPECTOR:
FIRE SYSTEMS: FE 10/14. / ,-
FIRE PREVENTION
INSPECTION REPORT
AflEDMONDS
BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY I STATION & SHIFT
Annual 17-C
SCHEDULED
DATE DUE ► Feb 2016
UFIR ► 545 202
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE: __._...
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
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DISPOSITION: ,
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LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES. ❑ NO
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F ' INSPECTION REPORT
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FIRE PREVENTION
i 3NOHOMISH CO.r Serving Brier Edmonds, and 1..4�5 Meridian At e S INSP.
Mountlake Terrace Everett, WA 98208 ❑ EDMONDS
FIRE El BRIER
Phone (425) 551-1200 [:1MOUNTLAKE TERRACE
DISTRIfTwwwFireDistrictLorg Fax (425) 551-1272 ❑ UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION:
102 5 th Avenue S 08020
Annual
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17-A
BUSINESS NAME:
Treasures and Teas
PHONE: 4257712601
D TE DUE 1' Ce6 2014
MAILING
UFIR','06 202
ADDRESS:
9,8020
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
HOME PHONE: CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS c{� ❑
EMAIL:
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INITIAL INSPECTION DATE
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4
4
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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
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
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
6,
4
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY