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-.�+► �� FIRE PREVENTION
Serving Brier, Edmonds, and 12425 Merididn Ave S INSPECTION REPORT
SNC+HOMISH CO. EDMONDS
Mountlake Terrace Everett, WA 98208 [BRIER
FIRE Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE
DISTRIfwww.FireDistrictl.org Fax (425) 551-1272 UNINCORPORATED
LOCATION 104 5 th Avenue N 98020
BUSINESS NAMEAdvanced Hearing Systems
MAILING
ADDRESS104 5th Avenue N, Edmonds, WA 98020
BUSINESS OWNER n- A„r,�V P7 gV,`-T
j l{
EMERGENCY 1Ay}jr'_
KEY ACCESS-2.: �' R6
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 1/16
Date Last Serviced:
f,e.v` q �I S
PHONE: 4257713886
FREQUENCY I STATION & SHIFT
2018 17-B
SCHEDULED ,Jun 2018
DATE DUE
UFIR ► 593 203
HOME PHONE: j
Cq, -w Lq6 5,M6601/
HOME PHONE: 4255016501 I
Ir HOME PHONE: -�""--
CURRENT CITY YES No
BUSINESS
LICENSE
INITIAL INSPECTION DATE
S-I-)In - IS
HAZARDS FOUND AND LOCATIONS! COMMUNICATIONS
2
3
2
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
i
!
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERS014
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:'
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
2 6
3 7
4 18
VIOLATIONS
1 5
2 6
3 7
4 18
PRE -CITATION
LETTER SENT
DATE:
NUMBER:
CODE
SECTION:
CITATION ISSUED
4
5
RETURN RECEIPT
RECEIVED
DATE:
DISPOSITION:
I
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO