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1055 PUGET DR_2III I�lIII �t 1 oss'` pU �- ti311 FIRE PREVENTION SNOIiOMISFi FIR Serving Brier, Edmonds, and CO. = � Mountlake Terrace 12425 Meridian Ave S Everett, WA 98208 [! fED E NDS REPORT C]fEDMONDS ❑BRIER DIST �Dciww9istrictl.org Phone (425) 551-1200 Fax (425) 551-1272 ❑ MOUNTLAKE TERRACE [I UNINCORPORATED Annual 17-D LOCATION:The Joyce Apts 4257128642 FREQUENCY N STATION & SHIFT v 2017 BUSINESS NAME: PHONE: SCHEDUU$T4 DATE DUE 1055 Puget Drive, Edmonds, WA 98020 MAILING UFIR ► ADDRESS: BUSINESS OWNER$aCSo, Joseph HOME PHONE: 4257128642 17 _ EMERGENCY-1: HOME PHONE: CURRENT KEY ACCESS-2: -3 0 Se ro,'1 . G V,flC S O /► �i c�r'C A •5 HO PHONE: r\S CITY YES NO SINE S BUSINESS EMAIL: PERSON CONTACTED: S e h FIV C_ S 0 INITIAL INSPECTION DATE F RE SNAICAN�'f1 PECTEX 1/16 HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 2 2 3 3 4 4 5 5 6 6 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: EXTENSION GRANTEDTO: FINAL RE -INSPECTION DATE DUE: I VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS 1 5 2 6 VIOLATIONS 1 2 3 5 6 , 7 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 14 DATE: CODE SECTION: 3 7 RETURN RECEIPT RECEIVED.. 6 ' 4 18 4 8 DATE: DISPOSITION: LETTER NEEDED ❑ YES 0 NO LETTER NEEDED ❑ YES ❑ NO