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110 3RD AVE N BLDG%` Serving Brier, Edmonds, and 12425 Meridian Ave S ,3NOROMISH Co FIRountlake Terrace Everett, WA 98208 �� Phone (425) 551-1200 Twww.FireDistricti.org Fax (425) 551-1272 LOCATION: 110 3 rd Avenue N Bldg 98020 BUSINESS NAME: Bayview Plaza PHONE: 4256702444 MAILING 110 3rd Avenue N, Bldg, Edmonds, WA 98020 ADDRESS: Jim BUSINESS OWNER: HOME PHONE: EMERGENCY-1: Markezinis, Jimmy HOME PHONE: 4254784603 17 KEY ACCESS-2: HOME PHONE: EMAIL: PERSON CONTACTED: 00 1/10(A- x c NAME OF INSPECTOR: I4,,,�. >r„✓ Date Last Serviced: HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1 Reo.. r -ate t d 1. ti i.,4-.s c _A Q !�o v FIRE PREVENTION INSPECTION REPORT ❑ EDMONDS ❑ BRIER ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED AnnualcY STATION SHIFT SCHEDULED Oct 2017 DATE DUE 1' 509202 UFIR / CURRENT CITY YES NO BUSINESS LICENSE INITIAL INSPECTION DATE (163 1 K 4 6 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION FINAL RE -INSPECTION EXTENSION VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: I DATE DUE: CITED: PERSON PERSON ... .... ........................... - g ._. .... ..... ........... PERSON - .. ._� ........... ..,.,....,. CONTACTED: CONTACTED: €CONTACTED: INSPECTOR: INSPECTOR: `•, INSPECTOR: 2 DATE: DATE: ;DATE: ' 3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 1 5 ....,..:.....,.,_:...: ....:.....__�,...........�_,..::...:. 1 5 ...... ...._ ..,........ ...... LETTER SENT m. ,.. :: .... NUMBER: ..._._.. .........:. ,,.,,...._.. 4 ,,,,....,:.,,.. :....._ CODE 5 2 6 2 6 DATE: SECTION: RETURN RECEIPT 3 7 3 7 RECEIVED S DISPOSITION: #8 -...,. ,DATE... � .,.::..:... ..:::.. °,,,,,.._.. ......., , - ::: . __..:.............:..:..�_..... . w:.�,....:..._ .......:::.,.::::. .4_,..,:�.m.--..........:.:...::::: ,........- LETTER NEEDED ❑ YES El NO - - :..:.__.....:...._.:.:.m. LETTER NEEDED ❑ YES ❑ NO i8