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FIRE PREVENTION
SNOHOMISH CO.
.FIRE
Serving Brier, Edmonds, and
Mountlake Terrace
DISTX"%f n Stre wSui� ngis98020'org
LOCATION: Edmonds Financial Cntr & Condos
BUSINESS NAME:
110 James Street, Edmonds, WA 98020
MAILING
ADDRESS:Meeks, Michael
BUSINESS OWNER:LCM
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EMERGENCY-1: i
KEYACCESS: �n —
EMAIL: � �/ `
PERSON CONTACTED:
Date Last Serviced:
jF A (a j i ?
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
101004
HOME PHONE:.
4256408660
HOME PHONE: 17 CURRENT
HOME PHONE: CITY NO
�O I BUSINESS YES❑
LICENSE
INITIAL INSPECT DATE
0\0) oov C� C5
V4Qu S
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
SCHEDULED
DATE DUE589
UFIR /
2017
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
'1
2 U blu OP-3
1
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
2nd RE -INSPECTION
FINAL RE
EXTENSION
-INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
' VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
_
RETURN RECEIPT
3
7
3
7
RECEIVED
B
DISPOSITION:
7
4
8
4
8
_DATE:
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ' ❑ NO
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