110 W DAYTON ST BLDG-ro
(-AJ DOI* /J S-rl
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qer'ving Brier, Edinonds, and
12425 Meridian Ave S
INSPECTION REPORT
SN0HO1V [;SH Co.
Mountlake Terrace
FIRE
Everett,:WA 98208
0 EDMONDS
❑- 0 BRIER
Phone. (425) 551-1200
0 MOUNTLAKE TERRACE
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0 UNINCORPORATED
www.FireDistrictl.o rg
Fax (425)- 551-12 72
LOCATION: 110 West Dayton Street Bldg98020
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110 W Dayton Bldg
BUSINESS NAME:
4257741511
PHONE:
SCHEDULED Sep 2016
DATE DUE 0
MAILING 110 West Dayton Street, Bldg, Edmonds, WA 98020
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UFIR 0
ADDRESS:
Conner, Jan
BUSINESS OWNER:
HOME PHONE:
Conner, Jan
4257741511
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INITIAL INSPECTION DATE
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2nd RE -INSPECTION
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EXTENSION VIOLATIONS
DATE DUE:
DATE DUE:
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YES NO
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SNOHOMISH CO.
FIRE
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Serving Brier, Edmonds, and
Mountlake Terrace
Cwww FireDistrietl: org
--
FIRE PREVENTION
12-425,Meridian Ave S
/INSPECTION REPORT
Everett, WA 98208
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❑BRIERRIER
Phone(425) 55,141200•
❑ MOUNTLAKE TERRACE
UNINCORPORATED
Fax (425) 551-1272
FREQUENCY
&SHIFT
LOCATION:
110 West Dayton Street Bldg 98020.
Annual-D
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110 W Dayton Bldg PHONE: 4257741511
SCHEDULED
DATE DUE ►Sep 2015
MAILING
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ADDRESS:
110 West Dayton Street, Bldg, Edmonds, WA 98020
BUSINESS OWNER:
Conner, Jan HOME PHONE:
EMERGENCY 1:
Conner, Jan HOME PHONE: 4257741511
CURRENT
KEY ACCESS-2:
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INITIAL INSPECTION DATE
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FE 10/13
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2
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EXTENSION
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DATE DUE: _
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FIRE PREVENTION
-Serving Brier; Edmonds, and 12425 Meridian Ave S
INSPECTION REPORT
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$
DATE:
DISPOSITION:
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LETTER NEEDED ❑ YES ❑ NO
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8
FIRE DEPARTMENT COPY
FIRE PREVENTION
SNOHOIVITS$ CO.,
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
FIRE
Mountlake Terrace, and
Everett, WA 98208
�❑ EDMONDS
[1 BRIER
'� `' the Town of Woodway"
.'
Phone (425) 551-1200
❑ WOODWAY
❑ MOUNTLAKE TERRACE
STRAt.0-
T www FireDistrictl. org '
Fax (425) 551-1272
❑UNINCORPORATED
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LOCATION:
110 West Dayton Street Bldg 96020
Annual
17-B
BUSINESS NAME:
110 W Dayton Bldg
PHONE: 4257741511
SCHEDULED Sep
DATE DUE ►
MAILING
UFIR ► 591
ADDRESS:
110 West Dayton Street, Bldg, Edr6onds,
WA 98020 OU iUPfJO�
BUSINESS OWNER:
Conner, .tan
HOME PHONE:
Email:
EMERGENCY-1:
Conner, Jan
HOME PHONE: 4257741511
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
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DATE DUE:
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2
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DATE:
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LETTER NEEDED ❑ YES ❑ NO
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FIRE DEPARTMENT COPY
SNOHOMISH Co. Serving Brier; Edmonds
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FIREMountlake Terrace,and
the Town of Woodway
sTR T wwwFireDistrictl.org
LOCATION: 110 - W Dayton St
BUSINESS NAME: 110 W Dayton Bldg
MAILING
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BUSINESS OWNER Cong9r, Jan
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FIRE
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12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
.Fax (425) 551-1272
PHONE: 4257741511
HOME PHONE: 425774/511
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ WOODWAY
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
_ FREQUENCY STATION & SHIFT
365 17 D
SCHEDULED 09�/0 1/11
DATE DUE
UFIR ► 509 9202
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DATE DUE:
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2nd RE -INSPECTION
1
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EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
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2
DATE:
DATE:
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3
VIOLATIONS
1 5
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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
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6
4 18
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY