110 W DAYTON ST BLDG.pdfr-.' � .:a` '`'YS �•if - .:r_N; f;'r'� k:,� +-: -..• -.' `;q. f ,,,'; .d ,; . .E',' ,,., .:.;, i,,
I U WEYIT FIRE PREVENTION
�eBrier"' INSPECTION REPORT,,
srvoxc�n�isx �� r` �ervcr�g ,Edmonds, and 1..425 Meridian Ave S
Mountlake Terrace Everett, WA 98208 ❑ BRIER )dEDMONDS
FIRE' Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE
0 A www.FireDistrictl. org Fax (425) 551-1272 [I UNINCORPORATED
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LOCATION: 110 West Dayton Street. Bldg 9802.0
BUSINESS NAME: 110 W Dayton Bldg PHONE: 4257741511
MAILING
ADDRESS: 110 West Dayton Street, Bldg, Edmonds, WA 98020
BUSINESS OWNER: Conner, Jan
HOME PHONE:
FREQUENCY STATION & SHIFT
Annual 17-B t
SCHEDULED Se 2017
DATE DUE p
(UFIR / 591 __j
EMERGENCY-1: Conner, Jan HOME PHONE: 4257741511 CURRENT
KEY ACCESS-2: HOME PHONE: 17 CITY YES NO
BUSINESS
EMAIL: LICENSE
PERSON CONTACTED: /-jQ c)- 'kCINITIA7L INSPECTION DATE Y.
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 10/15 0 ' 1
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