1103 5TH AVE S-- —INSPECTION REPORT
LOCATION -
Continental Apts
BUSINESS NAME:
~~~11O35thAvenue 8.Edmonds, VVA 98020
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BUSINESS OWNER: HOME PHONE:
4257765700
Krogh, Nancy 4254781103
EMERGENCY-1: HOME PHONE: 17
SCHEDULED
HAZARDS FOUND AND LOCATIONS COVM-UNJUAI 1UNb
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE;
DATE DUE:
GRANTEDTO:
DATE DUE:
PERSON
CITED:
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSP CTOR:
INSPECTOR:
INSPECTOR:
-ISSUED
VIOLATIONS
VIOLATIONS
PRE -CITATION
CI_fA_T10q
4
CODE
RETURN RECEIPT
-7
RECEIVED
LETTER NEEDED I-] YES El NO
LETTER NEEDED YES NO
8