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PREVENTION
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INSPECTION REPORT
Se ing Bri�er ds, and 12425 Meridian Ave S
SNOHO ISH Co. ry hanion
-Mountlake Terrace Everett, WA 98208 EDMONDS
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Phone (425) 551-1200 0 MOUNTLAKE TERRACE
0 UNINCORPORATED
DISTR T www.FireDistrict].org Fax (425) 551-1272
LOCATION: 111 Main Street. Bldg 98020
BUSINESS NAME: Main Street Plaza Bldg
MAILING 1212 NW Culbertson Drive, Seattle, WA 98177
ADDRESS:
Tynes, L4Rda- Qe- COA
BUSINESS OWNER:
EMERGENCY-1: Tynes, Redar/LOAla—
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR.::[C
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Date Last Serviced:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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HOME PHONE
2064272016
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INITIAL INSPECTION DATE
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rl AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
2nd RE -INSPECTION
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FINAL RE -INSPECTION
EXTENSION : VIOLATIONS
DATE�DUE:
DATE DUE:
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CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
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PRE -CITATION
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