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100 2ND AVE S STE 300�c FI DI 7 IIII III , c© J� �, frc 3c)C� FIRE PREVENTION INSPECTION REPORT Serving Brier, Ea 12425 Meridian Ave S M Mountlake Terrace,and Everett, WA 98208 ❑ BRIER NDS the Town of Woodway Phone (425) 551-1200 ❑ WOODWAY ❑ MOUNTLAKE TERRACE www.FireDistrictl.org Fax (425) 551-1272 ❑ UNINCORPORATED LOCATION: 100 2nd Avenue BUSINESS NAME: -('erwedo Financial Services MAILING 100 2nd Ave S C0 ADDRESS: Edmonds �r BUSINESS OWNER: Terwedo, Dale EMERGENCY-1: KEY ACCESS-2: PERSON CONTACTED: ,( A C L V C' C NAME OF INSPECTOR: F it �, �r� e ✓� FIRE SYSTEMS: S 300 PHONE: 42577604416 .4T.111,41 FREQUENCY STATION & SHIFT 731 17 B I SCHEDULED DATEDUE ► 11/01+12 UFIR ► 591 1-202 HOME PHONE: 42'rJ' 3883476 ACTIVE HOME PHONE: .aJG _ �� of 7 CURRENT HOME PHONE: CITY YES NO C.el � ► �12� to 1? 96 9-2B CENSES ❑ ❑ INITIAL INSPECTION DATE FEI�o ! o ANNUAL HAZARDS FOUND AND LOCATIONS / COMMUNICATIO 2 2 3 3 4 4 5 �. F t� 5 to 6 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X �.- 1st RE -INSPECTION DATE DUE 2nd RE -INSPECTION DATE DUE EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE. VIOLATIONS '- ��:CITED. PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: ..a 4 2 6 2 F) DATE: CODE SECTION: 5 1:3 7 3 7 RETURN RECEIPT RECEIVED 6 4 8 4 8 DATE: DISPOSITION: _ LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 FIRE DEPARTMENT COPY FIRE PREVENTION J CITY OF E D M O N DS SAFETY SURVEY 121 5TH AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215 FIRE DEPARTMENT LOCATION: 100 2nd Avenue S 300 `I BUSINESS NAME: TetwedQ Financial Services PHONE: 4257760440 MAILING 100 2nd Ave S ##190 ADDRESS: Edmonds 98020 FREQUENCY STATION & SHIFT 731 17 D SCHEDULED ► 11l01/10 DATE DUE UFIR ► 591 1202 BUSINESS OWNER: TerwedD, Dale HOME PHONE: 42538834.76 ACTIVE EMERGENCY-1: HOME PHONE: KEY ACCESS-2: HOME PHONE: r INITIAL INSPECTION DATE PERSON CONTACTED: NAME OF INSPECTOR: �fi /aA") FIFE FE /_�D SYSTEMS: ANNUAL j HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS ENTER CODE ONLY ONCE ► VIOLATION CODE 2 2 /j 4 4Ao ____ .t 5 5 6 6 i 7 7 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS GRANTED TO: CITED: DATE DUE: DATE DUE: DATE DUE: PERSON PERSON —____ -LPERSON _ f.,ri:;• :. ?, CONTACTED: CONTACTED: CONTACTED: 1 # t+ INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: ...3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 4 1 5 1 2 - ----- 5 LETTER SENT NUMBER: CODE 8 -- --- E DATE SECTION' RETURN RECEIPT 17 RECEIVED DISPOSITION: 18 1 =DATE YES NO ...... 8 2 6 3 7 3 4 T 7 4 8 g LETTER NEEDED YES NO LETTER NEEDED FIRE DEPARTMENT COPY