102 5TH AVE NF:
D
.Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551 "1200
www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
-{EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION:
102 5 th Avenue N Suite A 98020
BUSINESS NAME: PHONE: SCHEDULED
Garden Gear 4257786112 DATE DUE ►
MAILING
UFIR ►
ADDRESS:547 203
102 5th Avenue N, Suite A, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
Hall, Lili 2�(
EMERGENCY-1: HOME PHONE: ZO(C' -.9 ►-/' g
ACCESS-2: ScjkeS Q a rd evr tc(', toy CURRENT
KEY
Campbell, Terry 5 5 HOME PHONE: 4257767900 CITY YES NO
EMAIL: Gar r° r'" - -- ,=s�,,� BUSINESS fCA [I
LICENSE
PERSON CONTACTED: l
INITIAL INSPECTION DATE
NAME OF INSPECTOR: � -7 V— L_- arc -/(
FIRE SYSTEMS: FE
ftWP%l§V @ CATIONS/COMMUNICATIONS
1
ViACbo -
2
2
3
3
4
4
5
6
6
J AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
_DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS;-,!-,-
PRE-CITATION
CITATION ISSUED
15
1 5 '"
-.._ .
LETTERSENT
NUMBER-
A
......._
DATE:
CODE
SECTION:
2 6
2 6
5
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
-
4
8
4
8
DATE:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE PREVENTION
Serving Brier, Edmonds 12425 Meridian Ave S INSPECTION REPORT
SNOHOMISH CO. ❑ EDMONDS
FIRE_- Mountlake Terrace,and Everett, WA 98208 ❑BRIER
the Town of Woodway Phone (425) SSI -1200 ❑ WOODWAY
DISTR❑ UNINCOMOUNTLAKE TERRACE
IwwwFireDistrictl.org Fax (425) SS1-1272 ❑UNINCORPORATED
r
FREQUENCY
STATION & SHIFT
II LOCATION:
102 5�h Ave N
A
730
I
17
A
BUSINESS NAME:
Garden Gear
PHONE:
4257786112
SCHEDULED
DATE DUE 06/01/13
MAILING
102 51h Ave N #A
UFIR ► 547
6203
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
Hall, Lili C.
HOME PHONE:
4257745456
AC:TI`•1E
EMERGENCY-1:
Campbell,jen'Y
HOME PHONE:
4257767900
CURRENT
F KEY ACCESS-2:
HOME PHONE:
2065505744
CITY
YES
NO
BUSINESS
El
LICENSE
1
PERSON CONTACTED: N `-� NNA L
INITIAL INSPECTIO
DAT
NAME OF INSPECTOR: �
�`'+
i
FIRE
FE
SYSTEMS: N
I
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 t�1
1
2
2
3
3
4
4
5
e
5
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:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER: `
a
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
',RECEIVED
5
4
8
4
18
{
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
r
a
FIRE DEPARTMENT,COPY
' r
y.
a
FIRE PREVENTION
`
'
Serving Brier, Edmonds --
12425 Meridian Ave S
INSPECTION REPORT
sNOHOMISx CO.
FIRE
Terrace, and
Everett, WA 98208
aEDMOMountlake
`0BRIER S
BRIER
DIST R-1 T
the Town of Woodway
Phone (425) 551-1200
❑ O AY
[IMOUNTLNTLAKE TERRACE
wwwFireDistrictl.org
Fax (425) 551-1272
❑UNINCORPORATED
FREQUENCY
STATION & SHIFT
'F LOCATION:
102 5th Ave N J
A
730
17
I
C
i BUSINESS NAME:
Garden Gear
PHONE:
4257786112
SCHEDULED
DATE DUE ► 06/01/11
MAILING
102 5th Ave N ##A
UFIR ► 547 6203 '
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
gall, L[G C_
HOME PHONE:
4257745456
ACTIVE
EMERGENCY-1:
CamPbell,Ten•y
HOME PHONE:
4257767900
CURRENT
KEY ACCESS-2:
HOME PHONE:
206550574.E
CITY YES
NO
BUSINESS
LICENSE
t
PERSON CONTACTED: `, � �
INITIAL INSPECTION DATE
NAME OF INSPECTOR: J . {�
�✓ �� 1
0
' FIRE
FE"L 1 t (>
SYSTEMS:
ANNUAL
h\
HAZARDS FOUND AND (LOCATIONS / COMMUNICATIONS
1 NU�hd"� TvJ J
1
2
2
3
3
4
4
5
5
6
6
7
YJ
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:
1
INSPECTOR:
INSPECTOR: -
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
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
5
4
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
.
March 27, 1984
MEMO TO: Hal Reeves
Building Official
FROM: Gary L. McComas
Fire Marshal
SUBJECT: MELODY'S CANDIES, 102-5TH AVENUE NORTH
After review the fire department has the following requirements:
One portable fire extinguisher is required and shall
be located as indicated on the reviewed plan. Minimum
size 2-A,10:B"-C dry chemical type.
GLM:be