107 5TH AVE SSNOHO
FI
Iill��lll
Serving Brier, Edmonds, and
Mountlake Terrace
DIlu71 jVJL%d 1 www FireDistrictl. org
LOCATION: 107 5 th Avenue S 98020
BUSINESS NAME: Cole Gallery & Artist Supplies
MAILING 107 5th Avenue S„ Edmonds, WA 98020
ADDRESS:
BUSINESS OWNER: Cole, Richard
EMERGENCY-1:Dunaway, Carol
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 12/15
Date Last Serviced:
Av V V
FIRE PREVENTION
12425 Meridian Ave S INSPECTION REPORT
Everett, WA 98208 ❑ ❑BEDMIRIERRIER S
Phone (425) 551-1200 ❑;MOUNTLAKE TERRACE
Fax (425) 551-1272 [I UNINCORPORATED
FREQUENCY I STATION & SHIFT
2018 17-A
206406438E SCHEDULED May 2018
PHONE: DATE DUE
UFIR / 563 203
HOME PHONE:
HOME PHONE: 4256400477 CURRENT
HOME PHONE: 17
CITY
YES NO
BUSINESS
LICENSE
INITIf INSPECN DATE/
NO 'oC�k��_�
HAZARDS AND LOC
, INS / COMMUNICATIONS —
1'
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
1
2nd RE -INSPECTION
DATE DUE: _
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
t
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
I
VIOLATIONS
1 5
2 6
3 7
4 _ 6
VIOLATIONS
1 5
2 6
3 7
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4 +
DATE:
CODE
SECTION:
5
N•
RETURN RECEIPT
RECEIVED
-+
/�
6
7
e t
^-�—
4
•
6
DATE:__
DISPOSITION: .
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
d