107 5TH AVE S (2)IIII��III 1 07
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
LOCATION:
107 5 th Avenue S 98020.
BUSINESS NAME:
Cole Gallery & Artist Supplies
MAILING
ADDRESS:
107 5th Avenue S„ Edmonds, WA 98020
BUSINESS OWNER:
Cole, Richard' lJe� ire
EMERGENCY-1:
KEY-ACCESS-2: Dunaway, Carol
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS:. FIE
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE:
2064064388.,
HOME PHONE:
HOME PHONE:
HOME PHONE: 4256400477
FIRE PREVENTION
I SPECTION REPORT
DMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
SCHEDULED
DATE DUE /
UFIR /
563 203
CURRENT
CITY YES NO
BUSINESS
LICENSE '�d 11
INITIAL INSPECTION DATE '
9T ( 6 ~ /6
DakAkmB&tcSsDAaeQIOCATIONS / COMMUNICATION
�/
2
2
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
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE: _
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
_W
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS_-"
_
PRE -CITATION
-CITATION ISSUED'
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
-
3
7
3
7
RECEIVED
s
DISPOSITION:
4
18
4
18
DATE:
7
LETTER NEEDED ❑. YES . ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8