110 JAMES ST STE 10511 D J'r+m t S S r S i C- 10 15"
A
3 CITY OF EDMONDS
121 5T" AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215
FIRE DEPARTMENT
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LOCATION: 110 James Street
BUSINESS NAME: Am Express Financial Advisors
MAILING 110 James St #105
FIRE PREVENTION
SAFETY SURVEY
105
PHONE: 4256408633
ADDRESS: Edmonds 98020
i BUSINESS OWNER: Smith, Robert HOME PHONE: 4257756901
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
FR (TEENCY
STATION & eIFT 17
SCHEDULED DATE DUE 12lO 11O
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UFIR ► 591
1.202
ACTIVE
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PERSON CONTACTED:
INITIAL INSPECTION DATE
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NAME OF INSPECTOR: ' - 1 7 1 /
FIRE FE LV!
SYSTEMS:
ANNUAL
VIOLATION CODE
HAZARDS FOUND AND LOC,AT,IONS / COMMUNICA ONS
1 M0 COO {I�C�i S (/
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ENTER CODE ONLY ONCE ►
1
2 ,Yowl Y !S a', �t1
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3 L'Gllr7uC [!� � �Ouie
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4
4
5
5
6
6
7
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7
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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: ll
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
b
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
8
LETTER NEEDED ❑ YES NO
LETTER NEEDED ❑ YES NO
FIRE DEPARTMENT COPY