110 W DAYTON ST STE 202~
FIRE PREVENTION
-INSPECTION
Serving Brier, Ed
g
8�
- 12425 Meridian Ave S
REPORT
SNOHOMISit'CO.
FIRE
-
Mountlake Terraceand
Everett, WA 98208
�
'0 BRERNDS
DIST,
the Town of Woodway
Phone (425) 551-1200
❑ WOODWAY
❑ AKE TERRACE
www F._ireDistrictl. org
Fax (425) SSl -12 72 •
❑UNINCORPORATED
UNINCORPORATED,
FREQUENCY
STATION & SHIFT
LOCATION:
110 West Dayton Street Suite 202 96020 f
2 Year
113 17-8
BUSINESS NAME:
Academv for Coach Training
PHONE: 4257783505
SCHEDULED Sep
DATE DUE /
MAILING
UFIR / 591
ADDRESS:
110 West Dayton Street, Suite 202, Edmonds,
W.4 98020
BUSINESS OWNER:
HOME PHONE:
Email:
EMERGENCY-1:
KEY ACCESS-2:
1 Q' AM, LLC
-^- V A C U T"
HOME PHONE: 4257783505
HOME PHONE:
CURRENT
CITY YES NO
N C) LoN� L� is T5 LICENSES
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE /
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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1 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:
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DATE'
CODE
SECTION'
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7
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RETURN RECEIPT
RECEIVED
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DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
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FIRE PREVENTION
A��� CITY OF EDMONDS SAFETY SURVEY
121 51H AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
�S t 1 0
LOCATION: 110 W Daytion 202
BUSINESS NAME: PHONE: 4257783505
INV kzC CHAN(A >✓��
MAILING 110 W Dayton #292
ADDRESS: Edmonds QRn20
' FREQUENCY STATION & SHIFT
730 17 C
SCHEDULE
ATE DUE ► 09101110
UFIR ► 591 9202
BUSINESS OWNER: I & AM, LLC ++11 HOME PHONE: 4257783505
EMERGENCY-1: pin ah ✓C B9 (E KCAOK'"— HOME PHONE: 425*2*1M5 1-1 el ct - q7 q -
KEY ACCESS-2: -B ty_ j ^r. C 1 H ^ P V"'T HOME PHONE: 2068173375
PERSON CONTACTED: D lf� l p 1 c INITIAL INSPECTION DATE
NAME OF INSPECTOR: J 5( SJ 1 C 1t` iA.It4� Vim ., l
FIRE FE f
SYSTEMS: _ ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS ENTER CODE ONLY ONCE ►
1 1V �li �T
VIOLATION CODE
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In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the City of
Edmonds.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the City of Edmonds.
Please call (425) 775-7720 within 30 days to schedule a reinspection.
Any overlooked hazards or violations of the fire regulations does not imply approval of such condition or violation.
If you require additional information or assistance, please contact this office by calling (425) 775-7720 between
the hours of 8 a.m. and 5 p.m., Monday through Friday.
BUSINESS COPY