120 W DAYTON ST STE B2 (2)gip,•.+-...a,r. 4 _ ■ r^ .:.. ..... _,. ;, �. ,.-..,.R � .,..... ...;.,: ,•. ��{- ,.-:. ._ ...' - ..
/j IIII III �ZO p►��'rU� Jrsi G QZ FIRE PREVENTION
t I
Serving Brier, Eamonas, and 12425 Meridian Ave S INSPECTION REPORT
Si O110NIISH CO WA 98208 ;E EDMONDS
FIRE
V�
Mountlake Terrace Everett, ❑BRIER
DIST
`', "� Phone (425) 551-1200 ❑ UNINCORPORATED
AKE TERRACE
www.FireDistrict].org Fax (425) 551-1272 UNINCORPORATED
LOCATION: 120 West Dayton Street Suite B2 98020
BUSINESS NAME: Kymberly & Co HA /A A L'G/y PHONE: 4257714220
MAILING
ADDRESS: 120 West Dayton Street, Suite 132, Edmonds, WA 98020
FREQUENCY STATION & SHIFT
2017 17-B
SCHEDULED Se 2017
DATE DUE p
UFIR / 591
BUSINESS OWNER: HOME PHONE: _
EMERGENCY-1: G j (y'(j' `J — "'� H N` �� HOME PHONE: CURRENT
���
KEY ACCESS-2: HOME PHONE: 17 CITY YES NO
EMAIL: BUSINESS (� LICENSE El
INITIAL INSPECTION DATE
PERSON CONTACTED: U � �� ' I L f/�S/ /
NAME OF INSPECTOR: n1 U "/ -71 "
FIRE SYSTEMS: FE /
SNOHOMISH CO. Serving Brier, Edmonds
FIREMountlake Terrace,and
ST RY'IT w the Town Woodway
wwFireDiDistrictl. org
LOCATION: 120 W. Dayton Street
BUSINESS NAME:
Kymberty & Co
MAILING 120 W. Dayton St #132
FIRE PREVENTION
12425 Meridian Ave S INSPECTION REPORT
EDMOEverett, WA 98208 ❑ ❑ BRIER S
BRIER
Phone (425) 551-1200 ❑ WOODWAY
❑ MOUNTLAKE TERRACE
Fax (425) 551-1272 ❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
62 731 17 D
SCHEDULED
PHONE�4257714220 DATE DUE ► 09/01/11
UFIR ► 557 9202
ADDRESS. Edmonds 98020
BUSINESS OWNER: HOME PHONE: ACTIVE
EMERGENCY-1: Wilson, Jody O�{� / _ HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
�
I�
NAME OF INSPECTOR: T- ( -2, — ';?' - (
' FIRE FE _1_
SYSTEMS: ANNUAL..��/ j I
HAZARDS FOUND AND
1
OCATIONS / COMMUNICATIONS
L ' -T -- (d
✓�
1
2
2
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:
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
6
4 18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY