140 4TH AVE ST
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FIRE.PREVENTION
Serving Brier, Ed'mohds, and'
12425 Meridian Ave S
INSPECTION. REPORT
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Mountlake Terrace
Everett, WA 98208 .
❑ EDMONDS
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Phone (425) 551-1200
Fax 551-1272
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FREQUENCY T9TATION & SHIFT
LOCATION:140 4 th Avenue S 98020 2017 17-C
BUSINESS NAME: US Bank Of Washington PHONE: 4257762167 SCHEDULED
g DATE DUE � Jan 2017
MAILING UFIR / 592 202
ADDRESS: 140 4th Avenue S, Suite102, Edmonds, WA 98020
BUSINESS OWNER ria- HOME PHONE:
7Aira - �lD ►'Z,-)eQiO
EMERGENCY-1 hec�T I-�(.N�pA� HOME PHONE: j ln2M CURRENT
KEY ACCESS-2: HOME PHONE: 17 CITY YES NO
EMAIL: BUSINESS ❑ El
PERSON CONTACTED: E l -. l - INITIAL INSPECTION DATE
NAME OF INSPECTOR: F4 l .V-V i — 3 0 -1 %
FIRE SYSTEMS: FEfat<3
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FIRE PREVENTION
Serving Brief; Edmonds, qW
12425 Meridian -Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIREMountlake
Terrace
Everett, WA 98208
�j EDMONDS
❑ BRIER
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Phone (425) 'SSl -1200
❑ MOUNTLAKE TERRACE
❑UNINCORPORATED
DISTRQrT,:""Klli�-
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Fax (425) 551-1273
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FREQUENCY STATION & SHIFT
LOCATION:
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140 'nth Avenue S ASc,(j+]I) '-
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BUSINESS NAME:
US funk- CX 'W ng't;,n r `"
PHONE: 42jr77E21fi t
DATE DULED Jan 1014
MAILING
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UFIR ►
ADDRESS:
140 4Lh Avatuc S, }'WL002, EdrTTmn&-,., V-A' 93020
BUSINESS OWNER:
HOME PHONE:
1
EMERGENCY-1:
I u,,*I1, Paul
HOME PHONE: $;15,pi{),)7
CURRENT
KEY ACCESS-2:
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15,a_�N1�` L+� �t-i-�--
HOME PHONE: yzS3JS Za7�-
CITY
BUSINESS
YES NO
EMAIL:
LICENSE
PERSON CONTACTED:
NAME OF INSPECTOR:
INITIAL INSPECTION DATE
FIRE SYSTEMS:
FE �1
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
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:
ENSION
RANTED 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
Q ^
4
18
DATE:
DISPOSITION:
LETTER NEEDED ❑ YES ❑ NO
LETT,EB,NEEDED ❑ YES ❑ NO
s
FIRE DEPARTMENT COPY
=r. CITY OF EDMONDS
121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 (425) 771-0215'
FIRE DEPARTMENT
LOCATION: 140 4th Avenue S
Y
BUSINESS NAME: Us Bank Of Washington
MAILING 140 4th Ave S
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257762167
ADDRESS: Edmonds 98020
BUSINESS OWNER: US Bank Of Washington HOME PHONE:
4257762167
EMERGENCY-1: I&iehC,, Selena HOME PHONE: 4253152072
I KEY ACCESS-2: HOME PHONE:
�M
ARE EENCY
STATIO 8 SHIFT
SCHEDULED
01101111
DATE DUE ►
UFIR ► 592
1202
ACTIVE
PERSON CONTACTED: r (J� iY�Q INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE FE
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
tin
ENTER CODE ONLY ONCE ►
VIOLATION CODE
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
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
7
4
8
4
8
DATE:
DISPOSITION:
-
8
LETTER NEEDED E YES ❑ NO
LETTER NEEDED (- YES NO
FIRE DEPARTMENT COPY
7
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CITY OF EDMONDS
121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215
FIRE DEPARTMENT
Est. 1890
LOCATION: 140 4th Avenue
BUSINESS NAME: US Bank Of Washington
MAILING 140 4th Ave S
{
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257762167
ADDRESS: Edmonds 98020
BUSINESS OWNER: Us Bank Of Washington HOME PHONE: 4257762167
EMERGENCY-11: Wiehr, Selena HOME PHONE: 4253152072
KEY ACCESS4 HOME PHONE:
FREQUENCY STATION & SHIFT
366 17 D
DATE DUES ► 01/01/10
UFIR ► 592 1202
ACTIVE
PERSON CONTACTED: G (CJ ��(/ INITIAL INSPECTION DATE
NAME OF INSPECTOR: .5�� 3 l 0
1 •-i
FIRE
SYSTEMS:
ANNUAL �
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ENTER CODE ONLY ONCE ► "';'VIOLATION
CODE
7
2
2
3
3
4
4
5
r.
5
6 t:
6
7
7
8
8
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
7
4
18
4
8
DATE:
DISPOSITION:
8
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
FIRE DEPARTMENT COPY