144 RAILROAD AVE CONF RMNN ppv—gDAP (4c)- CoNF FIRE PREVENTION
i n Serving Brier, Edme.._._
12425 Meridian Ave S
. �?%''I INSPECTION .REPORT
SNOHOMISH CO.
Mountlake Terraiv,
FIRE
Everett, WA 98208
❑ EDMONDS
❑ BRIER
the Town of Woodway
DISTR T
Phone (425) 551-1.,200
❑ WOODWAY
❑ TERRACE
wwwFireDistrictl.org
Fax (425) 551-1272
UNINCORPORATED
❑UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION: 144 Railroad Nvenae
CONF
731 17 D^
BUSINESS NAME: Waterfront Park Conference Room
PHONE: 4257712813
SCHEDULED
DATE DUE 0 06/01/13
MAILING 144 RailroadAve #204
UFIR ► 591 6202
ADDRESS: Edmonds
93020
BUSINESS OWNER: Waterfront Park Building
HOME PHONE: 4257712813
ACTIVE
EMERGENCY-1: "Hansen DoU n
a 9
HOME PHONE: 3000730654
CURRENT
KEY ACCESS-2: Coast Real Estate/Donna
HOME PHONE: 4253393638
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: W A `(Z C 1
-7 — 1-7 — v
. FIRE
FE !j3
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2
4
4
5
5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
1
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL R8-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
0 h*
0A h
FIRE PREVENTION
M
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIRE
Mountlake Terrace,arid
Everett, WA 98208
❑BRIER S
❑BRIER
DISTR
the Town of Woodway
Phone (425) 551-1200
❑ M O NTLAY
❑ AKE TERRACE
'.
wwwFireDistrictl.org
, ,
Fax (425) 551-1..%
UNINCORPORATED
❑UNINCORPORATED
FREQUENCY STATION & SHIFT
i
LOCATION: 144
1
Railroad Avenue
CONF
731 17 B
/ BUSINESS NAME: �laterfrvnt
Park C4nferenCe Rnnm
PHONE: 4257712813
SCHEDULED
1 06'01 t11
MAILING 144 Railroad Ave ##204
ADDRESS: Edmonds
BUSINESS OWNER: Waterfront Park Building
EMERGENCY-1: "Hansen, Doug"
KEY ACCESS-2: Coast Real Estate./Donna
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
C�s/Y1ii'Iq
98020
HOME PHONE: 4257712813
HOME PHONE: 3606730654
HOME PHONE: 4253393638
DATE DUE > >
UFIR ► 591 6202
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE El 7
INITIAL INSPECTION DATE
FE f
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
1
2
2
3
3
1
t
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 15
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
8
4
6
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY