144 RAILROAD AVE STE 108yy Rgs�zaAD Al
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Serving Brie ///FJIVds� 12425 Meridian Ave S INSPECTION REPORT
NDS
Mountlake Terrace, and Everett, WA 98208 ❑❑ BRIER
the Town of Woodway Phone (425) 551-1200 ❑WOODWAY
❑ MOUNTLAKE TERRACE
www FireDistrict]. org Fax (425) 551-1272 ❑ UNINCORPORATED
FREQUENCY STATION 8 SHIFT
LOCATION:
I
-144 Railroad Avenue
108
731 17
I
D
BUSINESS NAME:
a
Copstead, Elizabeth R. P.S. CPA"
PHONE: 4257714605
SCHEDULED
DATE DUE 06/01/13
MAILING
144 Railroad Ave #108
UFIR ► 591 6202
I. ADDRESS:
Edmonds
98020
BUSINESS OWNER:
Copstead, Elizabeth P.S. CPA'
HOME PHONE: 2069156973
ACTIVE
. EMERGENCY-1:
Mcnaughten, Mark
HOME PHONE: 4257712813
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES
NO
BUSINESS
LICENSE
PERSON CONTACTED: _ 1
INITIAL INSPECTION DATE
NAME OF INSPECTOR: Y��)7 Q (
1 I �yi-
FIRE '
FE G / / f
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2'
3 .,..
3
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:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
i 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
5
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
ServingBr•ier• Edmonds
k.
1242-S Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIREI
.
Mountlake Terrace, and
Everett, WA 98208
❑ BRIER S
❑ BRIER
DISTRI
the Town of Woodway
T
Phone (425) 551-1200
❑ M O NT AY
❑ TERRACE
www.FireDistrictl.org org
Fax (425) 551-1272
UNINCORPORATED
❑UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION:
144 Railroad Avenue
108
731
17 B
BUSINESS NAME:
CoPstead, Elizabeth R. P.S. CPAa
PHONE: 4257714605
SCHEDULED
DATE DUE ►/16101/11
MAILING
144 Railroad Ave ##108
UFIR ► 591 6202
ADDRESS:
Edmonds
98020
BUSINESS OWNER: �
,
Copstead, Elizabeth P.S. CPA'
HOME PHONE: 2069156973
ACTIVE
EMERGENCY-1:
MCnaughten, Mark
HOME PHONE: 4257712813
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED: � Ca
7i
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
FE A, l A
SYSTEMS:
.®
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
r
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:
i VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
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
5
4
6
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED' ❑ YES ❑ NO
e
`r_;fIRE DEPARTMENT COPY