144 RAILROAD AVE STE 206r
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Serving Brier ls. 12425 Meridian Ave S
Mountlake Terra ce,and Everett, WA 98208
Tthe Town of Woodway Phone (425) 551-1200
www FireDistrictl. org Fax (425) 551-1272
1
1
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ WOODWAY
[IMOUNTLAKE TERRACE
❑ UNINCORPORATED
i FREQUENCY STATION & SHIFT
LOCATION: 144 Railroad Avenue 206 ? 731 17 D
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BUSINESS NAME: Underwriter's Laboratory/OOB PHONE: 4257732710. DATE DUE SCHEDULED 06/01113
MAILING 144 Railroad Ave #101
ADDRESS: Edmonds 9E020
BUSINESS OWNER: Underwriter's Laboratories Inc HOME PHONE: 7082728800
I
EMERGENCY-1: Keip, Earl �\ HOME PHONE: 4259856833
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
FIR 591 f62 O2
ACTIVE
CURRENT
CITY
YES NO
BUSINESS
❑
LICENSE
INITIAL INSPECTION DATE
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FE 6
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ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 U/OAS T'" el nx n
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2
2
3
3
4
4
5
5
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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:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
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VIOLATIONS 7
1 5!
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
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2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
$
4
$
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
LETTER NEEDED ❑ YES [I NO
30
LETTER NEEDED r❑ YES ❑ NO
FIRE DEPARTMENT COPY
8
Mo
FIRE PREVENTION
SNOHOMISH CO. � Serving Brier,, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
FIRE Mountlake Terrace;and
Everett, WA 98208
❑BRIER S
❑BRIER
D11�R 1 the Town of Woodway
Phone (425) 551-1200
❑ WOODWAY
❑ MOUNTLAKE TERRACE
www FireDistrict]. org
Fax (425) 551-1272
❑ UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION: 144 Railroad Avenue
206
731
17 6
BUSINESS NAME: l�nderwrflef S Laboratory/006
PHONE: 4257782710
DATE DUE SCHEDULED►
MAILING 144 Railroad Ave #101
UFIR ► 591 6202
ADDRESS: Ediinands
98020
BUSINESS OWNER: '1Rfl #fit,-iy- l3i#r�3t ri+ il�i
r
HOME PHONE:
ACTIVE
EMERGENCY-1: -K{, j
HOME PHONE: 3
CURRENT
KEY ACCESS-2:
HOME PHONE: ��
CITY YES NO
03 :5 1
BUSINESS
LICENSE
PERSON CONTACTED: (-r"
INITIAL INSPECTION DATE
NAME OF INSPECTOR: �
3
FIRE
SYSTEMS: .._
FE
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FIRE DEPARTMENT COPY