144 RAILROAD AVE STE 2081'1/�rcRoAD 19tI �rrAr2ay FIRE PREVENTION
Serving Brier, Ed.. _ _ . - _._ 12425 Meridian Ave S f)0 S MONDSON REPORT
Mountlake Terrace,and Everett, WA 98208 ❑BRIER
the Town of Woodway Phone (425) 551-1200 ❑ WOODWAY
❑ MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-12 %2 ❑ UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION: 1 ilroad Avenue
208
731
17 D
I
BUSINESS NAM 1/1�C n
PHONE:
4257741644
SCHEDULED
DATE DUE ► 06/01l13
MAILING 144 Railroad Ave #208
UFIR ► 591 6202
ADDRESS: Edmonds
98020
BUSINESS OWNER: AI$OU Industries Inc
HOME PHONE:
ACTIVE
I
EMERGENCY-1: "Bauman, Robert"
HOME PHONE:
4257741644
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
❑El
�I
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:r-
FIRE
FE . 0 93
SYSTEMS: ®,,
i 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:
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
5
4
8
4
8
DATE:
DISPOSITION:
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
'T1'
D
Serving Brier, Edmonds
Mountlake Terrace,and
Ta the Town of Woodway
www FireDistrictl. org
LOCATION: 144 Railroad Avenue
I
BUSINESS NAME: Vacant
MAILING 144 Railroad Ave #208
ADDRESS:
Edmonds
BUSINESS OWNER: Arlau Industries Inc
EMERGENCY-1: "Bauman, Robert"
KEY ACCESS-2:
I PERSON CONTACTED
NAME OF INSPECTOR
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
208
PHONE: 425774.1644
918020
HOME PHONE: 4257741644
HOME PHONE: 4257741644
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ WOODWAY
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY I STATION & SHIFT
731 17 B
SCHEDULED
DATE DUE ► 08l01/11
UFIR ► 591 6202
ACTIVE
CURRENT
CITY YES NO
BUSINESS
`.LICENSE
INITIAL INSPECTION DATE
FE _I_
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
1
:V
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:
a
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
a
4
6
4
6
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
a
FIRE DEPARTMENT COPY