144 RAILROAD AVE STE 210SNO
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Serving Brier, E_.-- _ 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace,and Everett, WA 98208 ❑ EDMONDS
❑ BRIER
the Town of Woodway Phone (425) 551-1200 ❑ WOODWAY
❑ MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 ❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION: 144. Railroad Avenue 210 731 'I I D
BUSINESS NAME: Heller Wie enstein PLLC PHONE: 4257732525 SCHEDULED
g ► 0610.1i•13
MAILING 144 Railroad Ave #210
ADDRESS: Edmonds
BUSINESS OWNER: Heller, Thomas
EMERGENCY-1: Coast Real Estate Mgn.
KEY ACCESS-2:
j PERSON CONTACTED
NAME OF INSPECTOR
FIRE D� a�
.SYSTEMS.
4
98020
HOME PHONE: 4257876651
HOME PHONE: 4253393638
HOME PHONE:
DATE DUE
UFIR ► 591 6202
ACTIVE
CURRENT
CITY . YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
1
2
2
3
3 1
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:
1
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
4
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
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CFI
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Serving Brier; Edmonds
Mountlake Terrace,and
the Town of Woodway
www.FireDistrictl.org
LOCATION:
144 Railroad Avenue
I
BUSINESS NAME:
Heller Wiegensteln PLLC
MAILING
144 Railroad Ave #210
ADDRESS:
Edmonds
BUSINESS OWNER:
Heller, Thomas
EMERGENCY-1:
Coast Real Estate Mgn-
KEY ACCESS-2:
PERSON CONTACTED: /
NAME OF INSPECTOR:
,j
FIRE
SYSTEMS:
! 'A
rra-'T S
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
210
PHONE: 4257732525
98020
HOME PHONE: 4257,976651
HOME PHONE: 4253393638
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ WOODWAY
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY I STATION & SHIFT
731 17 B
SCHEDULED
DATE DUE ► 06/01/11
UFIR ► 591 6202
ACTIVE
CURRENT CITY YES No
BUSINESS �j
LICENSE 0
INITIAL INSPECTION DATE
6/y/%t
FE /O !O
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 ,+X % �� /�1 S
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3 c�(�GrcF.r i�`— cY%� d c %/✓fi
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:
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
8
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY R