144 RAILROAD AVE STE 2163NOHOMISH CO.
111111111 / z/y {�AZL,QO ��, i f rE Z/ U FIRE PREVENTION
Serving Brier, Lw,,.�,... 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace, and Everett, WA 98208 ❑ BRIER ❑S
BRIER
the Town of Woodway Phone (425) 551-1200 ❑ WOODWAY
wwFireDistrictl. org Fax (425) 551-1272 ❑ UNINCO PORA EDACE
w
LOCATION:
144 Railroad Avenue
216
FREQUENCY
731
TATION & SHIFT
17 D
T
BUSINESS NAME:
_
V i is 1 Z F i� vC t1 T-o1 t
PHONE: 4257763536
C-a o
SCHEDULED
DATE DUE / 06 01113
MAILING
144 Railroad Ave #216
UFIR ► S91 6 202
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
Freeman, Clay
HOME PHONE: 4257445608
ACTIN;
EMERGENCY-1:
HOME PHONE:
eCURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES
NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
W-0 t2 2-('- V"J cf
7 ^ 1 -7 - 1 -3
FIFE
FE j f____
SY`'STEMS:
�.
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2
3 —
3
4 _
4
5_
5
6 _
6
7
7
I 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
2 6
3 7
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
DATE:
CODE
SECTION:
5
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT
COPY
SNOHOMISH CO, Serving Brier, Edmonds
FIMountlake Terraceand
e Town of Woodway
D111T T w"ww.FireDistrictLorg
LOCATION: 144 Railroad Avenue
BUSINESS NAME:
Production Finance/00E3
MAILING 144 Railroad Ave #216
ADDRESS:
Edmonds
BUSINESS OWNER:
Freeman, Clay
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED: C) A/
NAME OF INSPECTOR:
FIRE
3'YSTEMS:
FIRE PREVENTION
12425 Meridian Ave S
INSPECTION REPORT
Everett, WA 98208
OEDMONDS
El BRIER
Phone (425) 551-1200
EIWOODWAY
Fax (425) 551-1272
0 MOUNTLAKE
0 UNINCORPORATED TERRACE
r FREQUENCY STATION & SHIFT
216
731 17 6
PHONE: 4257*76
SCHEDULED3536 DATE DUE
UFIR 0 591 6202
98020
HOME PHONE: 4257445608
HOME PHONE:
HOME PHONE:
AC-TIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE El
INITIAL INSPECTION DATE
A/
FE
ANNUAL
FIRE DEPARTMENT COPY