144 RAILROAD AVE STE 236�} IIIII�II)
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FIRE PREVENTION
Serving Brrer, _ _.s..
_ ..is
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
❑ EDMONDS
FIREMountlake
Terrace,and
Everett, WA 98208
❑BRIER
DIS FR
the Town of Woodway
Phone (425) 551-1200
❑ M O NT AY
❑ AKE TERRACE
www.FireDistricti.org org
Fax (425) 551-1272
UNINCORPORATED
❑UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION: 144
Railroad Avenue
236
731
17 D
BUSINESS NAME:
PHONE: 2069314414
DATE DUE SCHEDULED► 06/01/13
MAILING
144 Railroad Ave #221
UFIR ► di91 6202
ADDRESS:
Edmonds 98020
uq /as Ces . Tu arn�9 �C,
BUSINESS OWNER:
l
a
HOME PHONE: 2063671964
ACTIVE
4257712813EMERGENCY-1:
. ��
CURRENT
KEY ACCESS-2: l3r{Y1l n, Luanne C� • ZO(, 9/l� cl 273
HOME PHONE: A6931441 1
CITY YES NO❑
14 f 7 71. T 21,2
BUSINESS
LICENSE
❑
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PERSON CONTACTED'
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INITIAL INSPECTION DATE
NAME OF INSPECTOR: �,
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SYSTEMS:
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ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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2
2
3
3
4
4
5
5
6
6
7
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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:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
8
4
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brief; Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
,FIRE
Mountlake Terrace,and
Everett, WA 98208
❑ EDMONDS
❑BRIER
I
the Town of Woodway
Phone (425) 551-1200
❑ MOODWAY
OUNTLAKE TERRACE
DI
wwwFireDistrictl.org
Fax (425) 551-1272
❑
❑UNINCORPORATED
FREQUENCY
STATION & SHIFT
r LOCATION:
144 Railroad Avenue
236
731
17 B
I
New T �, �� `d}j qQ (.�O�AyC10�+i
4Z5 _q0 W_UI
SCHEDULED
BUSINESS NAME:
V
,
PHONE: _266 "4 4
DATE DUE ► 06/01/11
MAILING
144 Railroad Ave ##221
UFIR ► 591 6202
ADDRESS:
Edmonds 98020
70L L 04 k0-A-
BUSINESS OWNER:
,Q �,t 1
`���k v"'�`� `�S
HOME PHONE:
AC-nVE
' EMERGENCY-1:
Waterfront Park Assoc
HOME PHONE: 4257712813
CURRENT
KEY ACCESS-2:
�tialift
HOME PHONE: -2969 A a e 14 -
CITY YES NO
BUSINESS C-A ❑
LICENSE 1KJ
PERSON CONTACTED: !
A P_
INITIAL INSPECTION DATE
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NAME OF INSPECTOR: Q Il c� l 1
t I
FIRE
FE Lf, Ll
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 0I
1
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:
_
43
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
5
4
8
4
8
IDATE,
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
i i 4
CITY OF EDMONDS
121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
Est. 1890
LOCATION: 144 Railroad Avenue
BUSINESS NAME: Copper Parrot, Inc.
MAILING144 Railroad Aire ##221
FIRE PREVENTION
SAFETY SURVEY
236
PHONE: 2069314414
ADDRESS: Edmonds 98020
BUSINESS OWNER: Nlacbriar, Thomas HOME PHONE: 2063671964
EMERGENCY-1: Waterfront Park Assoc- HOME PHONE: 4257712813
KEY ACCESS-2: Brown, Luanne HOME PHONE: 2069314411 '+y
' FREQUE NCY
STATION 1, SHIFT
SCHEDULED
06/01/09
DATE DUE ►
UFIR ► 591
6202
rr
ACTIVE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: D J v
FIRE E !
SYSTEMS: ,® ANNUAL
HAZARDS FOUND AND LOCATIONS /COMMUNICATIONS
bqA"
ENTER CODE ONLY ONCE ►
VIOLATION CODE
1 FE d
2
2
3
3
4
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE
2nd RE -INSPECTION
GATE 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: t"
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
8
4
8
DATE:
DISPOSITION:
8
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215
FIRE DEPARTMENT
Est, 18g�
LOCATION: 144 Railroad Avenue
BUSINESS NAME: V p I ` AA (
MAILING If 144 Railroad Ave #221
FIRE PREVENTION
SAFETY SURVEY
ita
PHONE: 2069314414
ADDRESS, Edmonds 98020
BUSINESS OWNER: Macbriar, Thomas HOME PHONE: 20G,1CS71964
EMERGENCY-1: Waterfront Park Assoc. HOME PHONE: 4257712813
KEY ACCESS-2: Brown, Luanne HOME PHONE: 2069314411
FREQUENCY
STATION & SHIFT
'17 A
DATE DUES ►
06/01 /0
UFIR ► 591
6202
ACTIVE
11 INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:' ` tUt 4��,
FIRE ' i _�''F_�
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ENTER CODE ONLY ONCE ►
VIOLATION CODE
2
#
2
,M1
4
4
5
5
6
6
7
7
6
8
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE: -
3
4
VIOLATIONS
1 5
VIOLATIONS
1 5
.. ,..._., _...__ _...__.._
PRE-CITATIONiR
LETTER SENT
CITATION ISSUED
NUMBER:
5
2 6
2 6
DATE:
CODE
SECTION:
3 7
3 7
RETURN RECEIPT
RECEIVED
6
-� •�� __._ -� � �-
�•�
DISPOSITION:
7
4 8
4 8
DATE:
LETTER NEEDED [] YES
® NO
LETTER NEEDED r3 YES 0 NO
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6
FIRE DEPARTMENT COPY