16111 76TH AVE WIIII�lIII ���ii A/1
Serving Drier, admonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
JLFJL0 1 JM1%J 1 www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION: 16111 76 th Place W 98026 Annual 16-A
BUSINESS NAME: Vacant (Edmonds Marina) PHONE: 4257432211 SCHEDULED Nov 2016
DATE DUE
MAILING UFIR / 898
ADDRESS: 16111 76th Place W, Edmonds, WA 98026
BUSINESS OWNER: Evans, Jack HOME PHONE:
EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
EMAIL: BUSINESS
LICENSE El 1:1
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: ' -24
FIRE SYSTEMS: AS 9/03 FE /
Date Last Serviced:
HAZARD F9IUND AND LOCATIONS / COMMUNICATIONS
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
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities .
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violation.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
SNOHOMIS
FIR
DIS
7&411
6
Serving Brier Edmonds, andf, 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY STATION & SHIFT
LOCATION: 16111 76 th Place W 98026
BUSINESS NAME: Vacant
MAILING
ADDRESS: 16111 76th Place W, Edmonds, WA 98026
BUSINESS OWNER: Evans, Jack
EMERGENCY-1: y
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: d W L_ I A V
FIRE SYSTEMS: AS 9/03 FE
Date Last Serviced: .
PHONE: 4257432211
HOME PHONE:
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
Annual 16-D
SCHEDULED Nov
DATE DUE 2015
UFIR ► 898 f
CURRENT
CITY YES NO
BUSINESS ❑ ' L_Jb'
LICENSE u
INITIAL INSPECTION DATE
ols
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
2 MA n ► I /J
2
3
4
4
5
6
A'
6
t,
a
7.
y
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
_DATE DUE:
DATE DUE: _ —
GRANTED TO:
_
DATE DUE:
CITED:
PERSON
PERSON
PERSONy�
CONTACTED:
CONTACTED:
CONTACTED:
1..
INSPECTOR:'
DATE:
2
INSPECTOR:
INSPECTOR:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS y'
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
4
8
4
8
DATE:
r _
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES [I NO
8