209 4TH AVE S STE 102rIC
FIRE PREVENTION
.Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace Everett, WA 98208 OEDMONDS
[3 BRIER
[3 MOUNTLAKE TERRACE
Phone (4�5) 551-1200 [3 UNINCORPORATED
,fTwww.FireDistrict1.org Fax (425) 551-1272
FREQUENCY
& SHIFT-1
LOCATION:
TSTATION
209 4 th Avenue S Suite 102 98020
2016
17.-A
BUSINESS NAME:
PHONE:
Lowell's Stained Glass Studio
SCHEDULED
4257753770 DATE DUE II' Apr
2016
MAILING
UFIR 1` 682 202
ADDRESS:
209 4th Avenue S, Suite 201, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
Lowell, Paul
EMERGENCY-1:
KEY ACCESS-2:
Lowell, Kathy HOME PHONE:
HOME PHONE:
4253531354 "CURRENT
CITY
YES NO
EMAIL:
BUSINESS
17AJ
LICENSE
LJ
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS:
FE-1-2M-2-
9001001—dms 10fq5tEATIONS
/ COMMUNICATIONS
0
2
2
3
_3_
4
4
5
5.
6
6
7
7
I AGREE To cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1stRE-INSPECTION
2nd RE -INSPECTION .
EXTENSION
FINAL RE- ' INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
�OTI!�T �D
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR -
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
VIOLATIONS
VIOLATIONS',-`
PRE -CITATION
CITATION ISSUED
1 5
1
LETTER SENT
NUMBER:
�5
2
.6
2
6
DATE:
CODE
SECTION:
RETU�N RECEIPT
3
7
3
7
ECEIVED
6
DISPOSM
4
8
DATE:
7
LETTERNEEDED 0 YES 0 NO
LETTERNEEDED YES 0 NO
11
1
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8
SNO,
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Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake -T�rrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:
209 4 th Avenue S Suite 101 B 98020
BUSINESS NAME: The O'Brien Business Group PHONE: 4252336990
MAILING
ADDRESS:
209 4th Avenue S, Suite 101B, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
Obrien, Jim
.EMERGENCY-1: HOME PHONE:
O'Brien, Jim 2067904919
KEY ACCESS-2: HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: —1 Aln. 0 V 1�cf��
FIRE SYSTEMS: FE 12/12
FIRE PREVENTION
INSPECTION REPORT
[3EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
r FREQUENCY STATION & SHIFT
2016 17-A
SCHEDULED
DATE DUE ' Apr 2016
UFIR 0 591 202
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
101
HAZARDS FOUND) AND ATIONS COMMUNICATIONS
j o c c,-u-p CA 0
2
QZ
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 th Ci s
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. �bove you
will find the item(s) that were noted during, our inspection which require attention tobring them into corhpliance
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.
SNO]
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FIRE PREVENTION
2INSPECTION REPORT
Serving Brier, Edmonds 12425 Meridian Ave S X/
,,EDMONDS
Mountlake Terraceand Everett, WA 98208 0 RIER
the Town of Woodway Phone (425) 551-1200 El WOODWAY
[3 MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 [__1 UNINCORPORATED
FREQUENCY
STATION& SHIFT-`1
LOCATION:
209 4th Ave S
102
365
17 6
I
BUSINESS NAME:
Lowell's Stained Glass Studio
PHONE:
4257753770
SCHEDULED
DATE DUE 0 04101/13
MAILING
209 4th Ave S #102
UFIR � 682 4.202
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
Lowell, Paul R
HOME PHONE:
4252102768
ACTIVE
EMERGENCY-1:
Lowell, Kathy
HOME PHONE:
4253531354
e--CURRENT
KEY ACCESS-2:
Lowell, Chris
HOME PHONE:
4254445505
CITY YES - NO
BUSINESS
Ac.Q$%fj
WT 17f, Lnn_
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: A% LAr %f
-107,
j
FIRE
FE
SYSTEMS:
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:
I
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
7
3
7
RETURN RECEIPT
RECEIVED
6
14
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED F] YES El No
LETTER NEEDED [_] YES NO
r
1 8
FIRE DEPARTMENT COPY
SNOHOMISH CO.
Serving Briet; Edmonds
ITIRE
Mountlake Terraceand
DISTR,t�,T
the Town q bodway
fW
www.FireDistrictl.org
I
I _�
LOCATION: 209 4th Ave S
BUSINESS NAME: Lowelfs Stained Glass Studio
MAILING 209 4th Ave S #102
ADDRESS: Edmonds r
BUSINESS OWNER: Lowell, Paul R
EMERGENCY-1: Lowell, Kathy
KEY ACCESS-2: Lowell, Chds
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
102
PHONE: 4257753770
98020
HOME PHONE: 4252102768
HOME PHONE: 4253531354
HOME PHONE: 4254445505
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
[I UNINCORPORATED
I` FREQUENCY
STATION & SHIF'*"
365
17 A
I
SCHEDULED
DATE DUE 0 04/01/12
LIFIR 1, 682
4202
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE 1:1 El'. 1
INITIAL INSPECTION DATE
FE
AN
HAZARDS FOUNEI'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
'Ist 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:
I
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
'8
DATE,
DISPOSITION:
7
LETTER NEEDED [] YES NO
FLETTERNEEDED E] YES F1 NO
r
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5� AVENUE N. - EDMONDS, WASHINGTON 9MO (425) 771-0215
FIRE.DEPARTMENT
LOCATION: 209 4th Ave S
BUSINESS NAME: Lowells Stained Glass Studio
MAILING 209 4th Ave S #102
FIRE PREVENTION
SAFETY SURVEY
102
PHONE: 4257753770
Edmonds 98020
BUSINESS OWNER: Lowel Paul' HOMEPHONE: 4252102768
EMERGENCY-1: Lowell, Ka y, HOMEPHONE: 4253531354
KEY ACCESS-2:,,!;, Lowell, Chris HOMEPHONE: 4254445505
FREQUENCY STATION & SHIFT"
365 17 D_
SCHEDULED
DATE DUE 11- 04101,111
LIFIR I� 682 4202
ACTIVE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR 4251aprt_3 Ila CxVeIZ
FIRE t-tL4Etj 1L.'
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
0-K 1�j F�A�
ENTER CODE ONLY ONCE lo
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE-INSPECTIOVJ
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
LIETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
8
4
8
DATE:
DISPOSITION:
LETTER NEEDED YESI� []NO
LETTER NEEDED -[]. YES NO
0
FIRE DEPARTMENT-I'COPY
CITY OF EDMONDS
121 5� AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIR DEPARTMENT
4S' 8 t 189 Co
LOCATION: 209 4th Ave S
BUSINESS NAME: Lowell's Stained Glass Studio
MAILING 209 4th Ave S #102
ADDRESS: Edmonds
BUSINESS OWNER: Lowell, Paul R
EMERGENCY-1: Lowell, Kathy
KEY ACCESS-2: Lowell, Chris
nQnj:)n
HOMEPHONE: 4252102768 ACTIVE
HOMEPHONE: 42535)1* lqo' -60L-'-)Lf
HOMEPHONE: 4254445505
FIRE PREVENTION
SAFETY SURVEY
102
PHONE: 4257753770
FREQUENCY
STATION& SHIFT
2
1 17 C
SCHEDULED
DATE DUE
LIFIR 0' 682
4202
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE FE
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 1�6)
ENTER CODE ONLY ONCE I�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
8
8
11st 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:
E:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE-CITAT10N
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
8
DATE:
DISPOSITION:
_F8
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY