21116 HWY 99 (2)FIRE PREVENTION
INSPECTION REPORT
Serving Brier, Eamonds, and 12425 Meridian Ave S
SNOHOr4ISH CO. OEDMONDS
Everett, WA 98208 0 BRIER
Mountlake Terrace
FIRE 0 MOUNTLAKE TERRACE
Phone (425) 551-1200 0 UNINCORPORATED
,DISTR T www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY I STATION 1, SHIFT
LOCATION: 21116, Highway 99 98026 Annual 16-C
BUSINESS NAME: Harvey's Lounge PHONE: 4257781755 SCHEDULED Jul 2017
DATE DUE �
MAILING UFIR � 163
ADDRESS: 21116 Highway 99, Edmonds, WA 98026
BUSINESS OWNER:`unday, Alex HOME PHONE:
EMERGENCY-1: Robinson, Shannon HOMEPHONE: 9363484898 CURRENT
KEY ACCESS-2: HOME PHONE: 16 CITY YES NO
BUSINESS .71
EMAIL: LICENSE n__j
PERSON CONTACTED: C-) A -0 C., -2— V W So INITIAL INSPECTION DATE
,NAME OF INSPECTOR: -7 —1-7 - r7
FIRE SYSTEMS: FE 3/16 HID ??
Date Last Serviced: �t '& 1 )-7
If
It
Serving Brier, Edmonds, and
"I
Mountlake Terr'N
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-12 72
FIREPREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
[3 MOUNTLAKE TERRA CE
[3 UNINCORPORATED
r FREQUENCY
STATION &SHIF")
LOCATION:
.21116 Highway 99 98026
Ammied
BUSINESS NAME:
PHONE:
SCHEDULED
�
Harvey's Lounge
4257781755
DATE DUE
_11112016
MAILING
IRO
ADDRESS:
163
21116 Highway 99, E dmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
Munday, Alex
.EMERGENCY-1
HOME PHONE:
MVA/4914Y
CURRENT
%KEY,AqCESS-2:
HOME PHONE:
qWa3484ca98
CITY YES NO
'.'.`EMAIL:
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PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: C2
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3
4
4
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
.RATE �LU�,
PERSON
CON kCTED:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE,
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON.
CONTACTED:
1
INSPECTOR
INSPECTOR:
INSPECTOR:
2
3
4
DATE:
AT E*
PRE -CITATION
LETTER SENT
DATE:
VIOLATIONS
1 5
VIOLATIONS.-
1 5
CITATION ISSUED
NUMBER:
2
6
2
6
DATE:
CODE
SECTION:
5
4
RETURN RECEIPT
RECEIVED
7
4
8
DATE:
DISPOSITION:
LETTER NEEDED YES El NO
LETTERNEEDED 0 YES [:1 NO
8
Serving Brier, Ednionds. and
Mozintlake Terrace
FIRE
DISTRT wivwFireDistrictl.org
LOCATION: 21116 Highway 99 98026
BUSINESS NAME: Harvey's Lounge
MAILING
ADDRESS: 21116 Highway 99, Edmonds, WA 98026
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257781755
1 BUSINESS OWNER: Munday, Alex HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
)WEDMONDS
'0BRIER
0 MOUNTLAKE TERRACE
El UNINCORPORATED
I` FREQUENCY � STATION &SHIFT
Annual 16-A'
SCHEDULEDjul 2015
DATE DUE
IU FIR 1,163
21
C n n CZ
EMERGENCY-1- in HOME PHONE: 9363484898 CURRENT
WNW
KEY ACCESS-2: HOME'PHONE: 4"' CITY YES NO
BUSINESS J�] F]
EMAIL: LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED: (4 4
NAME OF INSPECTOR:
1/17 tlemf i 0�— A17�57
FIRE SYSTEMSD FFIffrHn ??
bZA
ate'� F ANDeLaPAT'ONS COMMUNICATIONS
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2 1z i I"
2
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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
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
IINSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D E:
DATE:
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
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 0 YES El N
rLETTER NEEDED E) YES [I NO
F_
8
FIRE DEPARTMENT COPY
'000
: -0
SNOHOMISH CO. k Serving Briet; Edmonds. and 12425 Meridian Ave S
FI R E C(� Mountlake Terrace Everett, WA 98208
Phone (425) 551-1206
'k�r-,
STRI T www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 21116 Hiqhway 90 08026
BUSINESS NAME: I lanimi's Lourme PHONE: 4257778175
MAILING
ADDRESS: 2111 E I lighway 00, Ednmrids, WA 0802L
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
El BRIER
[I MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY I STATION &SHIFT
)kfiflual 16-D
SCHEDULED
C' DATE DUE � Jul 2014
UFIR k
BUSINESS OWNER: MtjtlrinV, A-le.y HOME PHONE:
EMERGENCY-1: Rabirman, Shannon HOME PHONE: 0363434308 " CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
EMAIL: BUSINESS
LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
N -
NAME OF INSPECTOR: fDO A) 02-02.
�-IHE SYS IEMS: FE 1/ 13 HD ??
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2 /J OL-A -1 0
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:
I
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
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
18
DATE:
DISPOSITION:
7
\. LETTER NEEDED E] YES [I NO
LETTER NEEDED [] YES NO
1
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
SNOHOMISH CO.
Serving Brier, Edinonds
12425 Meridian Ave S
-INSPECTION REPORT,
//,[:]EDMONDS
FIRE(io
'Mountlake Terrace, and
Ever'e'it,'WA 98208
0 BRIER
DIST R-11ww"T
the Town of Woodway
Phone (425) 551-1200
[) WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
"_ FREQUENCY
STATION & SHIFF"�
LOCATION :
21116 Highway 99
365
16 C
I
BUSINESS NAME:
Harx,eys Lounge
PHONE
4257781755
SCHEDULED
DATE DUE 1' 117/01/13
MAILING
21116 Highway 99
LIFIR � 163 7207
ADDRESS:
Edmonds
98026
BUSINESS OWNER:
Munday, Alex
HOME PHONE: 2063963889
AC-nVE OIL 86
EMERGENCY-1:
Robinson, Shannon
HOME PHONE: 9363484898
-CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
7- 1,16 , 13
FIRE
FE I /15
SYSTEK/IS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
Nrlyoc 0o, I n
.60
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
D E DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D E:
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
18
DATE:
1
DISPOSITION:
7
LE17ER NEEDED E] YES [I NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIRE
Mountlake Terrace, and
Everett, WA 98208
0 EDMONDS
0 BRIER
STRI
the,Town of Woodway
T
Phone (425) -,551-1200
DWOODWAY
[I MOUNTLAKE TERRACE
www.FireDistrict].org
Fax (425) 551-1272
0 UNINCORPORATED
LOCATION:
21116 Highway 99
FREQUENCY
365
STATION 1, SHIFT�
16 6
BUSINESS NAME:
Harveys Lounge
PHONE: 4257781755
SCHEDULED 07/01/12
DATE DUE
MAILING
21116 Hinhway 99
UFIR 10 163 7207
ADDRESS:
Edmonds
98026
BUSINESS OWNER:
Munday"Ailex
HOME PHONE: 2063963889---- ACTIVE OIL 86
EMERGENCY-1.
telne, , Shannon
o.
HOMEPHONE:' 9363484898
_4CURRENT
YES NO
KEY ACCESS-2:
HOME PHONE:
CITY
BUSINESS
El Fl.
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
-A
tj . (,O-�
FIRE k'C- .1 VV,\ I V,\ 6 -7
FE 1�_412_
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATI
,INS/,COMMUNICATIONS
2
2
3
3
4
4
5
5
f
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:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DA E:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 15
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:
LETTER NEEDED F] YES C3 NO
LETTER NEEDED E] YES [I NO
8
FIRE DEPARTMENT COPY
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the following information:
Name of Company (DBA):
Harvey's Lounge
Edmonds Location:
21116 Highway 99
In conformity with the
terms of the International
Fire C6d__e, applic-a—tion is
hereby made to store, use
Places of Assembly - Occupant Load: 86
or maintain the following
activity, storage or pro-
cesses:
Mailing Address:
21116 Hwy 99
Edmonds, WA 98026
EFD UFIR #:
(for office use)
1630860711�?07
Your Signature
Your Name (print)
Your Title
-74
Please make corrections, attach $40 payable to the City of Edmonds and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North
Edmonds, WA 98020
FOR OFFICE USE ONLY
Rec'd
Check#
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
March 7, 2011
Please verify and correct the following information:
AR 1 8 PAID
EDMONDS FIRE DEPT.
Name of Company; DBA
Harvey's T4yern
ri
Edmonds Location
21116 Highway 99
In conformity with the terms of
Places of Assembly - Occupant Load: 86
the International Fire Code,
application is hereby made to
store, use or maintain the
following activity, storage or
processes:
Mailing Address:
21116 Hwy 99
Edmonds WA 98026
EFID LIFIR
1630860713207
(for office use)
Your Signature
Your Name (print)
Your Title
Please make corrections, attach $40 payable to the City of Edmonds, and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North
Edmonds, WA 98020
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT
January 1, 2011 163-086-0713-207 December 31, 2011
Date of Issue UFIR Number Date of Expiration
I This PERMIT is issued to: I Harvey's Lounge
located at: 121116 Highway 99 Edmonds, WA
I To engage in the business, occupation or process of: I
And shall constitute permission to maintain, store, use or handle materials or to conduct
process which produce conditions hazardous to life or property or to install equipment used in
connection with such activities as follows:
Places of Assembly - Occupant Load: 86
I Allowed Occupant Load: 1 86 1
Pursuant to the provisions of the International Fire Code, any violation of the Code may be
grounds for the revocation of this PERMIT.
This permit does not take the place of any
license required by law and is not
transferable. Any change in the use or
occupancy of premises shall require a new
permit.
This Permit Must Be Posted At All Times in The Premises Identified Above
City of Edmonds Community Development Code 19.25.020
FIRE PREVENTION
, Serving Brier Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
FIRE
Everett, WA 98208
OEDMONDS
0 BRIER
STRIt, the Town of Woodway
- T
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
0'_ FREQUENCY STATION & SHIFT_'N
LOCATION: 21116 Highway 99
365 16 A
I
BUSINESS NAME
: Harveys Lounge
PHONE: 4257781755
SCHEDULED
DATEDUE � 07/01/11
MAILING 21116 Highway 99
LIFIR � 163 7207
ADDRESS: Edmonds
98026
BUSINESS OWNER: Munday, Alex
HOME PHONE: 2063963889
ACTIVE OIL 86
EMERGENCY-1: Meline, Shannon
HOME PHONE: 9363484898
"'CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
1:1 1:1
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE'
NAME OF INSPECTOR:
FIRE
FE LL/
SYSTEMS:
ANNUAL
HAZARDS FOUI�DAND LOCATIONS /COMMUNICAT NS
1 _D A, pe- O'k e-
2
GA r, V A C_ r> Or-f-_5 D
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3
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4
4
5
5
6
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7
7
---------------
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuning 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 standrads 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 or the Town of Woodway, call
(425) 775-7720; for Mountlake Terrace or Brier, call (425) 754-0434.
BUSINESS COPY
CITY OF EDMONDS
BUSIN't '_S
LICENSE APPLICATION- COMMERCIAL
FEE: $125.00
CITY CLERICS OFO(CE, BUSINESS'LICENSE DIVISION
1215" AVENUE NORTI-1. EDMONDS, WA 98020 PHONE: 425.7752525
OFFICE USE.ONLY
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INSTRUCTIONS: Please complete the application In full and attach the required floor plan. Middle Initial or name required of all
parties concerned. If no middle name, pleme Indicate by writing NMN. Sign and return application with fee. Please advise of - . I I
any change In status. Now licenswreqtitred If business changes location or ownership. Notification to City of Edmondi required
Nbusiness bloses.
BUSINESS NAME
BUSINESS ADDRESS
'Street Suite No. Zip Code
MAILING ADDRESS 2z _-) cr zavz 0�_/ - -
Sheet or PO Box Suite No. City,
BUSINESS PHONE NO. t01_5 WASTATETAXIDNO.(UMNO.),
BUSINESS E-MAIL BU INESSWEBSITE
PROPERTY.OWNER .5rzata
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Last Marne
NATURE OF BUSINESS 9/__
NUMBER&EMPLOYEE§ ____PQUARE FOOTAGE OF BUSINESS SPACE
TYPE OF BU$INES$ - PLEASE CHECK THEAPPROPRIATE CATEGORY-
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FLAMMABLE OR HAZARDOUS MATERIALS USED OR STORED?: CtYES�NO IFYES, PLEASE PROVIDE LIST OF MATERIALS AND QUAN'TITIES:
BUSINESS HOURS Z<Q
PROPOSED OPENING DAY -OF BUSINESS Az- 14
IDAYS OPEN NDAY NDAY ATuESDAY �XEDNESDAY `16URWAY URDAY
AFRJDAY #SA
PARKING -SPACES ON SITE:- TOTAL _ACCESSIBLE FOR PERSONS W" DISP,,@.
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DOESTHE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH oismiums? "s
PREVIOUS BUSINESSMSEAT71-11SADDRESS
SOLE PROPRIETORSHW
First full
ADDRESS
street Apt No., Lk* No6 CIIY� State and Zip Code
HOME PHONE NO. —POL NO. (DRIVERS UCENSE NO.) OR OTHER ID NO�
DATE OF BIRTM.__CITY AND STATE OF BIRTH COLWfW OF BIRTH
-PARTNERI
NAME
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DATE OF 81�111t_Crl`Y
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CITY OF EDMONDS
121 5T�' AVENUE N. - EDMONDS,WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION: 21"116 Highway 99
BUSINESS NAME: —Harvey's Tavern
MAILING 21116 Highway 99
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257781755
ALWNMOO: Edmonds 98026
BUSINESS OWNER: Glover, Dennis HOMEPHONE: 2064192121
EMERGENCY-1: Harrington, Connie HOMEPHONE: 4252184349
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION & SHIF�
2
1
16 D
�
SCHEDULED
DATE DUE 1' 07/01/10
UFIR 0, 163
7 707
ACTIVE 01L 86
eo INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: JR1_2311
FIRE FE f
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS ENTER CODE ONLY ONCE 11�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
V1.3z10
8
1st RE-INSPECTIO�/
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -I NSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED�_
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D E:
DATE:
3
VIOLATIONS
1 15
VIOLATIONS
5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2 10��
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
8
4
18
IDATE:
DISPOSITION:
8
\, LETTER NEEDED [:] YES NO
LETTER NEEDED [:] YES NO
I .
FIRE DEPARTMENT COPY
MEMORANDUM
I
TO: BILL ANGEL, Captain
FROM: Gary L. McComas
DATE: July 27, 1993
SUBJECT: EVENING INSPECTIONS
During the evening of August 6,1993, between the hours of 2100 & 2300 you are assigned the
following occupancies to do a walk through inspection. As in the past the main focus of the
inspections is to make sure that exits are not blocked and that overcrowding does not occur. If any
problems are observed during your inspections attempt to correct them at the time you are there and
document your observations and forward your report to the inspection office for filing or follow up.
STATION 7: Arnies At The Landing,300 ' Admiral Way
Goldies Of Edmonds, 180 Sunset Ave
STATION 6: Romeo's Restaurant Pizzeria, 21110-76th Ave w
P
`18 'T 9-
-q, 0;21-146zfflj�ghway-9. -
CC:
J-0 Fie 61
CIA
Polrl 100
v4v
-e 0
nd