21412 HIGHWAY 99HIW4wAl 11,
Serving Briei; Edmonds,
Lyinwood and M(nindake
Terrace .
vtw"i Southvnofire. org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
LocAToN:21412 Highway99 98026
BUSINESS NAMFW C"IMARIAG I PHONE: d - 7n;1aCr
Ce-
MAILING
ADDRESS: 21412 Highway 99, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
L,,4 �)(-_ , J�eve 9
EMIERGENCY-1 HOME PHONE:
aLaLl�
KEY ACCESS-2: HOME PHONE: 16
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: x/
FIRESYSTEMS: Change of Use Needed BtoS2 FE3/18 v // '�'
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
C] UNINCORPORATED
FREOUENCY
STATtON&SHIFT
Annual
16-C
SCHEDULED
Sep 2019
VAIEDUE 0
LIFIR 1' 571
CURRENT
city YES NO
BUS#NESS, - 13
Llr-FNSF J�a
14WO9 I"ODNOW t=T_1ON'SM'/'=W_#,ACATIONS
2
. ............................... . ........... . . . . ............. . .......... - ----------------
- ----------- --------
.......... ............
. .... .
A
R
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS
In our continuing effort to promote fire safety and prevention within the co�4.ntun, 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 viol i
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-
Mountlake Terrace or Brier, call (425) 744-6231.
Serving Briei; Edmonds, FIRE PREVENTION
Lvnnwood and Mountloke, 12425 Meridian Ave S INSPECTION REPORT
0 EDMONDS
Terrace, Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
E3 UNINCOFOORATED
www Southvnofire. org Fax (425) 551-1272
LocATK)N:21412 Highway99 98026
BUSINESS NAME_.-. r-'--RR2-.bi'- Sf�fin lyle4weqf/ e'14"445 PHONE: 2064892711
MAILING
4W ADDRESS: 21412 Highway 99, Edmonds, WA 98026
FREOLAENCY
smitoN & SHIFT
Annual
16-C
SCHEDULED
Sep 2019
DATE DM 0
LIFIR �
BUSINESS OWNER:tia�� I 0el Lx a_e HOME PHONE:
EMERGENCY- L+Jat7gMUM-
HOME PHONE: 3039577942 CCITYRENT
KEY ACCESS-2: HOME PHONE: 16 BUSINESS
EMAIL:
LICENSE
PERSON CONTACTEa. INITIAL INSPECT
NAME OF INSPECTOR:
L / V V! 00
Z/" '2-
FIRE SYSTEMS: FE 4'/17
YES NO
El 1:1
AND LOC4�V-10" 'N"S / COMMUNICATIONS
4 e7i 44, 441 40
2
---- ... ....... . . . . . ............................ ......... . ... . ....
..... ...... I
4 ... .. ......... . .....
.......................... . . . . . ..
-7
1AGREET 1 0 CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X i4�1 I I
I"i V
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspectilons" 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 inspecilion 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 o I a�ti f
If you require additional information or to schedule a re-inspecfion for Edmonds, call (425) 7755�*i-7* f
Mountlake Terrace or Brier, call (425) 744-6231.
V "�N'