21600 HWY 99 STE 220SNO110MISH CO.
FIRE
arr
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FIRE PREVENTION
Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
OEDMONDS
Mountlake Terrace Everett, WA 98208 [3 BRIER
Phone (425) 551-1200 13 MOUNTLAKE TERRACE
[3 UNINCORPORATED
"Ai;7 A EMMi A www.FireDistrictl.org Fax (425) 551-1272
LOCATION:
21600 Highway 99 Suite 220 98026
BUSINESS NAME:
Di I . PHONE:
glestive Disease Cntr(pa � 01) 1 4257742686
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tr C, zc 61Z_;7W70C-
MAILING
ADDRESS:
21600 Highway 99, Suite 220, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
Degan, Thomas HOME PHONE: 2065463826
KEY ACCESS-2:
HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS:
FE
Date Last Serviced:
HAZARDS FOUND A�N�DOCATIONS / COMMUNICATIONS
FREQUENCY I STATION 1, SHIFT
2016 16-C
SCHEDULED
DATE DUE � Jan 2016
UFIR'10 593
CURRENT YES NO .
CITY
BUSINESS F-1
LICENSE I I E]
INITIAL INSPECTION DATE
I
2
2
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4
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6
7
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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 condition �e vio ion.
If you require additional information or to schedule a re -inspection for Edmonft call (425) ;75_W720,� for
Mountlake Terrace or Brier, call (425) 744-6231.
SNOHOMIS11 CO. Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Fi Phone (425) 551-1200
T www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 21600 Highway 99 Suite 210 98026
BUSINESS NAME: PHONE: 4257742426
MAILING
ADDRESS: 21600 Highway 99, Suite 210, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
FIRE PREVENTION
INSPECTION REPORT
OEDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY - 7STATION & SHIFT
16_
2016 16-C
SCHEDULED
DATE DUE � Jan 2016
UFIR � 593
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 compli ce
ti
w ith the minimum standards adopted by the above jurisdictions. 1:iola ion.
Any overlooked hazards or violations, of the fire regulations does not imply approval of such conditions or
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.
FIRE PREVENTION
Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terrace
FIRE,
Everett, WA 98208
OEDMONDS
0 BRIER
DI"I TR T'
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
.S www.FireDis'trict.l.org
Fax (425) 551-1272
r FREQUENCY
STATION& SHIFT
LOCATION
21600 Highway 99 Suites 260/220/205 98026
2016
16-C
I
BUSINESS NAME:
Puget Sound Gastroentorology
PHONE: 4257742650
SCHEDULED
DATE DUE I, Jan 2016
MAILING
LIFIR ll� 593 157
ADDRESS: 21600 Highway 99, Suites 260, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITy YES NO
EMAIL:
BUSINESS El D
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: F&O'MA
Date Last Serv*ced7
HAZARDS FOUND AND LOCATIONS I COMMUNICATIONS
2
3
2
3
4
4
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE-
VIOLATIONS
CITED:
1
PERSON
CONTACTED:
INSPECTOR:
PERSON
CONTACTED:
IN�PECTOR:
PERSON
CONTACTED:
INSPECTOR:
2
3
DATE:
E:
DATE:
VIOLATIONS
15
VIOLATIONS:-
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
3
16
7
2
6
DAT�._
RETURN RECEIPT
R CEIVED
CODE
SECTION.
5
6
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DATE:
\�LETTER NEEDED [] YES [I NO
LETTERNE9DED [] YES NO
11
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Sery-ilig Briet; Edmonds, and 12425 Meridian Ave S
Motintlake Terrace ,,,Everett, WA 98208
'Aone (425) 551-120(
www.FireDistrictl.org Fax (42-5) 551-1272
LOCATION:
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BUSINESS NAME: FuLi-'r PHONE.VjS__7 2 �G-
MAILING CTO
ADDRESS:
BUSINESS OWNER:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
0EDMONDS
El BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY STATION 1, SHIF",
SCHEDULED
DATE DUE
EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
EMAIL: LICENSE
1�1 4 INITIAL INSPECTION DATE
PERSON CONTACTED: .1
NAME OF INSPECTOR: 2;
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I AGREE TO CORRECT THE
ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE-INSPE6TION
VIOLATIONS
DATE DUE:
E DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE: %4'
DATE:
DATE:
3
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VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 15
1 15
LETTER SENT
NUMBER:
4
CODE
2
6
2
6
DATE:
SECTION:
5
RETURN RECEIPT
6
3
7
3
7
RECEIVED
DISPOSITION:
4
8
4
8
DATE,
7
LETTER NEEDED [:] YE;
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION' -
Serving Briet: Edinonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIR�E
. ow,
Mountlake Terraceand
fil
Everett, WA 98208
0 EDMONDS
O'BRIER
S T
e Town of Woodway
T
Phone (425) 551-1200
EIWIJODWAY
[1 MOUNTLAKE TERRACE
wt`ww.FireDistrict1.org
Fax (425) 551 -1272
0 UNINCORPORATED
FREQUENCY STATION & SHIFT�
LOCATION:
21600 Highway 99
220
731 16 D
BUSINESS NAME:
DigesWe Disease Cnir(part oo
PHONE: 4257742686
SCHEDULED.
DATE DUE 1' 01101/13
MAILING
21600 Highway 99 #220
LIFIR 11, 593 1157
ADDRESS:
Edmonds 98026
BUSINESS OWNER:
Degan, Thomas
HOME PHONE: 2065463826
Suftes
EMERGENCY-1:
Zahalick, Deanna
HOME PHONE: 2065401114
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
El El
LICENSE
PERSON CONTACTED: A y 0
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
02,02-
FIRE
FE —f—
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
A) 0 T J__-
2
L)A) 1
2
AA) 0
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3 J)A) 1
0
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I St 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 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 18
4
8
DATE:
DISPOSITION:
7
LETTERNEEDED F] YES F1 NO
LETTER NEEDED 0 YES NO
8
FIRE DEPARTMENT COPY