21727 76TH AVE W STE 1102,,7 2 7,
Us tj
FIRE PREVENTIOW..
Serving 1�rier,'�dm�'onds, and
12425 A4eridiah Ave S
INSPECTION'RE PORT
SNOHOMISH
FIRE
Mountlake Terrace
Everett, WA 98208
[]EDMONDS
0 BRIER
DIST
Phone (425) 551*-1200
0 M I OUNTLAKE TERRACE
[I UNINCORPORATED
www. FireD'isftletl.' org
Fax (425) 551-1.272
0' FREQUENCY
STATION & SHIFT
LOCATION: 21727 76 th
W Suite 110 9r8026
2015
20-C
�i BUSINESS NAME: Flinn, Megan E. DDS
PHONE: 4257751055
SCHEDULED
DATE DUE � Nov 2015
MAILING
(UFIR o 593 157
ADDRESS: 21727 76th Avenue W, Suite 110, Edmonds, WA 98026
BUSINESS OWNER: Carlson, M
HOME PHONE:
EMERGENCY1:- Flinn, Megan E.
HOME PHONE: _4k5W5Xgq%
CUORENT
KEY ACCESS-2:
HOME PHr)N-w
CITY YES NO)
PERSON CONTACTED:
��E OF"' INSPECTOR:
FIRE SYSTEMS: FE
Datp Last.S�rvicpd- -
BUSINESS
LICENSE 1;�l
INITIAL INSPECTION DATE
HAZARDS FOUND AND LOCATIONS/ COMMUNICATIONS
.. . .......
2
2
3
3
4
5_
- -- ---- -------
5
7
6
'6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE"DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DAft:1
DATE:
3
VIO IONS*
VIOLATIONS;-, -
1. 1
PRE -CITATION
CITATION ISSUED
15
5
LETTER SENT
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
RETURN RECEIPT
3
7
3
RECEIVED
6
18
DATE:
DISPOSITION:
J,7
\1 LETTER NEEDED YES NO
LETTER NEEDED - 0 YE� r_1 NO
8
Serving Briet; Edmonds
SNOHOMESH CO.
91
FI R E ��,
Mountlake Terraceand
STR
I
the Town of Woodway
T
www.FireDistrictl.org
LOCATION:
21727 76th Avenue
BUSINESS NAME:
Flinn, Megan E. DDS
MAILING
21727 76th Ave W #110
ADDRESS:
Edmonds
BUSINESS OWNER:
Flinn, Megan E.
EMERGENCY-1:
Carlson, M
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR: Flr- 7t- C,
FIRE
r-i 0 -T- IJ
SYSTEMS:
M
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
W 110
PHONE: 4257751055
98026
HOME PHONE: 4257759020
HOME PHONE: 4257759020
HOME PHONE:
.... FIRE PREVENTION
INSPECTION R EPORT
0 EDMONDS
0 BRIER
ElwoobWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
e- FREQUENCY_
STATION& SHIFT)
730
16 C
I
SCHEDULED
DATE DUE 1' 11/01/11
UFIR 0 593
1157
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
FE-- - J_
ANNUAL
HAZARDS FOUND 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
11st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D TE 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
18
4
8
DATE:
DISPOSITION:
7
"I LETTER NEEDED 0 YES [I NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
1 4.
IC
017Z7 7&4h POE
FIRE PREVENTION
ServingBrier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
Mountlake Terrace
Everett, WA 98208
[3EDMONDS
[3 BRIER
Phone (425) 551-1200
[3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
www.FireDistrictl.org
Fax (425) 551-1272
FREQUENCY STATION & SHIF`*1
LOCATION: 2172776th Avenue W Suite 217 98026
2015 20-C
I
BUSINESS NAME: Vacant
PHONE:
SCHEDULED
4256404000 DATE DUE i Nov 2015
MAILING
UFIR 593 157
ADDRESS: 21727 76th Avenue W, Suite 217, Edmonds,
WA 98026
BUSIN ESS OWNER:
HOME PHONE:
EMER.GENCY-1: Stevens Memorial Hospital
HOME PHONE:
.
4256404000 CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
EMAIL:
LICENSE
INITIAL IISPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
nntp I qqt qior%Ar-PrI-
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
0
2
2
3
4
5
3
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
11ance
will find the item(s) that were noted during. our inspection which require attention to bring them into co, liance
....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 viola n.
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.
�21717
FIRE PREVENTION
Serving'Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace Everett, WA 98208 OEDMONDS
0 BRIER
Phone (425) 551-1200 D MOUNTLAKE TERRACE
www.FireDi , strictl.org Fax 1 (425) 551-1272 [3 UNINCORPORATED
LOCATION: 21701 76 th Avenue W Suite 204 98026
BUSINESS NAME: Philip Roe, DDS PLLC
FREQUENCY STATION & SHIFT
2015 20-C
SCHEDULED
DATE DUE � Oct 2015
MAILING UFIR 0 593 15
ADDRESS:
21701 76th Avenue W, Suite 204, Edmonds, WA 98026
BUSINESS OWNER: Roe, Phillip 449ME-PHONE-f -,_Afir�'.
EMERGENCY-1: HOME PHONE:
CURRENT
KEY ACCESS-2:. HOME PHONE: CITY YES NO
EMAIL: BUSINESS
LICENSE
INITIAL INSPECTION DATE'
PERSON CONTACTED:
NAME OF INSPECTOR:
212 0
I se. 4q
FIRE SYSTEMS: FEO'7 /I Li
Date Last Serviced:
HAZARDS'FOUND AND LOCATI,ONS COMMUNICATIONS
.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 2nd RE -INSPECTION
EXTENSION FINAL RE -INSPECTION
VIOLATIONS'
=AE GRANTEDTO: CITED:
DU
PERSON PERSON
CONTACTED: PERSON
CONTACTED: CONTACTED:
INSPECTOR: INSPECTOR: INSPECTOR: 2
DATE- DATE: DATE 3
VIOLAT111 NS', PRE-CITAMON
15 .15 LETTER SENT NUMBER: 4
CODE
16 DATE: SECTIOW
RETURN RECEIPT
RECEIVED 6
17 3 7
18 4
LETTER NEEDED YES NO LETTER NEEDED YES NO 8
PHONE: 4257751045
SNOHOMISH CO.
FIRE
Serving Brier, Edmonds, and
Mountlake Terrace
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
JLJJLO A JLIbJL%j A wwwFireDistrictl.org
Fax (425) 551-1272
LOCATION: 21727 76 th Avenue W Suite 214 98026
BUSINESS NAME: Vacant
PHONE: 4256404000
MAILING
ADDRESS: 21727 76th Avenue W, Suite 214, Edmonds,
WA 98026
BUSIN ESS OWNER: Baseheart, L..
HOME PHONE:
EMER.GENCY-1: Stevens Hospital
HOME PHONE: 4256404000
KEY ACCESS-2:
HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
Date Last Serviced -
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY I STATION 1, SHIFT
2015 20-C
SCHEDULED
DATE DUE i Nov 2015
UFIR � 591 157
CURRENT
I
CITY
YES NO
BUSINESS
r__J
LICENSE
L-J
INITIAL INSPECTION DATE
( I
�_ 1
`1 (;Z,
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
t-y
....................
2
2
3 ..... . .....
5
3
4
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 itern(s) that were noted during, our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Is or
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or ' lation.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-772 for
Mountlake Terrace or Brier, call (425 )744-6231.
4
REPORTEDBY OF
SUBJECT
ADDRESS:
CONCERNS/ u#6�. Ftzzwe-
HAZARDS:
FOLLOW-UP:
-4-047
SIGNED
-IML.D Or 5i7vv"lo-)
mP- r-6� vi--� -LY 7W
Aj4
7 -7 Iq �;- 0 (5 C (�'-r5-
F
SIGNED
Office of Fire Prevention