21810 76TH AVE W_2_Q
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12425 Meridian Ave S
SNOHOMISH CO.
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FIRE,
M�untlake Terraceafid
Everett, WA 98208
DISTRU
*40:), the Town of Woodway
T
Phone (425) 551-1200
www.FireDistrictl.org
Fax (425) 551-1272
LOCATION:
21810 76th Avenue W
t :.BUS.INESS NAME:
AffilibIted Plastic Surgeons/0013
PHONE: 4257753580
MAILING
21810 76th Ave VV
ADDRESS:
Edmonds 93026
BUSINESS OWNER:
uFleming, Frank Mdu
HOMEPHONE: 4253799411
EMERGENCY-1:
"Miller, Mary"
HOMEPHONE: Z065422305
KEY ACCESS-2:
HOME PHONE:
PERSON CONTACTED:
NAME OF INSPECTOR:
'F4RE FA 6/07
RYSTEMS:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
I` FREQUENCY I STATION & SHIFT7'�
731 16 D
SCHEDULED
DATE DUE � 11/01/12
IUFIR 0 593 11156
L
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
FE If
ANNUAL
1 HAZARDS FOUND AND LOCATIONS/ COMMUNICATIONS
2
2
3
3
4
4
5
5
1-6
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7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE
EXTENSION
-INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
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VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
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1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
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DATE:
SECTION:
RETURN RECEIPT
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7
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RECEIVED
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DISPOSITION:
14
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DATE:
LETTER NEEDED [-] YES El No
LETTER NEEDED F) YES El NO 1
8
FIRE DEPARTMENT COPY
August 23, 1984
MEMO TO: Duane Bowman
Assistant Planner
FROM: Gary L. McComas.
Fire Marshal
SUBJECT: ADDITION OF STAIRWAY TO.OFFICE BUIDLING AT
21810-76TH AVENUE WEST (ADB-88-84)
After review the fire department approves this application
with no comment.
MUM!
GLM: be
March 30, 1984
MEMO TO: Hal Reeves
Building Official
FROM: Gary L. McComas
Fire Marshal
SUBJECT: TENANT IMPROVEMENT AT 21810-76TH AVENUE WEST,
SECOND FLOOR
After review, the fire department has the following requirements:
Provide and install one 2-A,10-B:C dry chemical fire
extinguisher in the utility room.
GLM: be
1 ^1. -
MEMO TO: Hal Reeves
Amok
W-2 1
January 22, 1982
Building Official
FROM: Gary L. Marshal
Fire Marshal
SUBJECT: REVIE14 OF PLANS FOR A NEW BUILDING AT 21810-76th
AVENUE WEST
Following arethe items that were noted during plan review:
1. Sliding doors shall not be used as required exits.
U.B.C. 3303 (g)
2. Any area used for general storage, boiler or fur-
nace rooms, janitor closets,and kitchens shall be
separated from other parts of the building by
contruction.having a fire resistance rating'of not
les�s than 1 hour and all openings shall be pro"
tected with self -closing fire doors.
L.S.C. 26-3.2-A
3. Interior finish on walls and ceilings of exits and of
enclosed corridors furnishing access thereto or
ways of travel therefrom shall be Class A or Class
B. L.S.C. 26-3.3.1
4. Provide fire extinguishers as indicated. Minimum
rating of 2, A-10, B:C.
64 EMU=
GLM: be