221 JAMES STZZI L)Ama J7
Serving B.. ionds, and 12425 Meridian Ave S
SNOHOMISH CO.
FIREMountlake Terrace Everett, WA 98208
Phone (425) 551-1200
DISTR T ivivi4�FireDistrictl.org Fax (425) 551-1272
LOCATION: 221 James Street BIdq 98020
BUSINESS NAME: 221 James St Bldg and Duplex
PHONE: 42577611
FIRE PREVENTION
INSPECTION REPORT
IREDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
MAILING
FIR
Que
ADDRESS:
221 James Street, Edmonds. W.A 98020
BUSINESS OWNER:
Scetina, Doug HOME PHONE:
Email:
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES
NO
BUSINESS
f;;21
EMAIL:
LICENSE
161
K PERSON CONTACTED:
se',
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
L.Ar�oln
hw A -3
FIRE SYSTEMS:
FE
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
I\Jo-je
2
2-
3
3
4
4
5
5
6
6
7
7
1 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 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
ZZI jll-llklj�j J7_
0.
Serving Briet; Edmonds ' ;, 12425 Meridian Ave S
SNOHOMISH CO. i 114
Mountlake Terracea'nd Everett, WA 98208
TIRE', the Town of Woodway Phone (425) 551-1200
DISTR www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 221 James Street
BUSINESS NAME: 221 James St Bldg & Duplex PHONE: 4257761143
MAILING
ADDRESS:
BUSINESS OWNER: Scetina, Doug
HOME PHONE: 4258685300
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
0 MOUNTLAKE TERRACE
El UNINCORPORATED
FREQUENCY I STATION & SHIFF"
366 17 D
SCHEDULED 12/01/11
DATE DUE 0
LIFIR 1, 509 4211202
ACTIVE
EMERGENCY-1: HOME PHONE:
CURRENT
KEY ACCESS-2: HOME PHONE:
CITY YES NO
BUSINESS
El 0
LICENSE
PERSON CONTACTL
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
FE-t f 11
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIOS
2
2
3
3
4
4
5
5
6
6
'k
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:
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
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ] YES NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY"