221 JAMES ST STE 100LOCATION:;. 221 James Street Bldg 98020
BUSINES§ NAME: 221 James St Bldg and Duplex'
MAILING
ADDRESS: 221 James Street, Edmonds, WA 98020
BUSINESS OWNER . Scetina, Doug
EMERGENCY-1:
KEY ACCESS-2: bero
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE.SYSTEMS: FE 'el
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ME'r Jr Lf I
.Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA'98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
e' FREQUENCY STATION & SHIFT
2015 17-D
SCHEDULED
DATE DUE 0 Dec 2015
U FIR � 509
PHONE: 42577611-43
HOME PHONE:
HOME PHONE: CURRENT
HOME PHONE: CITY YES NO
BUSINESS
LICENSE
INITIAE INSPECTION DATE
L
ate Last Serviced:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3.
4
5
6
4
5
6
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
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
3
5
7
VIOLATIONS-'.
6
7
PRE -CITATION
LETTER SENT
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NUMBER:
4
3
4
DATE:
RETURN RECEIPT
RECEIVED
CODE
SECTION-
5
-
6
7
8
DATE:
D�SPO!�ITION:
\"LETTERNEEDIED YES NO
LETTERNEEDED [:] YES NO
FIRE PREVENTION
INSPECTION REPORT
AltDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
F,
MISH CO.
FIR
Serving Brier Edinonds
Mountlake Terrace,and
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the Town of Woodway
org
LOCATION:
221 James Street
BUSINESS NAME:
6 & R Ins & Financial Services
MAILING
221 James St #100ta(30
ADDRESS:
Edmonds
BUSINESS OWNER:
RadvOck, Rollin
EMERGENCY-1:
St." (�)s plus'--c-S
KEY ACCESS-2:
I PERSON CONTACTED
NAME OF INSPECTOR
FIRE
SYSTEMS:
V
- 5 �� �1
12425 Merid! 'an 'Ave S
Everett, WA:98208
Phone(425) 551-1200
Fav (425) 551-1272
100
PHONE: 4257718101
98020
HOME PHONE: 4257759M
HOMEPHONE: L)ZS,7i.�,�jbq
HOME PHONE:
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FIRE PREVENTION
INSPECTION REPORT
EIEDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCOIRPORATED
FREQUENCY TION & SHIFT')
731 STA1 7 D
SCHEDULED
DATE DUE �, 12/01/11
UFIR 11, 591 1;202
ACT`IVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
FE _I_I_LL
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3 f A V
3
1 0
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
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
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
8
4
18
DATE:
DISPOSITION:
11 LETTER NEEDED E] YES [I NO
LETTER NEEDED [] YES NO
"FIRE DEPARTMENT COPY