22130 HWY 99 DETLSNOHOMISH CC
FIRE
DIST
ZZ130 11:C6,14061 qq 9-TL-
r,
Serving B, ionds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 22130 Highway 99 DETL 98026
BUSINESS NAME: Doug's Ly-nn Mazzda Detail PHONE: 4257758651
MAILING
ADDRESS: 22130 Highway 99 DETL, Edmonds, WA 98026
BUSINESS OWNER: Ikegami Douglas HOME PHONE:
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2- HOME PHONE:
EMAIL: 0,0 Cot'**
PERSON CONTACTED:
NAME OF INSPECTOR: _V
FIRE SYSTE MS: FE J_L 1_�l
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
I'- FREQUENCY I STATION& SHIF_**1
Annual 20-C
SCHEDULED
DATE DUE II' Feb 14014
UFIR578
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
C,- u-- I L( —
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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
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:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
E:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
RETURN RECEIPT
RECEIVED
6
14
18
4
8
1.
DATE:
DISPOSITION:
LETTERNEEDED [-] YES
LETTER NEEDED F] YES El NO
1
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Servine Brier Edinonds
...... I —
12425 Meridian.Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
TIRE
fffl*&#*1T
-Everett, WA 98208
I. El EDMONDS
0 BRIER
DISThI the Town of Woodway
Phone, (425) 551-1200
0WOODWAY
[1 MOUNTLAKE TERRACE
www. FireDistricti"10- �91
Fax (425) 551-127'2
0 UNINCORPORATED
"' FREQUENCY STATION & SHIFF"'
LOCATION: 22130 Highway 99
DETL
365 20 A
I
BUSINESS NAME: Doug!s Lynn Mazda Detail
PHONE: 4257758651
SCHEDULED
DATEDUE 11' 02/01112
MAILING 22130 Highway 99
UFIR 11, 578 2107
ADDRESS: Edmonds 98026
BUSINESS OWNER:
HOME PHONE:
ACTIVE
EMERGENCY-1: Ikegami Douglas
HOME PHONE: 4257784304
CURRENT
KEY ACCESS-2:
HOME PHONE: —
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED: q
INITIAL INSPECTION DATE
NAME OF INSPECTOR: _14 0203
FIRE
FEqL_fL2
SYSTEMS:
ANNUAL
I �'Ij '
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
It IQ
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
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:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D TE:
DATE:
3
VIOLATIONS
VIOLATIONS
5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
r.;
5.
3
7
3
7
RETURN RECEIPT
RECEIVED
6
-4
-8
4
.8
DATE:
DISPOSITION:
LETTER NEEDED F] YES No
LETTER NEEDED F] YES NO
8
"P, IAt-DEPARTMENT COPY
mm
III A
I - F PREVENTION
RE
CITY OF EDMONDS SAFETY SURVEY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
t
LOCATION: 22130 Highway 99
BUSINESS NAME: Douc
fs Lynn Mazda Detail
MAILING 22130 Highway 99
ADDRESS: Edmonds
BUSINESS OWNER:
EMERGENCY-1: Ikegami Douglas
KEY ACCESS-2:
F91"I
PHONE: 4257758651
98026
HOME PHONE:
HOMEPHONE: 4257784304
HOME PHONE:
FREQUENCY
STATION& SHIFT
365
20 D
SCHEDULED
02/01/11
DATE DUE 01
LIFIR 11� 578
2107
ACTIVE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: '-) -? J(
FIRE FEI�( I_L
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS ENTER CODE ONLY ONCE 0
A
PIZOVtOe A Cc-,e:SS , c_
VIOLATION CODE
L
2
2
3
3
4
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
E DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED;
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR
INSPECTOR.
2
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
7
18
4
18
DATE:
DISPOSITION:
8
%UETTER NEEDED Ej YES NO
LETTER NEEDED E] YES E] NO
:,','-FIRtbEPARTMENT COPY
kdl�
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
4�'
8 t
LOCATION:
22130 Highway 99
BUSINESS NAME:
Doug's Lynn Mazda Detail
MAILING
22130 Highway 99
ADDRESS:
Edmonds
BUSINESS OWNER:
EMERGENCY-1:
Ikegami Douglas
KEY ACCESS-2:
FIRE PREVENTION
SAFETY SURVEY
DETL
PHONE: 4257758651
98026
HOME PHONE:
HOMEPHONE: 4257784304
HOME PHONE:
FREQUENCY
STATION 1, SHIFT-*"
365
20 C
I
SCHEDULED
� 02/01,110
DATE DUE
UFIR P� 578
2107
ACTWE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRP FE Q\ I �Q
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
i c
ENTER CODE ONLY ONCE I�
VIOLATION CODE
2 %A\.C,(7-0Wft-fE
%_U
LQ C,
2
n c*_)-.';�Lcn
3
3
4
4
5
5
6
6
7
7
8
8
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. /7
DATE:
DATE:
3
VIOLATIONS
15
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2 �'j
6
2
6
DATE:
CODE
SECTION:
5
3
7
L3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
8
UETTER NEEDED [] YES [3 NO
ILETTERNEEDED [] YES NO
FIRE DEPARTMENT COPY
CITY of EDMONDS
Civic Center - Edmonds, Washington 98020 - Telephone (206) 775-2525
Office of the Fire Chief
March 12, 1975
Mr. Dan Swierenga
State Electrical Inspector
19424 56th Avenue West
Lynnwood, Washington 98036
Re: Bolz Pelting
22005 76th Avenue West
Edmonds, Washington 98020
(799-1)
Dear Sir:
The Edmonds Fire Department requests a safety check inspection
by your office of Bolz Pelting Service' Inc., 22005 76th Avenue
West, Edmonds, Washington. I
There are two items in which we are particularly interested
in getting your interpretation.
FLESHING ROOM (DOWNSTAIRS)
I. Routing and use of heavy extension cord supplying machinery.
2. Numerous unprotected electrical motors supplying suction
to individual containers.
Please contact the owner, Rober-t E. B91z, 778-1993 prior to
making your inspection.
Thank, you for your assistance.
William R. Angel
Fire Prevention Inspector
cc: Robert E. Lolz
22005 76th Avenue West
Edmonds, Washington 98020