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SNOTIOMIS11 CO.
FIRE
DI ry
Sall
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
[I MOUNTLAKE TERRACE
[I UNINCORPORATED
FREOUENCY
STAT13N & SHIFT
'C
LOCATION:
222 3 rd Avenue N 98020
2015
71T7 - B
BUSINESS NAME:
Law Office/W. D. Hochberg
PHONE:
4257441220
SCHEDULED
DATE DUE � Sep 2015
MAILING
LIFIR 1 591 202
ADDRESS:
222 3rd Avenue N, Edmonds, WA 98020
BUSIN ESS OWNER:
Hochberg, Willi
HOME PHONE:
.EMERGENCY-1:
Hochberg, William
HOME PHONE:
CURRENT
KEY ACCESS-2:
EMAIL:
HOME PHONE:
2 1
CITY YES NO
BUSINESS F171
LICENSE LN
INITIAL INSPECTION DATE
PERSON CONTACTED: AO;� F,&A &"A C-i
NAME OF INSPECTOR:
1-77/
FIRE SYSTEMS:
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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2 -65 -7
2
3
3
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4
5
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 item(s) that were noted during, our inspection which require attention to bring them into compliance
w ith 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, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
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_X ej Aj FIRE PREVENTION
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-ving Briei; Edqionds, and 1041 Meridian Ave S INSPECTION REPORT
SNOHOMI S!H CO. Sei 42A
'ViT."t", - 0 EDMONDS
MbWldde".P�rrace E�erett, WA 98208 0 BRIER
FIRE Phone (425) 551-1200 El MOUNTLAKE TERRACE
',,DISTR T www.FireDistricti.org Fax (425) 551-1272 [1 UNINCORPORATED
FREQUENCY I STATION 1, SHIF7-11,
LOCATION: 222 3 rd Avenue N DMD E 17A
BUSINESS NAME: Law 0IIk;qjV'V. L). I lmhbcrg PHONE: 42574412.1C SCHEDULED Sc-p 2,014
DATE DUE
MAILING UFIR � ;�73 20-112.
ADDRESS: 222 3rd Avcnuc N, Edrm.n&-. WA 08020
BUSINESS OWNER: Hrir.hlv-rrj, Willi HOME PHONE:
EMERGENCY-1: I imliberm William HOME PHONE: 20E,5231578E CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS
EMAIL: LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: c—
F IRE !"-YE I EMS: FE /6- 1./
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 4�
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:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
RETURN RECEIPT
RECEIVED
6
4
18
-------7
4
8
DATE:
DISPOSITION:
LETTER NEEDED [-] YES El NO
LETTERNEEDED [] YES NO
8
FIRE DEPARTMENT COPY
;0;!'�t X7
FIRE PREVENTION
-ving -ier
—Set _Bt Edinonds
12425 Met -idian Ave S
INSPECTION REPORT
SNOHOMISH CO. I .
. .
WEDMONDS
Mountlake Terraceand
TIR
Everett, WA 98208
El BRIER
DISTWI the Town of�.Woodwqy
ItIll
Phone (425) 551-1200
E]WOODWAY
[1 MOUNTLAKE TERRACE
www.FireDii�trictl.org
Fax (425) 551-1272
0 UNINCORPORATED
" FREQUENCY STATION & SHIFT"*'
LOCATION: 222 3rd AV'enue
N
731 17 B
I
BUSINESS NAME: Law Office/W. D. Hochberg
PHONE: 4257441220
SCHEDULED n9/01 i
DATE DUE 0 L' Ill
MAILING 222 3rd Ave N
UFIR 1,, 591 9202
ADDRESS: Edmonds
98020
BUSINESS OWNER: Hochberg, William
HOME PHONE: 2065236786
Ac-nVE
EMERGENCY-1: Dwyer, Karen
HOME PHONE: 4257764013
CURRENT
KEY ACCESS-2:
HOME PHONE: -
CITY YES NO
BUSINESS Ej
LICENSE
PERSON CONTACTED: A('oO
INITIAL INS7CTION DATE
NAME OF INSPECTOR:
FIRE
FEII_j _L
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
c",
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
2nd RE -INSPECTION
FINAL RE-IN�PE�6TION
EXTENSIONV
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
1
3
7
RECEIVED
6
DISPOSITION:
4
8
4
8
DATE:
LETTER NEEDED [] YES NO
LETTER NEEDED E] YES [I NO
8
FIRE DEPARTMENT COPY