225 4TH AVE SSNOHOMISH CO.
,? 0 S- q 4,h A UE S
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl-org Fax (425) 551-1272
LOCATION: 225 4 th Avenue S 98020
BUSINESS NAME: Vacant
MAILING
AD I DRESS: 225 4th Avenue S, Edmo I nds, WA 98020
BUSINESS OWNER:
.EMERGENCY-1:
KEY ACCESS-2:
EMAIL:
oo PERSON CONTACTED: f
NAME OF INSPECTOR: el-7—
FIRE SYSTEMS: FIE
PHONE:
HOME PHONE:
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
[3EDMONDS
OBRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY [STATION & SHIFT
17,
2016 17-A
SCHEDULED
DATE DUE ' Apr 2016
LIFIR 0 591 202
CURRENT
CITY
YES NO
BUSINESS
M
K
LICENSE
L-J
INITIAL INSPECTION DATE
<� — (—
— J-7
r)ata La-t
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3..
4
5
5
6
6
6
........... .. ....
7 Ow.
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 - s i ;\afe �.-Above you
will find the item(s) that were noted during, our inspection which require attention to bring thdfmfi 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, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
FIRE PREVENTION
Seii4ng Edinonds
12425 Meridian Ave S
INSPECTION'REPORT
SNO110MISH CO.
F-'0 144*1t,"T Mountlake Terraceand
Everett, WA 98208
'k, 0 EDMONDS
, li 0 BRIER
jELM the Town of Woodway
DIST R.,
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
r FREQUENCY STATION & SHIFF"
LOCATION: 225 4th Avenue
731 17 8
BUSINESS NAME: Basketball Travelers, Inc.
PHONE: 4257762775
SCHEDULED
DATE DUE 04101/13
MAILING 225 4th Ave S
LIFIR o 591 4202
ADDRESS: Edmonds
98020
BUSINESS OWNER: "Basketball Travelers, Inc."
HOMEPHONE: 4257762775
ACTIVE
EMERGENCY-1:
HOME PHONE:
"'CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
J.
NAME OF INSPECTOR:
I---- [ .
1;� /3/13 1
__ --- -_
FIRE
FE I
S Y ST E 110 S:
ANNUAL
,r
HAZARDS FOUND AND LOCATIONS/ COMMUNICATIONS
xc_ k-T-j
2
2
3
3
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:
1
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
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
14
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED [-] YES N;
LETTER NEEDED I—] YES El NO
8
FIRE DEPARTMENT COPY
n
CITY OFf EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) T71-0215
p
FIRE.I.)EPARTMENT
t �Z'
LOCATION: 225 4th Avenue S
f
BUSINESS NAME: Basketball Travelers, Inc.
MAILING 225 4th Ave S
M
I �1
I
JQ13E PREVENTION
SAFETY SURVEY
PHONE: 4257762775
ADDRESS:
Edmonds 98020
BUSINESS OWNER:-_ nBasketball Travelers, Inc." HOMEPHONE: 4257762775
EMERGENCY-1: HOME PHONE:
KEY ACCESS 2- HOME PHONE:
PERSON CONTA r
D4
NAME OF INSPE*C:'%-'
FIRE
SYSTEMS:
FREQUENCY
STATION& SHIFT
731
17 D
SCHEDULED
DATE DUE 01
04/01111
LIFIR lo 591
4202
ACTIVE
INITIAL INSPECTION DATE
(0 — I , ( I
FEI M)
ANNUAL
HAZARDS FOUND ANDLOCATIONS COMMUNICATIONS
N
ENTER CODE ONLY ONCE 11�
VIOLATION CODE
2
2
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:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE-CRATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
,8
DATE:
DISPOSITION:
\'LETTERNEEDED E] YES El NO
LETTER NEEDE15�", [_j' YES
j NO
I _e FIRE DEPARTMENT COPY