225 5TH AVE NSNC
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,ServingBriei: and 12425 Meridian Aw S
'Mountlake Terrace i�,verett, WA 98208
'Pkone (425) 551'-'�266'
WWW.FireDistrictl.org (425) 551-1272
LOCATION: 22L 5 th A,,etno N Sutes 23-27-29 98L)M
BUSINESS NAME: PHONE:
a Radlic, Inc. 4 Plcx QWvECEW
MAILING
ADDRESS: 225 &h A�icnuc N, 2a-27-20, Edmonds, 03020
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1 -. (3- P�Cffic, lnf;. HOME PHONE: 4 Z4,r) 5 0 UTI
KEY ACCESS-2: HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPE6TOR:
iFvM� -16 Lk_ 60K,
FIRE PREVENTION
INSPECTION REPORT
VJEDMONDS
BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
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pmuml 17-B
SCHEDULED
DATE DUE 4r 2M4
UF14±, 203
CURRENT
CITY YES NO
BUSINESS
LICENSE 1:1
INITIAC INSPECTION DATE
5-5-1,4
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2
3
3
4
4�
5 /xI
5
6
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
Ist RE -INSPECTION
46
DATE DUE:
2nd RE -INSPECTION
U�TE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
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PERSON
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INSPECTOR:
INSPECTOR:
2
DATE,
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VIOLATIONS
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LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
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RETURN RECEIPT
RECEIVED
6
14
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4
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DATE:
DISPOSITION:
7
LETTER NEEDED C] YES [3 No
LETTER NEEDED [3 YES [__1 NO
8
FIRE DEPARTMENT COPY
SNOHOMISH CO. Serving Brier, Edmonds
Mountlake Terraceand
FIRE e Town of Woodway
DISTRiPT w"ww.FireDistrictLorg
LOCATION: 225 5th Avenue
BUSINESS NAME: GF Pacific, Inc. 4 Plex
MAILING PO Box 4202
ADDRESS: Bellevue
BUSINESS OWNER: GF Pacific, Inc.
EMERGENCY-1: Huang, Li-Yeh
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR: 2-4-ba
FIRE
SYSTEMS:
1� "
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
N 23-27-29
PHONE: 4254550660
93009
HOMEPHONE: 4254550660
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
El BRIER
0 WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION& SHIF'�
366 17 A
SCHEDULED
DATE DUE 11' 04/01/13
UFIR � 422 4203
ACTIVE
CURRENT
CITY YES NO
BUS NES
LICE NSE 1:1 1:1
INITIAL INSPECTION DATE
1 -�_171-1 :��, I
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ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
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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
C VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
'8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
rLETTER NEEDED [I YES NO
8
FIRE DEPARTMENT COPY
- — — — — — — — — — --- — — — —
3
IN
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
t
FIRE PREVENTION
SAFETY SURVEY
LOCATION: 225 5th Avenue N 23-27-29
BUSINESS NAME: GF Pacific, Inc. 4 Plex PHONE: 4254550660
MAILING PO Box 4202
Bellevue .98009
BUSINESS OWNER: GF Pacific, Inc. HOMEPHONE: 4254550660 ACTIVE
EMERGENCY-1: Huang,Li-Yeh HOME PHONE:
KEY ACCESS-2: HOME PHONE:
FREOUENCY
STATION & SHIFT__"'
366
17 C
SCHEDULED
DATE DUE 1�
04/01/11
LIFIR 11, 422
4203
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR.--�4kf2o-.a_ — 5-fe',,
FIRE
SYSTEMS:
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ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ENTER CODE ONLY ONCE 0
VIOLATION CODE
2
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3
3
4
4
5
5
6
6
7
7
8
8
Ist RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
E DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
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PERSON
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PERSON
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I
INSPECTOR:
INSPECTOR�
INSPECTOR:
2
DATE:
DATE:
DATE:
3
MOLATIONS
1 5
VIOLATIONS
1 5
PRE-CRATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4
18
DATE:
DISPOSITION:
7
8
LETTER NEEDED [:] YES NO
j YES E] NO
LETTER NEEDED f—
FIRE DEPARTMENT COPY