22617 76TH AVE W STE 203'3'
27_(-P17 U_+h A00 W Jnr_
FIRE PREVENTION
jN ECTION REPORT
Serving Brier, Edmonds, and 12425 Meridian Ave S S PZ
SNOHOM1SH Co. 0 EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIR Phone (425) 551-1200 [1 MOUNTLAKE TERRACE
[3 UNINCORPORATED
DISTR "'T www.FireDistric't].org Fax (425) 551-1272
ATI
FREQUENCY ON & SHIFT
LOCATION: 22617 76 th Avenue W Suite 203 98026 2015 20-B
SCHEDULED
BUSINESS NAME: Sno-King Intergroup PHONE: 4256720987 DATE DUE Oct 2015
MAILING 07
ADDRESS: 22617 76th Ave ue,-W"
Suite 203, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Romanus, Cheryl HOME PHONE: 4253384314 CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
EMAIL: BUSINESS F] F
LICENSE
INITIAL INSPECTION DATE
PER ON CONTACTED:
NAME OFINSPECTOR:
FIRE SYSTEMS: FE 2/13
Date Last Serviced:.
HAZ�AD FOUND AND LOCATIONS /COMMUNIC IONS
T
'T
2
2
3
3
4
4
_5 ----------
6
6
:7:
7
I AGREE To cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE-
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:---.
INSPECTOR:
INSPECTOR:
DATE:
DATE:
VIOLATIONS:-
DATE:
3
VIOLATIONS
PRE -CITATION
CITATION ISSUED
5
LETTER SENT
NUMBER:
4
1 6
2 6
DATE:
CODE
SECTION:
5
RETURN RECEIPT
3
17
3
7
RECEIVED
6
DISPOSITION:
4
18
4
18
DATE:
7
LETTERNEEDED [] YES NO
LETTERNEEDED F] YES 0 NO
8
FIRE PREVENTION
Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
.SNOHOMISH CO.
Mountlake. Terrace
Everett, WA 98-108
EIEDMONDS
0 BRIER
.FIR]g
DISTR IT
Phone (425) 551-1200
Fax 551-1272
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
www.FireDistrictl.org
(425)
FREQUENCY
STATION & SHIF1�
LOCATION: 22617 76th.Avenue W Suite 203 98026
2 Year
'13 20-D
BUSINESS NAME: Sno-King Intergroup
PHONE: 4256720987
SCHEDULED Oct 2013
DATE DUE
MAILING
UFIR � 5-91
ADDRESS: 22C17 76th.Avenue W, Suite 203, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1: Romanus, ChEryl
HOME PHONE: 4253384314
CURREN
KEY ACCESS-2:
HOME PHONE:
YES NO
CITY
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
1�
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
V-1.6 0M,11 Odjf�,Z
2
2
3
3
4
4
5
5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VICLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
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
4
'8
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES [I NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
r-Serving Briet: Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMI
FIRE
Mountlake Terraceand
Everett, WA 98208
0 EDMONDS
El BRIER
STR Twww.FireDistrictl.org
the Town of Woodway
Phone (425) 551-1200
El WOODWAY
[I MOUNTLAKE TERRACE
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT_*1
LOCATION: 22617
76th Avenue W
203
731
20 C
I
BUSINESS NAME: Sno-King Intergroup
PHONE: 4256720987
SCHEDULED -10101112
DATE DUE
MAILING 1306
#30
UFIR 0 591 1(107
ADDRESS: Mountlake Terrace 98043
BUSINESS OWNER: Roman
HOME PHONE: -42533842t
ACTIVE
EMERGENCY-1: _94W41_R0b*1_
HOME PHONE:
CURRENT
KEY ACCESS-2:
OVA)
A) 0 T ki L) I -I—
HOME PHONE: Hz 6 -7 L4 5
CITY YES NO
BUSINESS
b,eq 9
LICENSE
PERSON CONTACTED: P, C) ,� r:� T4 7
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
0
D - �_o 13
FIRE
FE 4-11 J
SYSTEMS:
ANNUAL
m
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2 AA -)A) L) A
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
1 st RE -I NSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
I
EXTENSION
GRANTED TO,
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
INSPECTOR,
INSPECTOR:
INSPECTOR:
2
DAT:
DATE:
DATE:
3
VIOLA IONS
1 kd=��6L 15
VIOLATIONS
1 15
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
8
DATE:
DISPOSITION:
7
\1 LETTER NEEDED 0 YES [_1 NO
LETTER NEEDED YES NO
I
1 18
FIRE DEPARTMENT COPY
FIRE PREVENTION
'§URXjF-Y
CITY'OP EDMONDS SAFETY
121 5T�' AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
4!� C3
t
22617 76KAvenue W 203
LOCATION:
4256720987
BUSINESS NAME: Sno-:King Intergroup PHONE:
MAILING P06 #30
ADDRESS: Mountlake Terrace 98043
FR W NCY
I STAT!M & A-IIIt
SCHEDULED
10101/10
DATE DUE k
LIFIR 1, 591
111107
BUSINESS OWNER: Romanus, Cheryl HOME PHONE: 4253384314 AC-nVE
Smith, Robin 2063650068
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOMt.PHONE:
Z__ -IV 10 tq(T , I-V4
PERSON CONTACTED: INITIAL INSPECTION DATE
-7,
12
NAME OF INSPECTOR:
FIRE
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
D
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
CONTAcTEb:—
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
7
3
7
RETURO RECEIPT
RE9EIVED
6
8
8
DATE:
DISPOSITION:
8
0 YES No
LETTER NEEDED [—j YES NO
FIRE DEPARTMENT COPY