22727 HWY 99 STE 206A16JAY
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SN611-0AIISH CO. OEDMONDS
Moiintlake Terrace Everett, WA 98208 0 BRIER
FlimE Phone (425) 551-1200 0 MOUNTLAKE TERRACE
0 UNINCORPORATED
DISTR T www.FireDistrict].org Fax (425) 551-1272
FREQUENCY STATION & SHIFT
LOCATION: 22727 Highway 99. Suite 206 98026. 711 ev - 2'fac 2016 1 20-D
0-6 9 19-7 510 SCHEDULED Oct 2016
BUSINESS NAME: PHONE: DATE DUE �
MAILING UFIR � 591
ADDRESS: 22727 Highway 99, Suite 206, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
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EMERGENCY-1: HOME PHONE: rCURRENT
KEY ACCESS-2: HOME PHONE: CITY YE NO
BUSINESS
EMAIL: LICENSE F� 1:1
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: //V la-r?-160
FIRE SYSTEMS: FE 21 )b ^,Tt wfl'vl
Date Last Serviced:
Serving Briei; Edmonds, and
SNOHOMISH CO.
Mountlake Terrace
Jr JUMMA
DIST]
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
WDMONDS
0 BRIER
El MOUNTLAKE TERRACE
El UNINCORPORATED
" FREQUENCY STATION & SHIFT�
LOCATION: 22727 Highway 99 Suite 206 98026 2 Year 1 13 20-A
BUSINESS NAME: PHONE: 4257747675 SCHEDULED OLt 2013
DATE DUE I`
MAILING UFIR 1, 591
ADDRESS: 22727 Highway 99, Suite 206, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE: zc(, 9 1c) -1510
EMERGENCY-1: HOME PHONE: 4 29f_'�� CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
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EMAIL: LICENSE
eplE INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
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:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
,4
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES El No
LETTER NEEDED YES El NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5� AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
4S' S t 1 B
LOCATION: 22727 Highway 99
BUSINESS NAME: Eden Credit & Mortgage
MAILING 22727 Highway 99 4206
ADDRESS: Edmonds
BUSINESS OWNER: Sul, Henry
EMERGENCY- 1: Park, Ricky
KEY ACCESS-2:
FIRE PREVENTION
SAFETY SURVEY
206
PHONE: 4257747675
98026
HOMEPHONE: 4257873355
HOMEPHONE: 2066500575
HOME PHONE: -
FREQUENCY
STATION & SHIFT-"
730
20 A
SCHEDULED
11' 10/01/09
DATE DUE
LIFIR 10 591
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11106
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ACTIVE
e INITIAL INSPECTION DATE
PERSON CONTACTED: I
NAME OF INSPECTOR: -7 1 A9 - �z z -
FIRE FE I
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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ENTER CODE ONLY ONCE 0,
VIOLATION CODE
1
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-CITAnON
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
6
3
7
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
8
DATE:
DISPOSITION:
_F8
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY