22740 HWY 99 STE 20241
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FIRE PREVENTION
Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace Everett, WA 98208 OEDMONDS
0 BRIER
Phone (425) 551-1200 [3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY
STATION & SHIFT
LOCATION:
22740 Highway 99 Suite 202 98026
2016*
20-A
BUSINESS NAME:
Vacant PHONE:
SCHEDULED
4257120498 DATE DUE Mar 2016
MAILING
UFIR 0 0
ADDRESS:
22740 Highway 99, Suite 202, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
.EMERGENCY-1:
Kim, Hea-in HOME PHONE:
4257440108 CURRENT
.
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
r 1-1
EMAIL:
LICENSE
I 1
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR*
FIRE SYSTEMS:
FIE
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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2
V. V
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
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.
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
OEDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION:
22740 Highway 99 Suite 20298026
2016*
20-A
BUSINESS NAME:
Vacant PHONE:
4257120498
SCHEDULED
DATE DUE Mar 2016
MAILING
LIFIR 0 0
ADDRESS:
22740 Highway 99, Suite 202, Edmonds, WA 98026
BUSIN ESS OWNER:
HOME PHONE:
.EMERGENCY-1:
Kim, Hea-in HOME PHONE:
4257440108 CURRENT
I
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
EMAIL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
_j
FIRE SYSTEMS:
FE
Date Last Servirpri-
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
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 tobring them 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.
Set 'ing Briei; EdXoird�
SNOHOMISH CO.
Mountlake Terrace'.
FIR
DISTRT www.FireDistrictl.org
LOCATION: 227,10 Highmiy 92 Suite 202 W126
BUSINESS NAME: Va(;anL
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jlz6,1-ltjA#q ;?&IBE PREVENTION
and
12425 Meridian Ave S
INSPECTION REPORT
Everett, WA 98208
EIEDMONDS
0 BRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
Fax (425) 551-1272
FREQUENCY
STATION & SHIFT-***'
Anflual
20-C
I
PHONE: 4,2101204
SCHEDULED
DATE DUE I` Mar 2014
MAILING
UFIR,.,
ADDRESS:
22740 1 lighAav 00, SuiLr.2202, Ldr*mn&,vVA
10802L
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
KIM, I Ica -in
HOME PHONE:
4275�401 "s CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
1:1 1:1
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
e-
FIRE-SYSILMS:
17�4103??FE I
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:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
2
6
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
14 18
14
18
DATE:
DISPOSITION:
7
-,"LETTER NEEDED [:] YES NO
LETTERNEEDED [:] YES NO
8
FIRE DEPARTMENT COPY
I SNOHOMISH CC
�,,FIRE
i DIST
I -�
FIRE PREVENTIOW
INSPECTION REPORT
Serving Brier Edinonds 12425 Meridian Ave S 0 EDMONDS
Mountlake Terraceand- Everett, WA 98208 0 BRIER
the Town of Woodw f E]WOODWAY
ay, Phone (425) 551-1200 [1 MOUNTLAKE TERRACE
www.FireDistrict].org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY STATION & SHIFT"�
LOCATION: 22740 Hwy 99 202 3 20 A
SCHEDULED
BUSINESS NAME: Vacant PHONE: 4257120498 DATE DUE 11' 03/01/12
MAILING 22740 Hwy 99 Suite FIR � 593- 3� 1096
AnDRESS:
Edmonds 98026
BUSINESS OWNER: Kim, Hea-in HOME PHONE: 4257440108
EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
V, o- 7- LICENSE 1:1 El
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE FE
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst 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:
D TE:
DATE:
3
VIOLATIONS
1 15
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 [-I NO
1� -
ETTER NEEDED F [I NO
r L _] YES
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425)771-0215.
FIRE DEPARTMENT
FIRE PREVENTION
SAFETY SURVEY
t Z5
LOCATION:
22740 Hwy 99
202
V8C8nt
4257120498
BUSINESS NAME:
PHONE:
MAILING
22740 Hwy 99 Suite
ADDRESS:
Edmonds
�98026
BUSINESS OWNER:
Kim, Hea-in
HOMEPHONE: 4257440108
EMERGENCY-1:
HOME PHONE:
KEY ACCESS-2:
HOME PHONE:
FREQUENCY I STATYN &SHIFT
D
SCHEDULED 03101 1 /11
DATE DUE 11' 1 1
UFIR 11 593 . 13106
PERSON CONTACTED: A01VE INITIAL INSPECTION DATE
tl
NAME OF INSPECTOR:
FIRE, t FE
,SYSTEMS: ...
ANNUAL
HAZARDS FOLIND'AND LOCATIONS COMMUNICATIONS
ENTER. CODE ONLY ONCE 10
VIOLATION CODE.,
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7
?
2
2
c
3
3
4
4
5
5
6
6
7
7
8
8
lst 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-CrrA'nON
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
DATE:
CODE
SECTION:
5
3
7
3
.6
7
RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
DISPOSITION:
7
\,UETTER NEEDED [] YES E] N
rLE7ER NEEDED F YES E] NO
a j
FIRE DEPARTMENTCOPY