22817 102ND PL WZ -17 0 Cj FIRE PREVENTION
0
INSPECTION REPORT
Serilngl�rier, tvinonds, and 12425 Meridian Ave S
SNOHON119H CD. I�ZEDMONDS
1011 %N Mountlake Terrace Everett, WA 98208 0 BRIER
Flim Phone (425) 551-1200 0 MOUNTLAKE TERRACE
0 UNINCORPORATED
DIS _�yww. FireDistrict]. org Fax (425) 551-1272,
LOCATION: 22817 102 nd Place W 98026
BUSINESS NAME: EBIA Inc
MAILING 22817 102nd Place W, Edmonds, WA 98026
ADDRESS:
BUSINESS OWNER:
EMERGENCY-1: EBIA, Inc Tt�XV-50AI Pt-74W,_(
KEY ACCESS-2: K"t
EMAIL:
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PHONE:
HOME PHONE. yz5--qv-9-z31
HOME PHONE' -8��
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HOME PHONE: z
FRE?7UENCY STIFP6 SHIFT
20
SCHEDULED Jul 2017
DATE DUE �
591 53
LIFIR
CURRENT
CITY YES NO
BUSINESS V1 F]
LICENSE 4-2tJ
PERSON CONTACTED: Pt-y ft("a-,*y-&t7t I INITIAL INSPECTION DATE
INAME OF INSPECTOR: -q-AA,,jS �,�IAI�TMAI' 1 -7 - F?
FIRE SYSTEMS: FA 7/16 FE 7/13
Date Last Serviced: -7/rl -1
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5?4261
Fire Protection, Inc.
CONTRACTOR #FIREPI'021ML
Fire and Security Alarm Installations
24 Hour Local UL Monitoring
FIREALARM SYSTEM
(One System per Report)
Date. 7/7-7 Z&
Acct. #: Z" z 6 �(
Work Order #: Y76
(425) 290-9600 (800) 681-1125
Fax: (425) 353-4546
Certification Given
Q YELLOW I Q WHITE
LCONFIDENCE TEST El REPAIRS
'
Occupancy Address: Occupancy Name:
Phone Number:
Responsible Party
Testers Name: E-mail Address:
Inspection Frequency/Type:
Time In: C PL,.-- Time Out: -2— 1, I-je 7
1
Central station monitoring? Yes El No
System Make- _S K_ -
System Location: E le-c4t �ca I k 0_�
CORRECTIONS MADE: Date Corrected:
Certification Number:
AA
U Monthly
Ll Quarterly
El Semi -Annual
OLAnnual
V-0
�=73
Monitoring Company Name: Fire Protection, Inc.
System Model: S2 og
Corrected By:
a
This certifies that this fire and life safety system has been inspected. Discrepancies are noted and
have been reported to the building representative, along with a copy of this report for corrective action.
Signature of Tester:
Building Representative: (sign) X
Tech # Phone # 425-290-9600
— (prini) ?(AA&4.hL2
:ire Alarm Systems
Page 1 of 2
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Serving Brier, Edmonds
Mountlake Terrace,and
the Town of Woodway
www.FireDistrict].org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 WOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT-*'
LOCATION:
22817 102nd PI W
730
20 D
BUSINESS NAME:
EBIA Inc
PHONE:
8667753242
SCHEDULED
DATE DUE �
07/01/13
MAILING
22815 102nd PI W
UFIR � 591
7053
ADDRESS:
J
Edmonds
98020
BUSINESS OWNER:
HOME PHONE: 8667753242
EBIA, Inc
EMERGENCY-1: McCormick, Thomas
HOME PHONE:
2069157755
CURRENT YES NO
KEY ACCESS-2:
Anderson, Teresa
HOME PHONE
2063212478
CITY
BUSINESS
El 1:1
LICENSE
PERSON CONTACTED: _Vcr�r% -2 C v r e�
INITIAL INSPECTION DATE
NAME OF INSPECTOR: (YN lf� C_
FIRE
SYSTEMS:J�A PC,f,Lqf 4 L.-J
I < vin't b 04
FE -7 113 ) 13
m�+ ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
d �c
2
F
2
No c)4-�wr Qkc1r,,4(0'V\f
3
at
3
4
4
5
5
6
6
7
7
1 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 or the Town of Woodway, call (425)
775-7720; for Mountlake Terrace, or Brier, call (425) 754-0434.
BUSINESS COPY
fSNOHO
IjFl
. . . . . . . .
0�,
'FIRE PREVENTION
Serving Brier, Ednionds
T_R2�'5" Meridian -Ave- S-,.-
INSPECTI ON REPORT
Mountlake Terraceand
Everett, WA 98208
0 EDMONDS
0 BRIER
the Town of Woodway
Phone (425) 551-1200
E]WOODWAY
Twww.FireDistrictl.
org
Fay (425) 551-1272
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
"' FREQUENCY
STATION& SHIFT'*'�
LOCATION:
22817 102nd P1 W
730
20
I
6
BUSINESS NAME
EBIA Inc
PHONE:
8667753242
SCHEDULED
DATEDUE 1` 07/01/11
MAILING
22015 102nd PI W
UFIR ll� 591 7053
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
EBIA, Inc
HOME PHONE:
8667753242
EMERGENCY-1:
McCormick, Thomas
HOMEPHONE:
2069157755
'CURRENT
KEY ACCESS-2:
Anderson, Teresa
HOMEPHONE:
2063212478
CITY YES
NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
_j
FIRE
FE e�2, 4
SYSTEMS:
ANNUAL
J
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
1 st 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 -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:
LETTER NEEDED C] YES F-1 NO
LETTER NEEDED E] YES [I NO
8
FIRE DEPARTMENT COPY