23329 HWY 99Z 3 3;?'? 4X_(rl4tJAj 9?
fillilell III MI Ids, and 12425 MeridianAve S
SNOHOMISH CO.
ollndA-� Terra*c'e' Everett, TVA 98208
IRE
Phone (425) 551-1200
STR IT
'FireDistrictl.org Fax (425) 551-1272
LOCATION: 23329 Hig hway 99 98026
BUSINESS NAME: Vacant PHONE:
MAILING 23329 Highvvay 99,-Edmonds, INA 1@8026
ADDRESS:
I' BUSINESS OWNER: HOME PHONE:
FIRE Pli�EVE4-'TION
INSPECTION REPORT
EIEDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY STATION & SHIF'*)
Annual 20-C
SCHEDULED M -3v 2014
DATE DUE
0
UFIR I,
Tate, Judith 20654,19409
EMERGENCY-1: HOME PHONE: URRENT
KEY ACCESS-2: HOME PHONE: ITY YES NO
BUSINESS
EMAIL: LICENSE El El
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
V
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
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE:
D E DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:'
E:
VIOLATIONS
DATE:
3
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2 6
DATE:
SECTION:
RETURN RECEIPT
3
7
3 7
RECEIVED
DISPOSITION:
7
.4
8
4 8
DATE:
LETTER NEEDED ff Y7ES NO
LETTER NEEDED 0 YES NO
8
FIRE, DEPARTMENT COPY
NOTICE OF MARIJUANA LICENSE APPLICATION
M M
VE, WASHINGTON STATE LIQUOR CONTROL BOARD
RETURN TO: License Division
tyjg 15 2014
EDMONDS CITY CLERK
TO: MAYOR OF EDMONDS
RE: NEW APPLICATION
UBI: 603-357-995-001-0001
I
License: 414648 - 7B County: 31
Tradename: JT RETAIL
Loc Addr: 23329 HIGHWAY 99
EDMONDS, WA 98026-8745
Mail Addr: 600 UNIVERSITY STE 2100
SEATTLE, WA 98101-4161
Phone No.: 206-795-7948 JUDITH TATE
Privileges Applied For:
MARIJUANA RETAILER
3000 Pacific, PO Box 43075
Olympia, WA 98504-3075
Customer Service: (360) 664-1600
Fax: (360) 753-2710
Website: www.liq.wa.gov
DATE: 5/13/14
APPLICANTS:
C'
6
7&A)l kr?-;,
k--C Ise--t C7-Lo-,,� ,
5 �
As required by RCW 69.50.331 (7) the Liquor Control Board is notifying you that the
above has applied for a marijuana license. You have 20 days from the date of this
notice to give your input on this application. If we do not receive this notice back
within 20 days, we will assume you have no objection to the issuance of this license.
If you need additional time to respond you must submit a written request for an
extension of up to 20 days, with the reason(s) you need more time. If you need
information on the SSN, contact our Marijuana CHRI Desk at (360) 664-1772. YES. NO
1. Do you approve of applicant? .......................... I ...... I E-1
F
2. Do you approve of location? ......................... E-1 El
3. If you disapprove and the Board contemplates issuing a license, do
you wish to request an adjuducative hearing before final action is taken
(See WAG 314-55-160 for information about this process)? ................. F-1
4. If you disapprove, per RCW 69.50.331(7)(c) you MUST attach a letter
to the Board detailing the reason(s) for the objection and a statement
of all the facts on which your objection(s) are based.
DATE SIGNATURE OF MAYOR, CITY MANAGER, COUNTY COMMISSIONERS
LIBRIIAG/CO92057 OR DESIGNEE
FIRE: PREVENTION
1 Sert,ing Brier, Edinohds
12425 Meridian Ave S
INS:'I*Eb`TION, REPORT
SNOHOMISH CO.
0 EDMONDS::.:
ll�
FIR
4 Mountlake Terraceand
Everett, WA 98208
OBRIER
DISTRtfT
e Town of Woodway
'w"ww.FireDistrictl.org
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
Fax (425) 551-1272
0 UNINCORPORATED
I
e' -FREQUENCY
STATION & SHITT"'
LOCATION:
2332 Highway 99
366
20 5
BUSINESS NAME:
House of S/0013
se of
PHONE
20671564.58
SCHEDULED
DATE DUE I` nr, in I 113
MAILING
23329 Hig 9
UFIR 11' 4
552 1556
ADDRESS:
Edmond
98026
BUSINESS OWNER:
HOME PHONE:
2067156458
ACTIVE
tin
.nq,-6ustil
D Y,
oma
EMERGENCY-1-
,
ate, J
"e Judith
HOMEPHONE : 2065469409
CURRENT. YES NO
KEY ACCESS-2��'
e_ Tate, James
HOME PHONE:
5592595202
CITY
BUSINESS 0 E]
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
FE f
qvczTprjq.
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
/�7
2
2
3
3'
p
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEX�
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:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
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
14
.8
[4
8
DATE: *
DISPOSITION:
7
LETTER NEEDED [] YES El No
LE ER NEEDED 0 YES I—] NO
8
FIRE DEPARTMENT COPY
SN
Serving Brier, Edinonds
OHOMISH CO.
IRE
Mountlake Terrace, and
SI T`6itT
the Town of Woodway
www.FireDistrictl.org
LOCATION:
23329 Highway 99
BUSINESS NAME:
House of Guns/0013
MAILING
23329 Highway 99
ADDRESS:
Edmonds
BUSINESS OWNER:
Dornay, Dustin
EMERGENCY-1:
Tate, Judith
KEY ACCESS-2:
Tate, James
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
R6
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 2067156453
FIRE PREVENTION
INSPECTION REPORT
0 ED,MONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
El UNINCORPORATED
0 FREQUENCY
STATION & SHIFT"'
366
20 D
I
SCHEDULED
DATE DUE 0 05101/11
LIFIR 0 552
556
98026 1 U� If /,/ Lj'5 76
HOME PHONE: _24)&-k46C34-5& ACTIVE
HOMEPHONE: 2065469409 ' CURRENT
HOMEPHONE: 5592595202 CITY YES
BUSINESS 1771
LICENSE p
INITIAL INSPECTION DATE
FEJ_L&
ANNUAL
NO
1:1
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CO RRECT.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:
I
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
LETTERNEEDED C] YES No
LETTERNEEDED E] YES [I NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
1215THAVENUEN. - EDMONDS, WASHINGTON 98020 - (425)771-0215
FIRE DEPARTMENT
41 St. 10 �)
LOCATION:
23329 Highway 99
BUSINESS NAME:
House of Guns
MAILING
23329 Highway 99
ADDRESS:
Edmonds
BUSINESS OWNER:
Domay, Dustin
EMERGENCY-1:
Tate, Judith
KEY ACCESS-2:
Tate, James
FIRE PREVENTION
SAFETY SURVEY
PHONE: 2067156458
98026
HOME PHONE: 2067156458
HOMEPHONE: 2065469409
HOMEPHONE: 5592595202
FREQUENCY
STATIONISHIF�'
366
20 C
�
SCHEDULED
DATE DUE 11
05/01/10
UFIR lo 552
556
ACTIVE
r INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: Q7) j I
�IHE f- t I
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE ll�
VIOLATION CODE
2
2
3
3
4
5
5
6
6
7
- - - - - — ---------- --- -- -
7
8
8
lst RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
GRANTED TO:
CITED:
DATE DUE:
DATE DUE.
PERSON
DATE DUE:
PERSON
PERSON
CONTACTED:
CONTACTED:
INSPECTOR:
DATE:
VIOLATIONS
PRE -CITATION
CONTACTED:
INSPECTOR:
DATE:
CITATION ISSUED
1
INSPECTOR:
2
DATE:
3
VIOLATIONS
15
5
LETTER SENT
NUMBER:
CODE
4
5
6
2
DATE:.3�,
SECTION:
RETURN RECEIPT
6
3
7
RECEIVED
DISPOSITION:
7
4
.8
4
LETTER NEEDED
8
I:] YES NO
DATE,
r
8
LETTER NEEDED [].YES C] NO
FIRE DEPARTMENT COF!Y
DEPARTMENT OF THE TREASURY
BUREAU OF ALCOHOL, TOBACCO AND FIREARMS
915 2nd Avenue, Room 842
Seattle, WA 98174
May 24, 1996
Edmonds Fire Department
Michael Springer, Chief
250 5th Ave. N
Edmonds, WA 98020
Dear Chief Springer,
The Bureau of Alcohol, Tobacco and Firearms (ATF) has
jurisdiction over the regulation of explosives under the
provisions of Title XI of the Organized Crime Control Act of
1970, codified as 18 United States Code Chapter 40. Regulations
under the Act are contained in 27 Code of Federal regulations,
Part 55. Under the regulations, ATF issues licenses to persons
intending to engage in the business of manufacturing, importing,
or dealing in explosive materials and permits to persons whose -
use of explosive materials involves interstate or foreign
commerce. We do not regulate those who acquire and use
explosives in intrastate commerce.
Attached for your information is a list of explosives licensees
and permittees whose business premises are located in your
vicinity. We hope that this information will be of use to you
in the event a fire or other emergency occurs at any of the
locations. Also attached is an explanation of our license/permit
numbering system. This office will notify you.as additional
license/permits are issued.
We ask that you share with us any information or concerns you may
have about any of the listed entities. Please call me if you
have any questions or.need more information. My telephone number
is (206)220-6456.
Dennis G. Young
Area Supervisor
Regulatory Enforcement
dECE I v tu
I MAY 3 0 1996
'Fr)P.40NDS FIRF Mr--
0
-!-EGERAL EXFLOGIVIIIS LIUNSEES IN V-A'�HOUGAL- WA-
L LI LIC LI LI LIC NAME
R 0 1 CNT TY XP SEGN LIC
9 WA 0" 27 9i) 00333 RIVERSIDE GROQERY INC
9 WA 031 26 6L 12094 ICI EXPLOSIVES LISA INC
9 WA 031 29 9A 00317 ADVENTURE SPORTS INC
9 WA 031 29 7F 12018 BET14 INC
9 WA 031;29 80 03951 SKY VALLEY TRADERS INC
�19 WA 031 33 SK 12052 SENNETT. MONTY PAUL
9 WA 031 33 PA 12002 HALLS, THOMAS E'
9 WA 031 33 7F 12016 PbRT GARDNER FIREWORKS
i9 WA 031 37 FA 12108 HATCH, ROY E
9 WA 032 20 7A 12012 ICI EXPLOSIVES USA INC
119 WA 032 22 ?E 04231 NA OEGERSTROM INC
9 WA 032 29 6L 00276 CONLEY. JOHN RICHARD
9 WA 032 29 7C 00159 CONLEY, JOHN RICHARD
9 WA 032 29 6L 00185 GENERAL STORE INC
9 WA 032 33 9A 11221 BARHAM CONSTRUCTION INC
9 WA 032 33 80 12034 BLASTING & VIBRATION
9 WA 032 33 7C 90024 INLAND POWER LIGHT* CO
9 WA 032 33 6K 12005 JOB LINE CONSTRUCTION 1
7 WA 032 33 7E 90021 N A DEGERSTROM INC
9 WA 032 33'eE 12035 YARDLEY DRILLING CO INC
9 WA 032 34 88 92471 PHILLIPS, VAN MARTIN
9 WA 032 35 8K 10951 ARNOLD DRILLING INC
9 WA 033 29 6L 00178 CLARKS ALL SPORTS INC
9 WA 033 33 78 90256 CONN. C R
9 WA 033 33 BA 70235 LANE MT SILICA COMPANY
9 WA OZ43 13 8K 73828 NORTHWEST ALLOYS INC
9 VA (�33 33 ;'E 12105 STEVENS COUNT Y DE FT
9 WA 034 20 78 06356 UYNG NOBEL INC
9 WA 034 24 7C 06455 PYRO SPECTACULARS INC
9 WA 034 29 6K 00144 JANDA'CORP
9 WA 034 29 SM 12053 PACIFIC SUPPLY INC
9 WA 034 29 7E 12014 SMITH. MICHAEL W &
9 WA 034 33 ?D 12073 SCHLOSSER, ARTHUR 6
9 WA 034 34 SH 10012 HADDON. DENNIS FRANK
9 WA 036 29 7C 00157 MCPHERSON, FRED THOMAS
9 WA 036 33 90 94351 LAMMERS. JOHN L
9 WA 037 27 8H 00330 UHRIG, FRANK
9-WA 037 33 eE 98525 KNOTT. ROBERT L
9 WA 037 33 7F 90225 MT BAKER RECREATION
9 WA 039 29 88 08e29 CARYL. RICHARD
9 WA 039 29 7F 00673 KYLES SPORT SHACK
9 WA 039 29 7F 00267 MANNING. DONALD A
5' WA 039 33 6M 90065 JAMES 0 LAYMAI'll !N0,
9 WA 039 33 6K 5�0215 VCELKER. JEFFREY PAUL
1996-0'3, C433 16.25.-:$.l`
WAME
lip
EUS
STREET
CI I Y
SIATF
COE
WASHilliAL. RIVER
11F 9.89L. HWY 140
WA
9 8 6 71 C- 0
15421 166TH ST SE
WA
98290000O
23329 HWY 99
c 0 m -0 IND 3
WA
980260000
OlAiiONO HITCH SPORTS
iticoa BOTHELL EkiLRET
80 [HELL
WA
980120000
SKY VALLEY GUN &
18600 SR 2
MONRO-1
WA
982720000
13312 54TH AVE SE
EVERETT
WA
982080000
1026 BOAT TRAIL LOOP
MU:(IL.TEO
WA
982750000
COMPAN
ieig Hoy'r AVE
EVERETT
WA
982010000
4415 77TH ST NU
MARYSVILLE
w A
982710000
2133 MISSILE SITE RD
DEER PARK
WA
990060000
N 3303 SULLIVAN RD
SPOKANE
WA
792160000
WHITE ELEPHANT STORE
N 1730 DIVISION
S P 0 le. 1% "N C
W A
992070000
WHITE ELEFtIANT
12614 E. SPRAGUE
s P 0 KIA 114; --.
WA
992060000
N 2424 DIV
r � P 0 - I A i 4 C
WA
992070000
24432 E SPRAGUE
LIBEPtY LAKE
WA
990190000
CONSUL
6304 W ANDERSON RD
CHEmEY
iliA
990040C;C,0
EAST 320 2NO AVE
992C�7000C-
c
C. 6 5 18 E AN
WA
h 3303 SUL L. I VAN R 0
5520 E RAILROAD AVE
S P G N i E
WA
i 92 12 0-,
GALAXTE FIREWORKS
N 7803 MARKET
WA
9920,10000
S 1007 @AKER RD
R E
WA
91,�olsooc()
557 S MAIN
CO! VILLE
IKIA
99JI40000
270 13 WILLIAMS LAKE
C C L. I i i.. E
W A
?91140000
1/4 MILE SOUTH OF FG
VA,'...L EY
WA
91�icl0000
M.A R �.'L. E ; - ;ALLEY RD
DY
5- 9 1
OF f U3
165 E Ht�WlHQRN;-- Sl
PACIFIC POWDER CO
13120 TILLEY RD S
OL�;11,01
WA
ii3z:-,020"O
PYRO SPECTACULARS
13313 REEDER RD SW
OLYMPIA
WA
765020000
PUGET SOUND SPORTS CTR
527 DEVOE ST
z
0 L Y -'�- p r;,,
WA
9050100co
864B KIMMIE ST
OLYMPIA
tIlf,
985010000
JAMES
FRONTIER ARMS & SUPPLY
9220 PACIFIC HWY SE
OLYMPIA
WA
9651300co
13120 VAIL RD
YELM
WA
965970000
7419 FAIROAKS RD 8E
OL'y r r' I,"!
WA
9650300OL-"
TARG+il SHOP
1726 E ISSACS
lvfA;-:.A WALLA
W, 1,
99,ii,20000
LAMMERS WOOD PRODUCTS
924 FRAZIER OR
UAL-L.A !.ALLA
W-A
993620OCi,,
YEAGERS SPORTING GO�VS &
3101 NORTHWEST AVE
BE L.;- I NGH,;M
WIA
9�;221��0000
KNOTT LTO SPECIAL. EFX
1404 VAN WYCK RO
EELL I ilic?HAM
WA
9a21260coo
COMPAN
Ml' SAKER SKI AREA
HWY 542A 55 MI E OF
!NGHAM
WA
9 82-1 2 6 0 0 0 01
CASCADE roy N SPORT-
605 WEST A STR
f A K i N
WA
i,3 0 C
INDOOR
614 S FIRST' ST
Y AKI 6
9 6, C; 10 00-D
'iArlOOTERS SUPPLY
1120 7IETON DR
W �A
91 YOUNGS ORA,',12: RiL;
YAR! I:',
2522 RIGGS RD
w
ATF's EXPLOSIVES LICENSEE/PERMITTEE NUMBERING SYSTEM
Example: 9 WA 017 26 7E 89007.
9: ATF District
WA: Two letter state abbreviation
017: Numberical county code (see below)
26: Class of license or permit (see below)
7E: Expiration date, (this example 7 is 1997, E is May)
89007: License sequence number
19 :
20:
21:
22-
23:
24 :
25:
26 :
27:
28:
29:
30:
31:
32 :
LICENSE CLASSES
Mfr.of Binary Explosives (Theatrical Flash Powder)
Mf V- -F W.
. W vh Explosives
Mfr.. of Low Explosives
Mfr. of Blasting Agents
Importer of High Explosives
Importer of Low Explosives
Importer of Blasting Agents
Dealer in High Explosives
Dealer in Low Explosives
Dealer in Blasting Agents
Dealer in Low Explosives - (Black
Mfr. (Limited of High Explosives
Mfr. (Limited of Low Explosives
Mfr. (Limited of Blasting Agents
PERMIT CLASSES
Powder only)
33:
User of
High Explosives
34:
User of
Low Explosives
35:
User of
Blasting Agents
36:
User (Limited)'of
High Explosives
37:
User (Limited
of Low Explosives
38:
User (Limited
of Blasting Agents
WASHINGTON COUNTIES
001:
Adams
014: Grays.Harbor
027:
Pierce
002:
Asotin
015: Island
028:
San Juan
003:
Benton
016: Jefferson
029:
Skagit
004:
Chelan
017: King
030:
Skamania
005:
Clallum
018: Kitsap
031:
Snohomish
006:'Clark
019: Kittitas
032:
Spokane
007:
Columbia
020: Klickitat
033:
Stevens
008:
Cowlitz
021: Lewis
034:
Thurston
009:
010:
Douglas
022: Lincoln
035:
Wahkiakum
011:
Ferry
Franklin
023: Mason
024: Okanogan
036:.
037:
Walla Walla
012:
Garfield
025: Pacific
038:
Whatcom
Whitman
013:
Grant
026: Pend Oreille
039:
Yakima