23416 HWY 997, .....
FIREIPREVENTION
Serving Brier, Edffiurtu3, und' 12425 Meridian Ave S INSPECTION REPORT
suomiwsH Cot
Mozintlake Terrace Everett, WA 98208 _MtDMONDS
[I BRIER
FIR
Phone (425) 551-1200 [1 MOUNTLAKE TERRACE
DIA 1S., TL R www.FireDistrictl.org Fax (425) 551-1272 [1 UNINCORPORATED
FREQUENCY I STgb& SHIFT
LOCATION:23416 Highway99 Bldg98026 Annual
BUSINESS NAME: Office Bldg PHONE: SCHEDULED May 2017
DATE DUE
MAILING 23416 Highway 99, Bldg, Edmonds, WA 98026 LIFIR 10 509
ADDRESS:
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Hong, Kim HOME PHONE. 425346257
20 0 "CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS
EMAIL: LICENSE
PERSON CONTACTED: OA, '7k-�ig INITIAL INSPECTION DATE
NAME OF INSPECTOR: 4c2
FIRE SYSTEMS: FE *1-6--
Date Last Serviced:
HAZASS FOUND AND LOCATION9 / COMMUNICATIONS
1 �W 9
2 2
3
4
5
.6
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
DATE DUE:
DATE DUE:
EXTENSION
GRANTED TO:
DATE DUE.
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED.
INSPECTOR,
INSPECTOR-
INSPECT09:
DATE:
DATE,
DATE:
VIOLATIONS
VIOLATIONS
PRE -CITATION CITATION ISSUED
1 5
1 5
LETTER SENT NUMBER
CODE
2 6
2 6
DATE: SECTION.
RETURN RECEIPT
3 7
3 7
RECEIVED
3
4
5
6
7
VIOLATIONS
CITED:
2
3
4
5
6
DISPOSITION
8 4 8 DATE. _N
LETTER NEEDED YES [__1 NO LET-TER.NEEDLb El YES 0 NO
8
FIRE PREVENTION
SNOHOMISH
Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
CO
FIRE
Mountlake Terrace
Everett, WA 98208
A EDMONDS
0 BRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
DISTkICT
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION:
.23416 Highway 99 Bldg 98026
ARRI a!
2Q-A
BUSINESS NAME:
PHONE:
SCHEDULED
DATE DUE 0
Office Bldg
May 9n 1 R
MAILING
FR
ADDRESS:
509
23416 Highway 99, Bldg, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
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PERSON CONTACTED: AA,
INITITL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS:
FEe /I
6VftqC8Sbb,W�AWEbCATIONS COMMUNICATIONS
A_
2
2
3
3
4
4
.5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
2nd RE -INSPECTION
EXTEVSION
FINAL RE -INSPECTION
VIOLATIONS
DATE )UE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
_I�TA 7�.'
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
2
INSPECTOR:
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS:�
PRE -CITATION
CITATION ISSUED
4
15
5
LETTER SENT
NUMBER:
CODE
5
RETURN RECEIPT
3
3
7
—RECEIVED
6
DrS—POSITION:
4
8
4
DATE:
7
\" LETTER NEEDED [:] YES NO
- LETTER NEEDED 0 YES [:1 NO
8
Serving Brie�r, Edinonds
SNOHOMISH CO.
FIRE
Mountlake Terraceand
DIS'Thl!
the Town of Woodway
wwwFireDistrictl.org
LOCATION:
23416 Highway 99
BUSINESS NAME:
Office Bldg
MAILING
ADDRESS:
23416 Highway 99
Edmonds 9
BUSINESS OWNER:
Che, James
EMERGENCY-1:
Che, Miran
KEY ACCESS-2.
PERSON CONTACTED:
NAME OF INSPECTOR: AVCA41r� '740�
FIRE
SYSTENqS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
BLDG
PHONE:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
El WOODWAY
[I MOUNTLAKE TERRACE
El UNINCORPORATED
FREQUENCY I STATION & SHIFT_')
365 20 D
SCHEDULED
DATE DUE 1' 05/01/13
LIFIR 10 509 556
8026
HOME PHONE: 4253491340
ACTIVE
HOME PHONE: 4253441340
7_
CURRENT
HOME PHONE:
CITY YES NO
BUSINESS
1:1 1:1
LICENSE
INITIAL INSPECTION DATE
FE7 1�
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I 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
V 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
ECEIVED
6
14
8
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
I LETTER NEEDED [] YES NIO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
�e?,, vipg Brier, Edmonds
12425. Meridian Ave* S'.*..'.
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
TIRE
Everett, WA 98208
DEDMONDS
0 BRIER
e Town of Woodway
'j
DISTR T
Phone (425) 551-1200
0 WOODWAY
[I MOUNTLAKE TERRACE
whww.FireDistrict]. org
Fax (425)'j5]-]272
0 UNINCORPORATED
FREQUENCY STATION & SHIF')
LOCATION: 23416 Highway 99
BLDG
365 20'B
BUSINESS NAME:
Office Bldg
PHONE:
SCHEDULED
DATE DUE
MAILING 23416 Highway 99
UFIR � 509 556
ADDRESS: Edmonds
98026
BUSINESS OWNER: -
Che,.James
HOME PHONE: 4253491340
ACflVE
EMERGENCY-1: Che, Miran
HOME PHONE: 4253441340
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY JES NO
BUS )INESS
LICENSE
PERSON CONTACTED:, -7r
INITIAL 119SPECTION ATE
NAME OF INSPECTOR
: a.
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FIRE
SYSTEMS:,
ANNUAL
11 \
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
3
3
4
4
J5
5
6
6
7
7
,'I AGREE TO CORRE6T TA"E. A E VIOLATION(S) IN THE NEXT 30 DAYS X
I St RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
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
6
DISPOSITION:
'4
j
8
4
8
DATE:
LETTER NEEDED F] YES NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY