23601 HWY 99SNOHOMISH CO.
FIRE
DICIM]
im-.L
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
RZ&q1imy 9
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
OBRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION: .
23601 Highway 99 98026
r-
Amn A'
9E)
BUSINESS NAME:
PHONE:
SCHEDULED
DATE DUE
Office Building
4257781149
6
MAILING
LIFIR 0
ADDRESS:
509
23601 Highway 99, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
Flugstad, B.
EMERGENCY-11:
HOME PHONE:
CURRENT
KEY ACCESS-2: Flugstad, Beverly
HOME PHONE:
4257781149
CITY YES NO
BUSINESS
M
EMAIL:
LICENSE
LLV
PERSON CONTACTED: Z-0
INITIAL INSPECTION DATE
NAME OF INSPECTOR--J_(L-<7Jft�) JUAJA
15 A;�I-s //
FIRE SYSTEMS: FIE 6/13
UaWkk"(:W61VAQ0(d0CATIONS
1
/ COMMUNICATIONS
�J
2
2
3
4
5
3
4
5
6
6
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 itern(s) that were noted during. our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
lor
Any overlooked hazards or violations. of the fire regulations does not imply approval of such conditions or I tion.
0 ��,f c
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 77 /-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
FIRE PREVENTION
)AMA,
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
DEDMONDS
FIRE `,�
Mountlake Terraceand
Everett, WA 98208
0 BRIER
M
1_76�p t e Tow n of Woodway
Phone (425) 551-1200
0 WOODWAY
SrRiu(4406
0 MOUNTLAKE TERRACE
www.FireDistrict].org
Fax (425) 551-1272
0 UNINCORPORATED
e FREQUENCY _71ON&SHIFT-"
LOCATION: 23601 Highway 99
365 20 D
BUSINESS NAME:
Office Building
PHONE: 4257781149
SCHEDULED 016/01/13
DATE DUE
MAILING
23607 Highway 99
UFIR � 509 5916006
ADDRESS:
Edmonds
98026
BUSINESS OWNER:
Flugstad, Beverly
HOME PHONE: 4257781149
AC-nVE
EMERGENCY-1:
Flugslad, Beverly
HOMEPHONE: 42WO7013
CURRENT
KEY ACCESS-2:
Cell Phone
HOME PHONE: 2068986485
CITY YES NO
BUSINESS
1:1 1:1
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
/A �Itr
FIRE
FE
SYSTEMS:
ANNUAL'
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
1 1 V
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
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
,'Ser'.vIng Brier, Edmonds
12425 Meridian Ave S
SNOHOMISH CO.
FIR
16 untl6ke Terrace,and
Everett, WA 982W
T
DIS rR11:
I*t'e Town of Woodway
Phone (425) 551-1200
www.FireDistrictl.org
Fax (425) 551-1272
LOCATION:
23601 High , way 99.
BUSINESS NAME:
Office B�kdinu
PHONE: 4257781149
MAILING
23607 Highway 99
ADDRESS:
Edmonds
98026
BUSINESS OWNER-
Flugstad, l3evedy
HOMEPHONE: 4257781149
EMERGENCY-1:
Flugstad, Sevedy
HOMEPHONE: 4254887018
KEY ACCESS-2:
Cell Phone
HOMEPHONE: 2068986485
PERSON CONTACTED
NAME OF INSPECTOR:, 's
FIRE
SYSTEMS:
FIRE PREVENTIOW
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[:1 MOUNTLAKE TERRACE
0 UNINCORPORATED,
FREQUENCY STATION & SHIFF'*'
365 20 G
SCHEDULED
DATE DUE 11' 06/01/12
LIFIR o 509 5916006
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE 1:1 0
INITIAL INSPECTION DATE
-Z.-� — / -z—
FE I
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5 4
5
..6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
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:
i
RETURN RECEIPT
3
7
.3
7
RECEIVED
6
DISPOSITION:
8
LLETTER
8
DATE:
LE =ERNEEDED F YES NO
NEEDED [:] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
J T
Seri,ing Briet: Edino 124,25 -Meridian Ave S. INSPECTION REPOR
�,SNOHOMISH CO. 0EDMONDS
Mountlake Terraceand Everett, WA 9820 0 BRIER
FIR q the Town of Woodway Phone (425) 551-1200 E]WOODWAY
[I MOUNTLAKE TERRACE
ST T w-ww.FireDistrictLorg Fax (425) 551-1272 0 UNINCORPORATED
!. , el FREQUENCY I STATION & SHIF')
LOCATION: 23601 High"Way 99 365 20 6
BUSINESS NAME: office Building PHONE: 4257781149 SCHEDULED 06/01/11
DATE DUE 0
MAILING 23607 Highway 99 LIFIR � 509 5916006
ADDRESS: Edmonds 98026
BUSINESS OWNER: Flugstad, Beverly HOME PHONE: 4257781149 ACTIVE
4254887018
EMERGENCY-1: flugstad, Beverly HOME PHONE: eCURRENT
KEY ACCESS-2: Cell Phone HOME PHONE: 20689864B5 CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE FE r
SYSTEMS: ANNUAL
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
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 -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
4
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
LETTER NEEDED E] YES [I NO
8
FIRE DEPARTMENT COPY
'7
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
t
LOCATION: 23601 Highway 99
BUSINESS NAME: Office Building
MAILING 23607 Highway 99
MM0000
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257781149
Edmonds 98026
BUSINESS OWNER: Flugstad, Beverly HOMEPHONE: 4257781149
EMERGENCY-1: . Flugstad, Be verly HOMEPHONE: 42WB7018
KEY ACCESS-2: Cell Phone HOMEPHONE: 2068986485
FREQUENCY
STATION& SHIFT
365
20 A
SCHEDULED
DATE DUE 1�
06/01/10
LIFIR 1' 509
5916006
ACTIVE '
PERSON CONTACTED: No �- _ V` &W I I I ,� � INITIAL INS,PECTION DATE
NAME OF INSPECTOR: r- zu 0 7 /0 Z,
FIRE
SYSTEMS:
FEO,�!_Lo
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE I�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
E DUE:
EXTENSION
G,RANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED: V
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE. 0-f
DATE.
DATE.
3
1 65 - OL IONS
,�-9 15
VIOLATIONS
1 5
PkE-CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT'
RECEIVED
6
7
4
�8
4
.8
DATE:
DISPOSITION:
8
�LETTER NEEDED [] YES No
LETTER NEEDED 0 YES E) NO
FIRE DEPARTMENT COPY