23601 HWY 99 STE C9-9
.Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
FIRE PREVENTION
12425 Meridian Ave S
INSPECTION REPORT
l4e,51m, ONDS
Everett, WA 98208
[3 BRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRA ' CE
Fax (425) 551-1272
[3 UNINCORPORATED
r FREQUENCY
STATION & SHIFT
LOCATION:
23601 Highway 99 Suite C 98026
29%
-.2f%-r
BUSINESS NAME:
PHONE:
SCHEDULED
BKD CPA's
4257784166
DATE DUE 0 11 In 9()lR
MAILING
LIFIR ll�
ADDRESS:
"1 591
23601 Highway 99, Suite C, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
DaJarnatt, George
aDG-,% 7, 5sc6p
EMERGENCY-1:
HOME PHONE:
"—CURRENT
KEY ACCESS-
.1ter,-NIthell e
HOME PHONE: a,2e62253"4-
CITY NO
ell
EMAIL:
Sq q7%
BUSINESS
LICENSE
PERSON CONTACTED:
Cneorcel
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FIE LI-5
DWP_%@V%9r*t90d).CATIONS /COMMUNICATIONS
2
2
3
31
4
4
5
5
6
6
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS XZ-01
1 st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2 Zr�
DATE:
�ATE
CITATION ISSUED
T4
VIOLATIONS
VIOLATIONS�y"
PRE -CITATION
5
LETTER SENT
NUMBER:
4
5
2
6
2
6
DATE:
CODE
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
4
8
4
18
DATE:
7
LETTER NE EDED [] YES NO
LETTERNEEDED [] YES NO
8
ServingArier, Ed(h6nds
Mountlake Terraceand
Tthe Town of Woodway.
www.FireDistrictl.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 & SHIFF"
LOCATION: 23601 Highway 99
C
33 6 5 20
I
BUSINESS NAME: BKD CPA's
PHONE: 4257784166
SCHEDULED
DATE DUE 06/01113
MAILING 23601 Highway 99
UFIR � 591 66
ADDRESS: Edmonds
98026
BUSINESS OWNER: DeJarnaft, George
HOMEPHONE: 2063673503
ACTIVE
EMERGENCY-1: PAiller, Michege
HOME PHONE: A1654-22MI4
e CURRENT
KEY ACCESS-2:
HOMEPHONE:
CITY YES
NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE c6r�-,t 17az>
F E 1 /!3
SYSTEMS:
-7T-
ANNUA�,!
HAZARDS FOUND AND LOCATIONS COMMUNICAT 0 S
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VICLATION(S) IN THE NEXT 30 DAYS X t_j)� jp,
J,t
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
1�
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
1 0 CLATIONS
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
4
8
DATE:
DISPOSITION:
11 LETTER NEEDED E] YES Ty
rLETTER NEEDED [] YES El NO
8
FIRE DEPARTMENT COPY
Serving Brier, Edmonds
SNOHOMISH CO.
FIRE-Mbuntlake
Terrace, and
'—the
DISTR
Town of Woodway
-
www.FireDistrictl.org
LOCATION:
23601 Highway 99
BUSINESS NAME:
13KD CPNs
MAILING
23601 Highway 99
ADDRESS:
Edmonds
BUSINESS OWNER:
DeJarnaft, George
EMERGENCY-1:
Miller, Michelle
KEY ACCESS-2:
6 Loo " (,-R- - C 'p A
PERSON CONTACTED:
NAME OF INSPECTOR: tj e-5 5-
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 982Q,�
Phone (425) 551-1200
Fax (425) 551-1272
C
PHONE: 4257784166
98026
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 WOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIFT
365 20 C
SCHEDULED
DATE DUE 11' 06,10112
FIR � 591 66
HOME PHONE: 2063673503%t ACTIVE
HOME PHONE: CURRENT
HOME PHONE: C11 CITY YES NO
13USINESS
LICENSE N 1:1
INITIAL INSPECTION DATE
FE S 1 1
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
DA E 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
1
DATE:
DISPOSITION:
7
LETTER NEEDED F] YES El No
r F1 YES El NO
8
FIRE DEPARTMENT COPY
Serving Briet; Edmonds
.SN0H0M1
Mountlake Terraceand
'FIR the Town of Woodivaj,
DISR, T www.FireDistrictl.org
LOCATION: 23601 Highway 99
BUSINESS NAME: BKD CPA's
MAILING 23601 Highway 99
ADDRESS: Edmonds
BUSINESS OWNER: DeJarnatt, George
EMERGENCY-1: Miller, Michelle
KEY ACCESS-2:
f�
FIRE PREVENTION
INSPECTION REPORT
.124-25 Meridiali-Ave k-
. ....... 0 EDMONDS
Everett, WA 98208 []B . RIER
Phone (425) 551-1200 0 WOODWAY
[I MOUNTLAKE TERRACE
Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY STATION & SHIFT�
C 365 1 20 6
PHONE: 4257784166
SCHEDULED 06/01/11
DATE DUE II'
LIFIR � 591 66
98026 "1 __111
Cole, If ZWO J 6 4A!�rq�—
HOME PHONE: 2063673503
2065422004
ACTIVE
HOME PHONE: CURRENT ,
HOME PHONE: CITY YES NO
BUSINESS
LICENSE 11
N CONTACTED: INITIAL INSPECTION DATE
PERSO
NAME OF INSPECTOR:
.
FIRE FE f
SYSTErvIS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
7-1
2
2
3 4
�-1144
�eW
/L-C-o
3
4
4
5
5
6
6
7
N
7
-- ------- -J
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS
1 St RE -INSPECTION
DATE DUE.
2nd RE -INSPECTION
D TE DUE.
EXTENSION
GRANTED TO-
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR!
INSPECTOR:
INSPECTO':
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 15
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
�LE
18
4
8
DATE:
DISPOSITION:
7
=ERIEEDED [] YES NO
LETTER NEEDED E] YES [:1 NO
8
FIRE DEPARTMENT COPY
ITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
LOCATION: 23601 Highway 99
BUSINESS NAME: BKD CPA's
MAILING 23601 Highway 99
C
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257784166
/Auutir-00: Edmonds 98026
BUSINESS OWNER: DeJarnatt, George HOMEPHONE: 2063673503
EMERGENCY-1: Miller, Michelle HbMEPHONE: 2065422004
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION& SHIFT
2
20 A
SCHEDULED
DATE DUE 1�
06101110
UFIR 1- 591
66
ACTIVE
PERSON CONTACTED: G (MV4 INITIA INSPECTION DATE
NAME OF INSPECTOR: 6 7 j uty .2
_j L f;- 5
FIRE. FE
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
1 ID 1--"e
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
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
5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
_1
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
18
DATE:
DISPOSITION:
1 8
\ LETTERNEEDED [] YES NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY
N,