23607 HWY 99 (2)23(P07 14 T" Wig L
FIRE PREVENTION
SNOIHOM'i . SH Co. Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
OEDMONDS
FIR Mountlake Terrace Everett, WA 98208 [1 BRIER
Phone (425) 551-1200 [3 MOUNTLAKE TERRACE
DISTRIU www.FireDistrictl.org Fax (425) 551-1272 [1 UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION:
23607 Highway 99 Bldg 98026 ARRHal 29-A—
BUSINESS NAME: PHONE: SCHEDULED
DATE DUE 0
MAILING Sunset Office Building hin 9n19
ADDRESS: VVA'aa_'-- ('.V4 �R509
23607 Highway 99, Bldg, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
Flugstad, Beverly (Suite 1 H) 1-7ZL(
EMERGENCY-1:
KEY ACCESS-2: HOME PHONE: CURRENT
HOME PHONE: CITY YES NO
EMAIL: BUSINESS
LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
II L
FIRE SYSTEMS: �E 6/15
[BAI&Va§tD@V*X%WCAT,lRn�POMMUNICATIONS
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2
2
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3
3
4
4
6
6
7
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I AGREE TO.CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
CONTACTED:
TERSON
CONTACTED:
PERSON
CONTACTED:
INSPEC'TOR:
INSPECTOR:
INSPECTOR:
2
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DATE:
DATE:
DATE:
VIOLATIONS
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RETURN RECEIPT
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RECEIVED
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DATE:
7
LETTER NEEDED 1:1 YES NO
LETTER NEEDED [] YES NO
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FIRE PREVENTION
5PECTION REPORT
Serv,ing,oriei; Edmonds, and 12425 Meridian Ave S IN
�-OEDMONDS
Wountlake Terrace Everett, WA 98208 0 BRIER
Phone (425) 551-1200 El MOUNTLAKE TERRACE
El UNINCORPORATED
LJ A JLIPJL%.o A i4,u,w.FireDistrict1.org Fax (425) 551-1272
I- FREQUENCY T —qTATION &SHIFT-"
LOCATION:
23607 Highway 99 Bldg 98026
Annual
I 20-D
BUSINESS NAME:
Sunset Office Building
PHONE:
SCHEDULE[Jun 2015
DATE DUE
509
MAILING
LIFIR
ADDRESS:
23607 Highway 99, Bldg, Edmonds, WA 98026
BUSINESS OWNER:
Flugst<�� (�� Tr' HOME PHONE:
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HOME PHONE:
CURRENT
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HOME PHONE:
CITY YES
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LICENSE
PERSON CONTACTED: VrA )I K _01
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
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1st RE -INSPECTION
2nd RE -INSPECTION
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EXTENSION
FINAL RE -INSPECTION
VIOLAT IONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
4
1 5
1 5
LETTER! SENT
NUIVIB14:
6
2
6
DATE:
CODE
SECTION:
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RETURN RECEIPT
6
3
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13
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0
DISPOSITION:
4
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�LETTER
8
DATE:
LETTER NEEDED YES NO
NEEDED F] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
S�i-.vilig.ol-*i��'�Ediiiotids, and
12425 MeridianAve S
INSPECTION REPORT
SNOHOMISH CO.
FIRE
�Mountlake Terrace
Everett, WA 98208
OEDMONDS
0 BRIER
DISTRI
T
Phone (425) 551-1200
Fax 551-1272
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
..FireDistrict]. org
(425)
FREQUENCY
STATION & SHIFTT")
LOCATION:
22607 Highway 09 Bldg 08026
Annual
20-C
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BUSINESS NAME:
Sumcl. OffiII;z Building
PHONE:
SCHEDULED
DATE DUE I` Jun 2014
MAILING
UFIR 111 ;09
ADDRESS:
2307 1 lighway 03, Bldg, Ldrrmnck, VVA 0802L
BUSINESS OWNER:
FlLm)&tFv1, E�--%-rly
HOME PHONE:
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
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INITIAL INSPECTION DATE
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3
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4
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I AGREE TO -CO RECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS i
t
DATE DUE:
DATE DUE:
GRANTEDTO:
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
'14
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
7
RECEIVED
6
DISPOSITION:
7
18
4
18
DATE:
LETTER NEEDED [] YES NO
LET -TER NEEDED M YES El NO
6
FIRE DEPARTMENT COPY
Serving! 21r-ier, Edmonds
Mountlake Terraceand
'N Tthe Town of Woodway
www.FireDistrictl.org
LOCATION: 23607 Hwy 99
BUSINESS NAME:
Sunset Office Bldg
MAILING
23607 Highway 99
ADDRESS:
Edmonds
BUSINESS OWNER:
Flugstad, Bevedy
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE I'D LkBx
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
I PHONE:
98026
HOMEPHONE: 2065501724
HOMEPHONE: 4254887018
HOME PHONE: Lockbox #E1-3
FIRE PREVENTION
INSPECTION REPORT
OEDMONDS
0 BRIER
0WOODWAY
[:1 MOUNTLAKE TERRACE
0 UNINCORPORATED
UENCY I STATION 1, SHIFT"
i6 20 6
ILED
JE � 06/01113
509 6006
ACTIVE
CURRENT
i CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
FE
ANNUA#
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
3
3
4
4-
. I ( f, 11
5 V AV
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-INSPE . CTION
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 15
VIOLATIONS
5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
7
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED _
6
14
8
4
18
DATE:
DISPOSITION:
7
,�LETTER NEEDED [-] YES El NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS,
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
LOCATION: 23607 Hwy 99
BUSINESS NAME: Sunset Office Bldg PHONE:
MAILING
23607 Hiahway 99
L
ADDRESS:
Edmonds
98026
BUSINESS OWNER:
Flugstad, Bevedy
HOMEPHONE:
2065501724
EMERGENCY-1:
HOMEPHONE:
4254887018
KEY ACCESS-2:
HOME PHONE:
Lockbox #El-33
FIRE PREVENTION
SAFETY SURVEY
FREQUENCY STATION & SHIF"
366 20 C_
SCHEDULED
DATE DUE 11- 0 63101 /10
FIR 1" 509 6006
AC-nVE
INITIAL PECTION DATE
NAME OF INSPECTOR: Fbc::�
PERSON CONTACTED: 17
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EMS:
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
11st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO.
FINAL RE -INSPECTION
DATEDUE:-----
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
[IN PECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 15
VIOLATIONS
1 5
PRE-CITA11ON
LETTER SENT
CITATION ISSUED
NUMBER:
4
4.
2\
6 Z
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
8
14...
18
DATE:
DISPOSITION:
8
LETTER NEEDED 0 YES N 0
LETTER NEEDED [] YES 0 NO
FIRE DEPARTMENT COPY_