23632 HWY 99 STE M_NSNOHOMISH CO.
FIRE
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IRE PREVENTION
Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
0 EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
0 UNINCORPORATED
"A JMJL%.l A www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 23632 Highway 99 Suites M-N 98026
BUSINESS NAME: Vacant PHONE:
MAILING 23632 Highway 99, Suites M-N, Edmonds, WA 98026
ADDRESS:
BUSINESS OWNER:
HOME PHONE:
F�611eNCY I STAffh SHIFT'*1
SCHEDULED Sep 2016
DATE DUE �
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LIFIR
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS F__J
EMAIL:
LICENSE t I
PERSON CONTACTED:
INITIAL INSPEC/�N DATE
NAME OF INSPECTOR:
1 ( h
Date Last Serviced:
HAZARDS FOUND AND LOCATIONs-i-c6mMUNIQ
-2 Cx_ 2
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3 3
4 4
5 5
6 6
7 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 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, call (425) 775-7720;
Mountlake Terrace or Brier, call (425) 744-6231.
MRIRE PREVENTION
1-1!:6rkttJA-1
MEN'
INSPECTION REPORT
&rl,'ing Brier, Edmonds, a�id' 12425 Meridian Ave S
SNOHOMISH CO. ntlake Terrace Everett, WA 98208 EIEDMONDS
[I BRIER
FIRECOA6� El MOUNTLAKE TERRACE
Phone (425) 551-1200
[I UNINCORPORATED
DISTR T www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY STATION &SHIFT-*"
LOCATION: 2362.2 HighAwy 20 Suites M-N 92D26 20-C
BUSINESS NAME: ParLv Warld PHONE: 42577fi-PIS72 SCHEDULED 2314
DATE DUE I"
MAILING UFIR 0
ADDRESS: 23M2 I liuhlwaV .90, Suiloi M-N, Ldl`1101`111S, 0,902 E-
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Sharma, ManDL HOME PHONE: 4267730-M-2 ,,- CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
EMAIL: LICENSE 1:1 E]
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
I -IRE SYS IEMS: - - FE 71M
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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2
2
3
3
4
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5
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7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE:
1
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
IN PECTOR:
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
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8
DATE:
DISPOSITION:
7
", LETTERNEEDED [-] YES NO
LETTER NEEDED E] YES El NO
FIRE DEPARTMENT COPY,
SNOHOMISH CO.
FIRE
ST
Serving Brier, Edmonds
Mountlake Terrace, and
the 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
E]WOODWAY
MOUNTLAKE TERRACE
UNINCORPORATED
UENCY STATION & SHIFT
LOCATION: 23632 Highwav 99 Suites M-N 98026 40 5-77 6 bb-P Annual 20-B
) SCHEDULED
BUSINESS NAME: P, rty Worid PHONE: _2484fffttfo DATE DUE � Sep
MAILING UFIR 0
ADDRESS: 23632 Highway 99, Suites M-N, Edmonds, WA 98026 \1
BUSINESS OWNER: HOME PHONE:
Email:
HOME PHONE: 42577-30562 CURRENT
EMERGENCY-1: SharM a, Qanot-' el .
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
LICENSE
.
PERSON CONTACTED: INITIA INSPECTION DATE
NAME OF INSPECTOR: le' ��A 41
FIRE SYSTEMS: FE —7
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X(�Dl_ C
1 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
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
14
18
4
18
DATE:
DISPOSITION:
LETTER NEEDED . [] YES NO
rLETTERNEEDEID C] YES NO
8
FIRE DEPARTMENT , COPY