23632 HWY 99 STE OSNOHOMISH CO.
FIRE
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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
[3 UNINCORPORATED
AJJL&-.7 A JMJL%.# A www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 23632 Highway 99 Suite 0 98026
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BUSINESS NAME: PHONE:
MAILING 23632 Highway 99, Suite 0, Edmonds, WA 98026
ADDRESS:
BUSINESS OWNER: HOME PHONE:
17�6?eNCY ST118V SH I FT*'
SCHEDULED Sep 2016
DATE DUE
U
UFIR
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
1:1 1:1
EMAIL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
1-7 I(Z
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
2
3
4
5
6
7
2
3
4
5
7
I I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X I
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 viola, Xinr,
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-772 fo
Mountlake Terrace or Brier, call (425) 744-6231.
ST- 0 FIRE PREVENTION
23&3Z H T_&Lj WA I INSPECTION REPORT
Serving Briei: Edmonds, and 1-1425 Meridian Ave S
0 ED�ONDS
Mountlake Terrace Everett, WA 98208 0 B Al ER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
www.FireDistrictl.org Fax (425) 551-1272
0'- FREQUENCY ' STATION & SHIFT
LOCATION: 22&U High -.Any 02 Suite 0 Ek%26 Annual I 20-'C
BUSINESS NAME: VaGant?? PHONE: SCHEDULED Scp 2014
II,
MAILING
UFIR
ADDRESS:
23532 1 fighAmy 90, SuiLc 0, Edmaridzi,
"JVA 0902E
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
—1
1:1 E
.
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
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FE
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
GRANTEDTO:
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
DATE:
DISPOSITION:
7
LETTER NEEDED C] YES C3 NO
LETTER NEEDED [-] YES El NO
8
FIRE DEPARTMENT COPY
SNOI
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Serving Brier, Edmonds
Mountlake Terraceand
the Town of Woodway
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
LOCATION: 23632 Highway 99 Suite 0 9802b--�
BUSINESS NAME: V%forid of Coll - ps PHONE: 4257782679,
MAILING rIF
ADDRESS: '61 -99
23632 IIiq�y 99, Suite 0, Edmonds, W.A 98026
FIRE PREVEN TION
INSPECTION REPORT
0 EDMONDS
0 BRIER
OWOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION & SHIF'*)
Annual 20-8
SCHEDULED
DATE DUE � Sep
UFIR 10 574
BUSINESS OWNER: st ara, Mar HOME PHONE:
Email:
EMERGENCY-1: ROVIElPFUNE: CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
LICENSE 1:1 1:1
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: /A - / - / Z,
. FIRE SYSTEMS: FE
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
1 1
1
"e
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 15
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
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES No
-8
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY