23830 HWY 99 STE 102SNOHOMISH CO.
JJJJJ[JJ[__Z_,3930 N-r6WWAy If rrZ 102-
FIRE 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
[3 UNINCORPORATED
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:
23830 Highway 99 Suite 102 98026
BUSINESS NAME: PHONE:
Vacant
MAILING
ADDRESS:
23830 Highway 99, Suite 102, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
FREQUENCY STATION & SHIFF`�
261 4v-r%
SCHEDULED
DATE DUE 0
Aug 2016
LIFIR 0
0
.EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
EMAIL: LICENSE 1:1 1:1
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FIE
U0ftACI3S1CbW�AIW
IONS COMMUNICATIONS
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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; for
Mountlake Terrace or Brier, call (425) 744-6231.
7- 39 36 ox-6i,ircili frZ� FIRE PREVENTION
Serving Brier, Edmonds 12425 Meridian Ive S .,INSPECTION REPORT
Mountlake Terraceand Everett, WA 98208 - 0 EDMONDS
0 BRIER
the Town of Woodway Phone (425) 551-1200 0 WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY STATION & SHIFT��
LOCATION: 23830 0 102. Edmonds 98026 Annual 20-8
SCHEDULED
BUSINESS NAME: Young's Fashion PHONE: 4257745577 DATE DUE 0 Aug
MAILING LIFIR 591
ADDRESS: 23830 Hwy 99 102, ,
BUSINESS OWNER: HOME PHONE:
Email:
EMERGENCY-1: Cho, Andrea I.QHUME PRURI�- �206422606-3 CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS
LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: Le Zt<*c x
f
FIRE SYSTEMS: FE
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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6
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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,
FINAL RE
EXTENSION
-INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
I
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
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VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
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CODE
5
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DATE:
SECTION:
RETURN RECEIPT
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1 RECEIVED
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DISPOSITION:
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DATE:
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
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FIRE DEPARTMENT COPY