23830 HWY 99 STE 200Y630
Serving Brier, Edmonds, and 12425 Meridian Avi
SNOHOM'ISH Co.
.1,Mbu,ntlake Terrace Everett, WA 98208
1
FIR
Phone (425) 551-1�
DIS R_ T www.FireDistrictl.org Fax (425) 551-127�
FIRE PREVENTION
INSPECTION REPORT
tO EDMONDS
El BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
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LOCATION:
Highway 99
Suite 201,t= 98026
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28%
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DATE DUE 11'
UNI Property, LLC
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HOME PHONE: CURRENT
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EMAIL: I e a <;,'E U K BUSINESS
LICENSE �6 1:1
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
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2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:'
DATE DUE:
GRANITEDTO:
DATE DUE:
CITED:
PERSON
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DATE: 19-
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3
DATE:
10 IONS
VIOLATIONS:-
PRE -CITATION
CITATION ISSUED
15
15
LETTER SENT
NUMBER:
4
2
6
6
DATE:
CODE
S 011
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RECEIPT
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RECEIVED
DISPOSITION:
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DATE:
LETTER NEEDED [] YES I—] NO
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FIRE PREVENTION
SNOHOMISH CO.
FIRE fl—
DISTkkT
Serving Brier, Edmonds
Mountlake Terraceand
the Town of Woodway
www.Firel?istrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
INSPECTION REPORT
[]EDMONDS
0 BRIER
0WOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
LOCATION: 23830 0 200, Edmonds
BUSINESS NAME: Wa Bus Inv, Inc.
MAILING
ADDRESS: 23830 H��Ighwa 99 200, ,
PHONE: 4256974089
I'- FREQUENCY I STATION& SHIFF*�
20-E3
SCHEDULED
DATE DUE � Aug
UFIR 161
BUSINESS OWNER:
HOME PHONE:
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EMERGENCY-1. Lee, Chong,
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CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
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LICENSE
INITIAL INSPECTION DATE
PER N CONTACTED:
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FIRE SYSTEMS: 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
1 st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE.
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
ONTACTED:
PERSON
CONTACTED:
PERSON
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INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 15
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 E] YES El NO
LETTER NEEDED [] YES NO 1
8
FIRE DEPARTMENT COPY
-ClW OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
4j' t Sq
LOCATION: 23830 Highway 99
BUSINESS NAME: Wa Bus Inv, Inc.
MAILING 23830 Highway 99 #200
FIRE PREVENTION
SAFETY SURVEY
200
PHONE: 4256974989
ADDRESS: Edmonds 98026
BUSINESS OWNER: Lee,Chong HOME PHONE: 2069494989
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION 1, SHIFT
731
20 C
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SCHEDULED
DATE DUE 1�
08/01/10
LIFIR ll� 591
3006
ACTIVE
PERSON CON�ACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: Ali juvl
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SYSTEM S:
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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
lst RE -INSPECTION
DATE DUE�
2nd RE -INSPECTION
DATE DUE:
PERSON
CONTACTED:
INSPECTOR
DATE:
VIOLATIONS
1 5
2
3 7
j4 18
I LETTER NEEDED D YES NO
EXTENSION
GRANTED TO-
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR
1
2
INSPECTOR
DATE:
DATE:
PRE -CITATION CITATION ISSUED
LETTER SENT NUMBER:
3
VIOLATIONS
1 5
4
2 6
CODE
DATE: SECTION:
RETURN RECEIPT
RECEIVED
5
7
6
4
DISPOSITION:
DATE:
7
8
\. LETTER NEEDED YES NO
FIRE DEPARTMENT COPY