23830 HWY 99 STE 203-E& 14 Lj iq S 7-0 2 1
SNOHOMISH CO.
FIRE PREVENTION
Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
Mountlake Terrace
Everett, WA 98208
0 EDMONDS
[1 BRIER
Phone (425) 551-1200
[1 MOUNTLAKE TERRACE
[3 UNINCORPORATED
www.FireDistrictl.org
Fax (425) 551-1272
LOCATION:
23830 Highway 99 Suite 203 98026
BUSINESS NAME: PHONE:
Koreana_GpastF�,
MAILING
ADDRESS:
23830 Highway 99, Suite 203, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
2064073454
.EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: Park, Song HOME PHONE: 2067137040 CITY YES NO
BUSINESS
EMAIL: LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FIE
6
7
6
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; for
Mountlake Terrace or Brier, call (425) 744-6231.
FIRE PREVENTION
CITY OF EDMONDS SAFETY SURVEY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIR DEPARTMENT
4S'
t Sv
LOCATION:
23830 Highway 99
BUSINESS NAME:
Koreana Construction, Inc
MAILING
23830 Highway 99 '#203
ADDRESS:
Edmonds
BUSINESS OWNER:
Park, Song
EMERGENCY-1:
Park, Hee
KEY ACCESS-2:
203
PHONE: 20640734-54
98026
HOMEPHONE: 2067137040
HOME PHONE:
HOME PHONE:
FREQUENCY
STATION & SHIFT
730
20 C
SCHEDULED
DATEDUE 11
UFIR 1, 591
8006
ACMVE
e INITIA INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE PE I
SYSTEMS:
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:
EXTENSION
GRANTED TO:
FINAL RE-INSFECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
E:
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
18
4
18
DATE:
DISPOSITION:
7
� LETTER NEEDED C] YES Cj NO
LETTER NEEDED C] YES NO
FIRE DEPARTMENT COPY'