23830 HWY 99 STE 204SNOROMISI-I CO.
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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
[I UNINCORPORATED
www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY
STATION & SHIF")
LOCATION: .
1
23830 Highway 99 Suite 204k98026
20 1
2 O-A
BUSINESS NAME:
PHONE:
SCHEDULED
DATE DUE
Vacant??
0
Aug
28116
MAILING
UFIR
ADDRESS:
0
BUSINESS OWNER:
HOME PHONE:
.EMERGENCY-1:
HOME PHONE:
rCURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
EMAIL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
I
FIRE SYSTEMS: FE
4
5
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.
20q
FIRE PREVENTION
SAFETY SURVEY
ClW OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION: 23830 Highway 99
BUSINESS NAME: Dotnet Corp.
MAILING 23830 Hwy 99 #20413
ADDRESS: Edmonds
BUSINESS OWNER: Park, Sang
EMERGENCY-1: Park, Hee
KEY ACCESS-2: Hwang, Min
"I I
PHONE:
98026
HOMEPHONE: 2068598252
HOMEPHONE: 2064073454
HOMEPHONE: 20634075177
01 FREQUENCY
STATION 1, SHIFT-"'
20 C
�
SCHEDULED
DATE DUE 10 08/01/10
iUFIR o� 233
3006
ACTIVE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE F� I
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 10
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D E 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
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
18
DATE-
DISPOSITION:
8
LETTER NEEDE _] YES
\� D [F] YES Cj N
�=ER NEEDED [] YES NO
FIRE DEPARTMENT COPY