23830 HWY 99 STE 2052,3930 "7:WU'9(/ 9 9 y/ Z115—
FIRE PREVENTION
ServingBrier, Edmonds, and 12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO
DEDMONDS
Mountlake Terrace
FIRE
Everett, WA 98208
[1 BRIER
DI11
STR T
Phone (425) 551-1200
Fax 551-1272
El MOUNTLAKE TERRACE
[1 UNINCORPORATED
www.FireDistrictl.org
(425)
e- FREQUENCY STATION & SHIff
LOCATION:
1
23830 Highway 99 Suite 205 98026
2816 26-A
BUSINESS NAME:
PHONE:
SCHEDULED
DATE DUE �
Vacant
4256734795
Aug 2916
MAILING
UFIR 0
ADDRESS:
547
23830 Highway 99, Suite 205, Edmonds,
WA 98026
BUSINESS OWNER:
HOME PHONE:
Sung,YonJae
.EMERGENCY-1:
HOME PHONE:
'CURRENT .
KEY ACCESS-2: Sung,YonJae
HOME PHONE: 2538135763
CITY YES NO
BUSINESS F]
EMAIL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
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.
'930
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
4�' t
9 Z r5-
FIRE PREVENTION
SAFETY SURVEY
LOCATION: 23830 Highway 99 205
BUSINESS NAME: Vacant PHONE: 4256734795
MAILING 23830 Highway 99 '#205
ADDRESS: Edmonds 98026
BUSINESS OWNER: Sung,YonJae HOMEPHONE: 2538135763
EMERGENCY-1: Shin, Abbott HOME PHONE: 2536301311
KEY ACCESS-2: HOME PHONE:
FREQUENCY STATION & SHIFT
7,
1 20 C
SCHEDULED
DATE DUE ll� 08/01/10
UFIR i� 591 8006
ACTIVE
r- INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INS P ECTOR: /0
f
SYSTEMS:
ANNUAL"
HAZARD UND AND LOCATIONS COMMUNICATIONS
S7
ENTER CODE ONLY ONCE 10
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 -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
7
4
18
4
18
DATE:
DISPOSITION:
8
\1 LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY