300 ADMIRAL WAY STE 101 (2)3 0 0 f�otyjjp_tqL_ Wtij STj& FIRE -PREVENTION
SNOHOMISH CO. Serving Bria Edmo).._ 12425 Meridian Ave S IL)l INSPECTION REPORT
X EDMONDS
Mountlake Terrace Everett, WA 98208 El BRIER
F I R E *�ol ISE-1 Phone (425) 551-1200 [1 MOUNTLAKE TERRACE
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LOCATION: 300 Adryfiral Way Suite 10 1 DBUD 2"Year� 14 17-B
SCHEDULED
BUSINESS NAME: lripplc, Iripplc8 Irippic PHONE: 426,774950C --- c � Jan 2014
MAILING
ADDRESS: 300 Admiral Way, Suilc 101, EdrTrIncilb, \IVA 030213
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EMERGENCY-1: Trippic, Smon HOME PHONE: )t)b7l54fj,,) CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
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EMAIL: LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: 0�4
FIRE 5YSTEI%S; FE CL14
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS
K/
1 st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 15
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
6
3
7
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1
RECEIVED
DISPOSITION:
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1 1
DATE:
LETTER NEEDED Ej YES El NO]
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
SNOHOMISH CO. Set-ving Bi-iei: Edmonds
"FIRE Mountlake Terraceand
the Town of Woodway
DISTR www.FireDistrictl.org
4S
LOCATION: 3130 Admiral Way
BUSINESS NAME: Tripple, Tripple & Tripple
MAILING 300 Admiral Wy #101
12425 Mei-idian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
101
PHONE: 4257749500
Auuncaa: Edmonds 98020
BUSINESS OWNER: Tripple, Robert G. HOME PHONE: 4254860594
EMERGENCY-1: . Tripple, Susan HOME PHONE: 2067154823
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
FIRE PREVENTION
INSPECTION REPORT
M5LDMONDS
El BRIER
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0 MOUNTLAKE TERRACE
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FREQUENCY I STATION & SHIF"I
731 17 D
SCHEDULED
DATE DUE 1` 01/01/12
LIFIR 1, 591 1201
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE 1:1
INITIAL INSPECTION DATE
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AhIhPHAI
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
1
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D TE:
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:
\1 LETTER NEEDED E] YES El NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY