300 ADMIRAL WAY STE 107 (2)"FIRE PREVENTION
906 t9Dvx4,94_ WAy /0'7
SNOHOMISH CO. Serving I �nonds, and 12425 keridian Ave S iN�,S,*PECTION REPORT
DfEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIRE,. "®r El MOUNTLAKE TERRACE
IPhone (425) 551-1200 [1 UNINCORPORATED
DISTR T www.FireDistrictl.org Fax (425) 551-1272 FREQUENCY STATION & SHIFT�
LOCATION: 3M Admiral Way Suite 107 QM2Q 2 Year 1 14 17-B
BUSINESS NAME: I hc Cornpaunding ApaUicrary PHONE: 42502�f SCHEDULED Jan 2f)14
DATE DUE
MAILING UFIR 10
ADDRESS: 300 Admiral Way, Suilc 107, Ldrnandb, WA, 08132f)
BUSINESS OWNER: MAtAifl, SLE.Ah HOME PHONE:
EMERGENCY-1: I mwjjL;uust RIF HOME PHONE: 4*,1533B3Lj3d" CURRENT
CITY YES NO
KEY ACCESS-2: HOME PHONE:
BUSINESS
EMAIL: LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
Qq0k
FIRESYSTEMS; FE /Ij 13
HA7 FOU. ND AND LOCATIONS COMMUNICATIONS
tL',
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
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 15
1 15
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
4
8
4
8
DATE:
LETTER NEEDED C] YES El NO
LETTER NEEDED YES C3 NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Briet-'Edinonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOM13H C�;
'FIR Mountlake Terr'deeand
Everett, WA 98208
0 EDMONDS
OBRIER '
the Town of Woodway
DIS T
Phone (42�) 551-1200
OWOODWAY
0 M06NTLAKE TERRACE
www.FireDistrictl.org
Tax (425) 551-12 72
0 UNINCORPORATED
e FREQUENCY
STATION & SHIFT_')
LOCATION: 300 Admiral Way
107
731
17 D.
BUSINESS NAME: The Compounding Apothecary
PHONE: 4256729888
SCHEDULED
DATE DUE � 0110.1112'.
MAILING 300 Admiral Wy #107
UFIR 1, 543
ADDRESS: Edmonds 98020
BUSINESS OWNER: klatsuo, SuLn
HOME PHONE: 2063103133
AC-nVE
EMERGENCY-1: The Lande/Coast RE
HOME PHONE. 4253393638
"CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED: T65.S I c A o
INITIAL INSPECTION DATE
NAME OF INSPECTOR: Ctt(c_ A^-f()6ytsarNJ 52o57
771
0_5-/0,/z017_
FIRE
r
FE I
SYSTEMS:
A�—NUZC
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
1st 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
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED YES No
LE17ER NEEDED E] YES El NO
FIRE DEP�RTMENT COPY