300 ADMIRAL WAY STE 200SNO110MIS14 Co.
FIRE
D I SO r. LF I
Oo oDmi-4eq c -wo911 rro- ), o o
se 12425 Meridian Ave S
4rvingor to,, L,.;nonds, and
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
T www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 300 Admiral Way Suite 200 98020
BUSINESS NAME: James A. Carlsen, CPA PHONE:
MAILING
ADDRESS: 300 Admiral Way, Suite 200, Edmonds, WA 98020
BUSINESS OWNER: Carlsen, James HOME PHONE:
4257759127
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
D MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY STATION & SHIFT
2017 17-A
SCHEDULED
DATE DUE � Jan 2017
UFIR o 591
EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: 17 CITY YES NO
BUSINESS F__1
EMAIL: LICENSE L_J 1:1
r- INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 9/13
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2�
2-
3
3
.4.
4
5
5
6
6
VA
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
7
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
Serving Briei; Edn;�qa Arlr2
V2 �Oe-
INSPECTION REPORT
SNOHOMISH CO. '0��d 4 ;g[EDMONDS
Mountlake -Terrace Everett, WA 98208 BRIER
'FIRE' Phone (425) 551-1200 0 MOUNTLAKE TERRACE
STR!RT wwwFireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY
STATION & SHIFT"
LOCATION:
30D.Admiral Way Suite 2fM 98020
2 Year�
I I 17-B
BUSINESS NAME:
Jamm;.k C�arls-cn, CPA
PHONE:
42577M1271
SCHEDULED
DATE DUE Jan 21314
MAILING
UFIR 0
ADDRESS:
300 Admiral Way, Suile 200, Edrrmnds, WA 03020
BUSINESS OWNER:
C'arken, Jant-s.
HOME PHONE:
EMERGENCY-1:
HOMEPHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
A
NAME OF INSPECTOR:
=7/y
FIRE SYSTEgS;
FE C�
t
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
D
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
lst RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE:
E DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
E:
DATE:
3
VIOLATIONS
VIOLATIONS,
P I RE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
7
RECEIVED
6
-3
DISPOSITION:
4
18
4 18
DATE:
7
LETTERNEEDED [] YES No
LETTER NEEDED YES F-1 NO
I
I
I 1
8
FIRE DEPARTMENT COPY