300 ADMIRAL WAY STE 202SWOHOMISli CO.
co
300 A0t"-rrZ-^L- LAJ A-i S-rrz, .70 2- FIRE PREVENTION
Se. dmonds, and 12425 Meridian Ave S INSPECTION REPORT
OEDMONDS
rving
Mountlake Terraee Everett, WA 98208 0 BRIER
Phone (425) 551-1200 U MOUNTLAKE TERRACE
[3 UNINCORPORATED
Twww.Fire.DistrictLorg Fax (425) 551-1272
r- FREQUENCY
STATION 1, SHIFT
LOCATION: 300 Admiral Way Suite 202 98020
2017
17-A
I
BUSINESS NAME: Dennis J. Johnson, Inc PHONE:
4257762727
SCHEDULED
DATE DUE � Jan 2017
MAILING
UFIR o 591
ADDRESS: 300 Admiral Way, Suite 202, Edmonds, WA 98020
BUSINESS OWNER: Johnson, Dennis HOME PHONE:
EMERGENCY-1: HOME PHONE:
CURRENT
KEY ACCESS-2: HOME PHONE:
17
CITY YES NO
BUSINESS F1
1:1
EMAIL:
LICENSE I 1
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
-2-
2
3
__ 3
.1 . _. � 1 4
5
-, 6 -
1 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.
,FIRE PREVENTION
'INSPECTION REPORT
Serving Briet; Ed�W
Qirds x- (d642 EDMONDS
Mozintlake Terrace Everett, WA 98208 tRIER
Phone (425) 551-1200 El MOUNTLAKE TERRACE
0 UNINCORPORATED
www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY STATION & SHIFT
LOCATION: 300 Admiral Way Suite 202 08020 2'Year 14 1 7-R,
SCHEDULED Jan 213
BUSINESS NAME: Dinnis J. Jahnuan Inc PHONE: 42CRE272i n a M.0 lo 14
MAILING
ADDRESS:. 300 AdmiralWay, Suilc 202, hdrrmn&-,`VVA 03020
BUSINESS OWNER: 'IT11111Frill, INtfillis HOME PHONE:
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
7-rl (T�( 01
FIRE SYSTEMS; FE I
UFIR ll�
CURRENT I
CIT N:I]
y S
BUSINESS
LICENSE
INITIAL INSPECTION DATE
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 A)b ff4 OA/Z-6 2 utAoA
2
2
3
3
4
4
5
5
6
6
7
7
I �GREE 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-
DATE DUE-_
GRANTEDTO:
DATE DUE:
CITED-
PERSON�,,
PERSON
PERSON
CONTACID:
CONTACTED:
CONTACTED:
f
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS.
VIOLATIONS
PRE -CITATION
CITATION ISSUED
5
1 5
LETTER SENT
NUMBER:
4
CODE
5
12
6
2
6
DATE:
SECTION:
RETURN RECEIPT
I
7
3
7
RECEIVED
6
DISPOSITION:
1 1 4
1 8
4
18
DATE:
LETTER NEEDED F] YES El NO
LETTER NEEDED E] YES F1 NO
FIRE DEPARTMENT COPY
SNOHOMISH CO. Serving Brier, Edmonds
Mountlake Terrace, and
FIRE
__ I fW
.t .' the Town o bodway
DIST T www.FireDistrictl.org
LOCATION: 3011 Admiral Way
BUSINESS NAME: Dennis J. Johnson, Inc
MAILING 300 Admiral Wy #202
ADDRESS: Edmonds
BUSINESS OWNER: Dennis J. Johnson
J EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR: Z)
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
202
PHONE: 4257762727
98020
HOME PHONE: 4257762727
HOME PHONE:
HOME PHONE:
FIREPREVENTION
INSPEdTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
e- FREQUENCY I STATION & SHIFT'*�
731 17 D
SCHEDULED
DATE DUE 0 01101112
UFIR 0 591 1201
F
3411 Ar.
CURRENT
CITY YES NO
BUSINESS
LICENSE Y El
INITIAL INSPECTION DATE
F E
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
ls I t RE -INSPECTION
DATE DUE:
Ilk
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
5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
4
18
4
18
DATE:
DISPOSITION:
7
"I LETTER NEEDED F] YES NO
LETTER NEEDED C] YES [I NO
FIRE DEPARTMENT COPY