300 ADMIRAL WAY STE 204_:,�Oy FIRLPREVENTION
00 1119irZ�t/41, 0191 37i
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Servingv, Z, _Jmonds, and 12425 Meridian Ave S INSPECTION REPORT
SNOHOIVUSH�Co OEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIIIOJL;A Phone (425) 551-1200 0 MOUNTLAKE TERRACE
DIarrin M 0 UNINCORPORATED
OU A A-&JL%j JL www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY STATION & SHIFT
LOCATION: 300 Admiral Way Suite 204 98020 2017 17-A
BUSINESS NAME: Vacant PHONE: SCHEDULED Jan 2017
DATE DUE
MAILING UFIR o 591
ADDRESS: 300 Admiral Way, Suite 204, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: HOME PHONE: "CURRENT
KEY ACCESS-2: HOME PHONE: 17 CITY YES NO
BUSINESS
EMAIL: LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
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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.
I � SNOHO
DI
4FIRE PREVENTION
Idla,75 INSPECTION REPORT
�f Serving Brier, Edin6fi&) OMIIAM4 A#dr &e f-, y 1,
1 0 EDMONDS
Mountlake Terraceand Everett, WA 98208 0 BRIER
the Town of Woodway Phone (425) 551-1200 E]WOODWAY
El MOUNTLAKE TERRACE
T www.FireDistrictl.org Fax (425) 551-1272 El UNIN'CORPORATED
e' FREQUENCY STATION & SHIFT'*)
LOCATION: 300 Admiral Way 204 731 17 D
SCHEDULED
BUSINESS NAME: n Tnmpf PHONE: 4257748901 o ni/nim?
MAILING 1150 E Chestnut
ADDRESS: Santa Anna
BUSINESS OWNER: Hart, Harry
EMERGENCY-1:
KEY ACCESS-2: Inwards, Gary
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
.t-,(L-
92701
HOME PHONE: 7149739200
HOME PHONE:
HOME PHONE: 4257748901
- 1. �U.
LIFIR 0 591 1201
CURRENT
CITY YES NO
BUSINESS
LICENSE ��' El
INITIAL INSPECTION DATE
FE I.
A14NUZ( Z:/!5(
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
AJz>,,A C_
2
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) INTHE NEXT 30 DAYS X
Ast RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE:
DATE D JE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
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VIOLATIONS
VIOLATIONS
PR I &CITATION
CITATION ISSUED
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1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6,
2
6
DATE:
SECTION:
RETURN RECEIPT
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RECEIVED
DISPOSITION:
[4
4
18
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DATE:
\� LETTER NEEDED El YES I—] NO
LETTER NEEDED C] YES El NO
FIRE DEPARTMENT COPY