300 ADMIRAL WAY STE 20500
A0M-V1Z#4L 00y S1 C�(�-65'
FIRE PREVENTION
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Se ,-dmonds, and 12425 Meridian Ave S
INSPECTION REPORT
SNOHOMIIS� C6,
FIRE Mountlake Terrace
Everett, WA 98208
OEDMONDS
0 BRIER
DISTR61T
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
www.FireDistrictl.org
Fax (425) 551-1272
FREQUENCY STATION & SHIFT)
LOCATION: 300 Admiral Way Suite 205 98020
2017 1 17-A
BUSINESS NAME: office/part of 203
PHONE: 4256708436
SCHEDULED 120117
DATE DUE � ""
MAILING
UFIR � 591
ADDRESS: 300 Admiral Way, Suite 205, Edmonds, WA 98020
BUSINESS OWNER: Johnson, Dennis
HOME PHONE:
EMERGENCY-1: Jacobson, Alan
HOME PHONE: 2065463766
_-N
eCURRENT
KEY ACCESS-2:
HOME PHONE: 17
CITY YES NO
EMAIL:
BUSINESS F__1
LICENSE I I
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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2
3
3
4
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5
5
6
6
... 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.
SN01
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FIRE PREVENTION
ServingBrier, EANa A L),71-TAI�-ML44cfia'tiA-rri-97-cl�6-5-INSPECTIO'N'.'REPORT
OEDMONDS
Mountlake Terraceand Everett, WA'98208 0 BRIER
the Town of Woodway Phone (425) 551-1200 0 WOODWAY
[I MOUNTLAKE TERR�CE
Twww.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATE6
e FREQUENCY STATION &j , SHIFT—'
LOCATION: 300 Admiral Way 205
SCHEDULED ?'
BUSINESS NAME: Oftelpart of 203 PHONE: 42567,08436 DATE DUE 0 01/0102
MAILING 300 Admiral Wy #205 UFIR � 593 0 1201
ADDRESS: Edmonds
BUSINESS OWNER: Stultz, Carol
EMERGENCY-1: Johnson, Dennis
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
98020
HOME PHONE:
HOME PHONE: 4257751717
HOME PHONE:
ACTIVE
CURRENT
CITY YES
BUSINESS
LICENSE _a
INITIAL INSPECTION DATE
FE f
ANNUA.L.;-/
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
c -3
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:
PERSON
CONTACTED:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D E:
DATE:
3
VIOLATIONS
1
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
CODE
SECTION:
5
3
7
3
7
f�Ei6RN �ECEIPT
RECEIVED
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14
8
14
18
DATE,
DISPOSITION:
LETTER NEEDED [] YES NO
I LETTERNEEDED [-] YES NO
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FIRE DEPARTMENT COPY