300 ADMIRAL WAY STE 208Sr4ol
F
b
tijPy FIREPREVENTION
INSPECTION REPORT
Serving nr ter, ,_:.dmonds, and 12425 Meridian Ave S 0 EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
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X, Phone (425) 551-1200 U MOUNTLAKE TERRACE
Twww.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION: 300 Admiral Way Suite 208 98020
2017
17-A
BUSINESS NAME: Timber/West PHONE:
4257783388
SCHEDULED
DATE DUE 0 Jan 2017
MAILING
LIFIR 0 591
ADDRESS: 300 Admiral Way, Suite 208, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Pearce, Jeffrey HOME PHONE:
6049869558 CURRENT
KEY ACCESS-2: HOME PHONE:
17
CITY
YES NO
BUSINESS
EL
EMAIL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
.3
3
4� ---
5
6
7_
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
5
11 1 6- , '' - - - -
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
SNOHOMISH CO. 'Serving 1?riet; Edd6lOs,6i?d3-CYZ]142-54PMianfTWS? 0 8 INSPECTION REPORT
ZEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
,FIRE Phone (425) 551-1200 El MOUNTLAKE TERRACE
DI[I UNINCORPORATED
STR T www.FireDistrictl.org Fax (425) 551-1272
SCATION:
L 300 Adniiral7Way Suite 208 92020
�1��',,�DBYSI NESS NAME: I i mbcrtVVmt PHONE:
MAILING
ADDRESS: 300 Admiral Way, Suilc 208, Edrymndsi, \IVA 08020
I
BUSINESS OWNER:
'EMERGENCY-1: %arce_ Jrffrey
KEY ACCESS-2:
N" A
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTE MS: FE I
HOME PHONE:
FREQUENCY STATION &SHIFT
2 Yearl 11 17-B
SCHEDULED Jan 2014
DATE DUE I"
UFIR 0
HOME PHONE: W498b955d�' CURRENT
YES NO
HOME PHONE: CITY
BUSINESS
LICENSE
INITIAL INSPECTION DATE
HAZARDS FOU
CATIONS COMMUNICATIO"Nk
0 1
—2
2
4
3
3
4
4
.5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLA TION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE: .
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
� RETURN RECEIPT
7
3
7
RECEIVED
6
DISPOSITION:
7
8
4
8
DATE:
...
El YES [I NO
LETTER NEEDED C] YES El NO
8
FIRE DEPARTMENT COPY