303 5TH AVE S STE 200303 5-4-h /�L/F_ S' SrE7 ZOc)
FIRE PREVENTION
Serving Brier, Edmonds, and 12425 MeridianAve S INSPECTION REPORT
EDMONDS
Mountlake Terrace Everett, WA 98208 )19BRIER
1200 0 MOUNTLAKE TERRACE
Phone (425) 551- [3 UNINCORPORATED
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:
1 303 5 th Avenue S Suite 201 98020
BUSINESS NAME: PHONE:
Vacant
MAILING
ADDRESS:
303 5th Avenue S, Suite 201, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
.EMERGENCY-1:
HOME PHONE:
CURRENT
KEY AC . CESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
EMAIL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
DaftqD59MO\Aftd�CATIONS COMMUNicAnONS
2
2
3
4
5
3
4
5
6
6
7
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 coKpliance
w ith 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.
_E PREVENT16N Y
INSPECTION RIEPoA!r':`
Serving Bri&, Edmonds 12425 Meridian Ave S
SNOHOMISH Co. 0 EDMONDS,
Mountlake Terrace, and Everett, WA 98208 OBRIER
FIRE
NTLAKE TERRACE
rg [I UNINCORPORATED
the Town of -Woodway Phone (425) 551-1200 [1 MOO,
STR T wwwFireDistrictLo Fax (425) 551-1272 -
LOCATION: 1, '�_ FREQUENCY I STATION & SHIFT_'*�
303 5th Ave S 201, Edmonds 98020 Annual 17-A
BUSINESS NAME- PHONE: SCHEDULED
Merlion Hornes/First Financial 4257780100 DATE DUE I' Aug
MAILING UFIR 123
ADDRESS:
BUSINESS OWNER: Wegrich, Sachiyo HOME PHONE:
Email:
EMERGENCY-1- -HOME-PHE)NE. 'CURRENT -
KEY ACCESS-2:' Ng, Jilian HOME PHONE: 2067953888 CITY YES NO
BUSINESS
LICENSE 1:1 E]
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEIIS: FE_
HAZARDS POUNb"AND LOCATIONS / COMMUNICATIONS
2
2
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3
3
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5
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6 YX
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1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
ATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE.
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR
2
DATE:
TE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
—LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4
18
DATE:
DISPOSITION:
7
11 LETTER NEEDED [-] YES NO
LETTER NEEDED [] YES NO
F
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 51H AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
t . Is
%fp CZ
LOCATION: 103 5th A.- —
BUSINESS NAME: Merlion Homes/First Financial
MAILING 303 5th Ave S #201
ADDRESS: Edmonds
BUSINESS OWNER: Wegrich, Sachiyo
EMERGENCY-1: Ng, Julian
KEY ACCESS-2:
FIRE PREVENTION
SAFETY SURVEY
201
PHONE: 4257780100
98020
HOME PHONE: 2066170112
HOME PHONE: 2067953883
HOME PHONE:
FREQUENCY
STATION& SHIFT
730
17 6
SCHEDULED
DATE DUE I�
08/01/10
UFIR 1� 59'1
8203
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE Jy/ FE I
SYSTEMS: ANNUAL
3 6,1
HAZARDS F09ND AND LOCATIONS COMMUNICATIONS
k 7�
ENTER CODE ONLY ONCE 11
VIOLATION CODE
2
2
3
3
4
4
5'
5
6
6
7
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8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D E DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
5
VIOLATIONS
5
PRE -CITATION
SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
RETURN RECEIPT
RECEIVED
6
4
8
�4
-7
18
DATE:
DISPOSITION:
8
\1 LETTER NEEDED C] YES C] NO
LETTER NEEDED [] YES 0 NO
FIRE DEPARTMENT COPY