400 DAYTON ST STE ALf vo oaq rotJ
Serving, rier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-IjOO
www.FireDistrictl.org' Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
El UNINCORPORATED
FREQUENCY STATION & SHI
LOCATION:
400 Dayton Street Suite -A 98020 47-A
BUSINESS NAME: PHONE: SCHEDULED
Bennett & Bennett 4257760139 DATE DUE � mnw gnig
MAILING
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ADDRESS: 591
400 Dayton Street, Suite A, Edmonds, WA 98020
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PERSON C ONTACTED: < INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS:. FE 12/13
Datstzsti6I9_IIwivacbcATiONS
COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
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I -A�G RIEE TO CO FIRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
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2nd RE -INSPECTION
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FINAL RE -INSPECTION
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DATE DUE
DATE DUE:
GRANTEDTO:
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PERSON
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3
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VIOLATIONS:,
PRE -CITATION
CITATION ISSUED'
15
___IEII�RSENT
NUMBER:
4
CODE
5
2 6
2
DATE:
SECTION:
RETURN RECEIPT
3
7
3
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RECEIVED
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Is OSITION:
4
8
DATE:
7
LETTERNEEDED 13 YES NO
LETTER NEEDED ff YES 0 NO
8
SNOHOMISH CC
FIRE
DIST
Serving Brier Edmonds, and
Mountlake Terrace
wwwFireDistrictLorg
12425'Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
LOCATION: 400 Da�ton Street Suite A 98020
BUSINESS NAME: Bennett & Bennett PHONE: 4257760139
MAILING
ADDRESS: 400 West Da�ftn Street, Suite A, Edmonds, 'AA. 98020
BUSINESS OWNER: HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
El EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
"' FREQUENCY I STATION& SHIFT"
2 Year 14 17-C
SCHEDULED
DATE DUE W ay 2014
UFIR 1'591
EMERGENCY-1: HOME PHONE: CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS
EMAIL: LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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
lsfRE-INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
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PERSON
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INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
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
,14
4
8
DATE:
DISPOSITION:
7
__L8
LETTER NEEDED E] YES El NO
LETTER NEEDED [] YES NO
1
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Briet; Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
OEDMONDS
Mountlake Terraceand
FIRE
Everett, WA 98208
0 BRIER ,
the Town of Woodway
DISTR T
Phone (425) 551-1200
[1WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
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El UNINCORPORATED
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LOCATION: 400 Dayton Street
A
731
17 A
I
BUSINESS NAME: Bennett & Bennett
PHONE: 4257760139
SCHEDULED
DATE DUE 1' 05/01,112
MAILING 400 Dayton St #A
UFIR � 591 5202
ADDRESS: Edmonds
98020
BUSINESS OWNER: Sennett & Bennett Partnership
HOME PHONE: 4257752418
ACTIVE
EMERGENCY-1: "Bennett, Leigh P.m
HOME PHONE: 41257753397
eCURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS [R F]
LICENSE
PERSON ONTACTED: e^la *e �(Se Ae*indpl-1
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
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SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
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
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:
LETTER NEEDED [-] YES El NO
LETTERNEEDED [] YES NO
FIRE DEPARTMENT COPY
CITY OF EDMONDS FIRE PREVENTION
SAFETY SURVEY
121 5TH AVENUE N. . EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
46' 8 t jS9 cj FREQUENCY STATION & SHIFT
LOCATION: 400 Dayton Street A 731 17 A
SCHEDULED
BUSINESS NAME: -Bennett & Berihett PHONE: 4257760139 DATE DUE ll� 05/01/08
MAILING 400 Dayton St #A LIFIR 11' 591 5202,
ADDRESS: Edmonds 98020 _00
BUSINESS OWNER: Bennett & Bennett Partnership HOME PHONE: 4257752413 ACMVE
EMERGENCY- 1: "Bennett, Leigh P." HOME PHONE: 4257753397
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED: ee ki INITIAL INSPECTION DATE
NAME OF INSPECTOR: 54�,wbA,4— 'z- 0 9
FIRE FE -Qf b"7-
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 110
VIOLATION CODE
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2
2
3
3
4
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE 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
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
DATE:
CODE
SECTION:
5
3
7
3
RETURN RECEIPT
RECEIVED
6
4
18
4
8.;.
IDATE:
DISPOSITION:
7
8
LETTER NEEDED [0] YES [03 N
�_TTERNEEDED j:]*-.Y,9S�,','[3'..NO
,FIRE DEPARTMENT COPY
/A
ClW OF EDM
ONCi�
121 5� AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
FIRE PREVENTION
SAFETY SURVEY
I'
LOCATION: 400 Dayton Street A
BUSINESS NAME: Bennett & Bennett PHONE: 4257760139
MAILING 400 Dayton St #A
ADDRESS: Edmonds 93020
4257752418
BUSINESS OWNER: Bennett & Bennett Partnership HOME PHONE:
EMERGENCY-1: nBennett, Leigh P.0 HOME PHONE: 425775S391
KEY ACCESS-2: HOME PHONE:
o� FREQUENCY
STATION & SHIFT
731
17 C
SCHEDULED
0'
05/01/10
DATE DUE
UFIR o, 591
5202
ACTIVE
INITIA INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 10
VIOLATION CODE
2
3
3
4
4
,5
5
6
7
7
8
8
:11st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINALPRE-INSPECTION
VIOLATIONS
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I
GRANTED TO:
CITED:
PATE DUE.
DATE DUE.
DATE DUE.
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1
2
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3
bATE-
DATE, l\_A_0O L AT 10 N S
PRE -CITATION
-DATE,
CITATION ISSUED
LATIOK§__
LETTER SENT
NUMBER:
CODE
4
5
2
6
2
6
DAT
SECTION:
RETURN RECEIPT
6
14
7
RECEIVED
7
DISPOSITION:
4
8
LETTER NEEDED
L8
C] YES E] NO
DATE:
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY