400 DAYTON ST STE C (2)T
,A1
FIRE PREVENTION
Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
Mountlake Terrace
Everett, WA 98208
jZeDMONDS
0 BRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION 400 Dayton Street Suite C 98020
2019 17-D
BUSINESS NAME Wynn Ayers Insurance Agency PHONE:
SCHEDULED
4257713535 DATE DUE 0 May 2019
MAILING
UFIR 0 0
ADDR'SS400 Dayton Street, Suite C, Edmonds, WA 98020
BUSINESS OWNERAyers, Wynn HOME PHONE:
EMERGENCY-1, HOME PHONE:
Wynn
CURRENT
YES NO
KEY ACCESS-�Ayers,
HOME PHONE:
EMAIL:
Crry
17 BUSINESS
LICENSE
el PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: i� 4."CAkz "1 -7
-7 - 1 6 - k'�
FIRE SYSTEMS: FE 12/15
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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
let RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED M
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1
5
PRE -CITATION
LETTER SENT
CWTOMN WUMED
NUMBER:
4
2
6
2
6
00TE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
-RECEIVED
4
is
4
is
DATE:
DISPOSITION:
7
LETTER NEEDED 0 YES 140
LETTER NEEDED 0 YES 0 No
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FIRE PREVENTION
Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
SNOHOBUM COL Everett, WA 98208 D 0 DS
Mountlake Terrace �KBRMIERN
F Phone (425) 551-1200 0 MOUNTLAKE TERRACE
D 0 fi%tLTwww.FireDis1rict1.org Fax (425) 551-1272 0 UNINCORPORATED
FREOUENCY TSTAT71ON & SHIFT-"'
LOCATION 400 Dayton Street Suite §4020 2019 17-D
BUSINESS NAMEf���O�S PHONE: SCHEDULED
4256080972 DATEDUE May2019
MAILING UFIR 0
Al"'SS400 Dayton Street, Suite B, Edmonds, WA 98020
BUSINESS OWNER Lemas, Mitch HOME PHONE:
EMERGENCY-1* HOME PHONE: CU�i!E
KEY ACCESS-2C;hristensen, Angie HOME U"E!. 4257760139 CITY YES 0,
17 BUSINESS
EMAIL: 44 4- V iI� LICENSE E� 4L
PERSON CONTACTED: INITIAL INSPECTION DATE
It,NAME OF INSPECTOR:
FIRE SYSTEM S: FE 12/15
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:'WRR9E;�8Rb*%'t0CAtIONS COTMUNICAthONS
2
2
3
3
4
4
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
'Ist 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
VIOLAMONS
6
PRE-CRATION
LETTER SENT
017ATtON ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
6
3 E
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
[4
�R]11E�EDED
DATE:
DISPOSnION:
7
� LETTER NEEDED [] YES NO
0 YES 0 NO
8