406 MAIN ST STE 100(A M/9-rfl) Jr J rE100 FIRE PREVENTION
Serving Brier Edmona8s, und 12425 Meridian Ave S INSPECTION REPORT
OEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
[I UNINCORPORATED
www.FireDistrict].org Fax (425) 551-1272
r FJ6JfNCY I STAJI?N(4 SHIFT
406 Main Street Suite 100 98020
LOCATION:
BUSINESS NAME: Term V4WaUoa& \/A' CA QT_ PHONE:
MAILING 406 Main Street, Suite 100, Edmonds, WA 98020
ADDRESS:
Adams, Victoria
'SCHEDULED
DATE DUE �
b9l ZUZ
LIFIR �
BUSINESS OWNER: HOME PHONE:
Green, Steven 4257740106
EMERGENCY-1: HOME PHONE: URRENT
KEY ACCESS-2: HOME PHONE: �ITY YES NO
EMAIL: BUSINESS
LICENSE
PERSON CONTACTED: 0 V-9- INITIAL INSPECTION DATE
NAME OF INSPECTOR: 4114 4V iluk�el OWL- -7
-IKt: -)TS t EMS: FE 5/13
D ate Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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5
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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.
"11�
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7 for
Mountlake Terrace or Brier, call (425) 744-6231.
FIRE -PREVENTION
L/ 0 CC 7 JFi-11,�C)
Serving Brier, Edinonds, and 12425 Meridian Ave S INSPECTION REPORT
U3tDMONDS
Mountlake Terrace Everett, WA 98208
El BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION: 406 Main Street Suite 100 98020 1& Year 14 17-0
BUSINESS NAME: GA 51ges 9_5 " stes-riTTC, PHONE: 4 225;�7,5—=F SCHEDULED Feb 2014
l6k 4 A V A-1-Lk (N- T- ZxPf-'� DATE DUE
MAILING UFIRW
ADDRESS: 406 Main Street, Suite 100, Edmonds, WA 96020
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: ��' Jones, Greq HOME PHONE: 20C36123307 CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
EMAIL: BUSINESS
LICENSE
INITIAL' INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
Ist
,fiE-INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
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
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
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14
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DATE:
DISPOSITION:
7
LETTER NEEDED E] YES [I NO
I LETTER NEEDED [-] YES NO
1
8
FIRE DEPARTMENT COPY
YLAK 2014
City of Edmonds DATE 12/16/2013
City Clerk's Office BUSINESS LICENSE RENEW
121 5th Ave. N. LICENSE BL-008764
Edmonds, WA 98020 INSTRUCTIONS: NUMBER
"AIC. It9l, Telephone 425-775-2525 The Business License Renewal fee is $50.00.
Non-profit organizations are fee exempt.
4 Please advise if license will not be renewed.
4 New license required if business changes address or owne
rship.
Please complete all particulars in full. Sign and return with fee.
4 If the license is not renewed by February 15, a penalty fee of $25.00 is as&WCO 6, 2("
in addition to the license renewal fee.
MMONDLs
TERRA VALUATIONS LLC
PO BOX 1415
EDMONDS WA 98020-14
SNOHOMISH CO. I M 4 Serving Brier, Edmonds
44)0) Mountlake Terrace, and
FIRE _ ,
I t I the Town of Wbodwqy�_
DISThItT www.FireDistrictl.org
LOCATION: 406 Main Street
BUSINESS NAME: G A Jones & Associates, Inc.
MAILING 406 Main St #100
ADDRESS: Edrnonds
BUSINESS OWNER: Jones, Greg
EMERGENCY-1:
KEY ACCESS-2:
Ile —
PERSON CONTACTED: .4 :1 (L
NAME OF INSPECTOR:
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
100
PHONE: 4257762825
98020
HOMEPHONE: 2066123307
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 WOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
e- FREQUENCY I STATION & SHIFT_�
731 17 B
SCHEDULED
DATE DUE � 0 2,10 1 /1 '11p
LIFIR 0 591 2202
ACTIVE
e- CURRENT
CITY
YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
'//g//
FE
AN
UZ
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
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7
I 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
8
DATE:
DISPOSITION:
LETTER NEEDED [] YES El NO
LETTER NEEDED [] YES NO
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FIRE DEPARTMENT COPY