406 MAIN ST STE 101q()(. yn,4T,,j J7- j"-r-0/0i FIRE PREVENTION,.
Serving Briei: E,.... and 124-75 Meridian Ave S INSPECTION REPORT
0EDMONDS
Mountlake Terrace Everett, WA 98208 El BRIER
DL I 1z'zi 11nn 0 MOUNTLAKE TERRACE
urw � -t _"/ - 0 UNINCORPORATED
DISTRICT wwwFreDstricti.org Fax (425) 551-1272
FREQUENCY STATION & SHIFF
LOCATION:
406 Main Street Suites 101 102 98020
2 Year 14 17-D
I
BUSINESS NAME:
Vacant PHONE:
SCHEDULED Feb 2014
DATE DUE
MAILING
UFIR�P'
ADDRESS:
406 Main Street, Suites 101 & 102, Edmonds, VVA, 98020
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:,,
Beeson BIdn Owner HOME PHONE:
2064481716 CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRESYSTEMS:
FE-5!1'
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
1 5
5
6
6
7
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
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
0 E:
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
RETURN RECEIPT
RECEIVED
6
4
18
4
18
DATE:
DISPOSITION:
7
", LETTER NEEDED [] YES NO
LETTER NEEDED [] YES C3 NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Briet; Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIRE
Mountlake Terraceand
Everett, WA 98208
OEDMONDS
0 BRIER
tf-'
DISTRT
the Town of Wbodwezy,
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
�_ FREQUENCY STATION & SHIF"'
f
LOCATION:
406 Main Street
101&102
731 17 B
I
BUSINESS NAME:
Vacant
PHONE:
SCHEDULED n
DATE DUE 1' 'j2/01113
MAILING
406 Main St #1,01
LIFIR � 591 2202
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
Beeson Bldg Owner
HOME PHONE: 2064431716
ACTIVE
EMERGENCY-1:
Mar�y, David
HOME PHONE: 4257717304
el CURRENT QAJI
KEY ACCESS-2:
HOME PHONE: -
CITY /A/ YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL�INPECTION DATE
NAME OF INSPECTOR:
C - �'10 7W (0
FIRE
/41-
�E I
�NU'i _L�
SYSTEMS:
A
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
&
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
DATE DUE.
I
2nd RE -INSPECTION
DATE DUE.
EXTENSION
GRANTED TO-
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED.
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
112
INSPECTOR:
INSPECTOR:
INSPECTOR:
1,
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 RECE ' IPT
RECEIVED
6
4
18
4
8
DATE:
,PISPOSITION:
7
LETTERNEEDED E] YES [:1 NO
LETTER NEEDED F] YES C3 NO
8
FIRE DEPARTMENT COPY