406 MAIN ST STE 102q o(p^qW J_r AE104 FIRE PREVENTION
Serving Brier, Edmonas, anu 12425 Meridian Ave S INSPECTION REPORT
OEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
[I UNINCORPORATED
www.FireDistricti.org Fax (425) 551-1272
0- Fy��NCY STATJT6SHIFr*,
406 Main Street Suite 102A 98020
LOCATION: I
BUSINESS NAME: Best PB & J, Inc PHONE: 2064840439 SCHEDULED Feb 2017
DATE DUE 0
b9l 2U2
MAILING AnQ RA i 0+ + 0 ;+ 4nnA M LIFIR 0
ADDRESS: 0 11 ICU, U C umonds, VVA mon
Best, Paula
BUSINESS OWNER:
HOME PHONE:
Best, Jason
EMERGENCY-1:
HOME PHONE:
"'CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
D 1:1
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
nME OF INSPECTOR: A,, 4--V-
'STEMS.
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
4�ilvlt& (pew /10 0-ec-0-fs
1rC11"4_eJ_
1
2
2--.
3
3
4.1.
4
5
5
6
6
7 ".. .- . . I T____ � � , �
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 compli nce
with the minimum standards adopted by the above jurisdictions.
I on.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or viol 'on.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-71720; r
Mountlake Terrace or Brier, call (425) 744-6231.
YEAR 2014
City of Edmonds DATE 12/16/2013
City Clerk's Office BUSINESS LICENSE RENEWAL
121 5th Ave. N. LICENSE BL-009669
Edmonds, WA 98020 INSTRUCTIONS: NUMBER
INC, 'S'q� 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. RECEIVED
-1� New license required if business changes address or ownership.
-+ 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 $25.00 is JAI$ 0 2014
in addition to the license renewal fee.
EDMONDS CIR
("LERK
BEST PB & J INC
406 MAIN ST STE 111B
EDMONDS WA 98020
DAL E PAID _ REJEIPT NUMBE
- 3C) 1 q I VVD 11 1� (_
FE��*ID U_2 PENALFY PAID
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-NSF
MAILED BUSINESS RECORD 0
NAME OF FIRM BUSINESS PHONE # NO OF EMP WA STATE TAX I D #
BEST PB & J INC (206) 484-0439 1 602691100
BUS ADDRESS NO. STREET ZIP SUITE NO, NATURE OF BUSINESS
406 MAIN ST 98020 TE -10& 1044�
MAILING ADDRESS NO. STREET OR P0. BOX SLJITE/APT CITY STATE ZIP SQIJA,�,E RX
406 MAIN ST STE 111B EDMONDS WA 98020 1�0
BUSINESS E-MAIL BUSINESS WEBSITE
paulaQpaulabest.net www.paulaapaulabest.net
(S) SOLE PROPRIETORSHIP
LAST NAME
HOME ADDRESS BLDG # STREET
HOMEPHONE# DATE OF BIRTH
F-I (P) PARTNERSHIP
P LAST NAME
A
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N
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p LAST NAME
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(2) (
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FIRST
.. .... ....
APT NO kCI Ty,
E OF BIRTH
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..�PLACE OF BIRTH
P (C) CORPORATION
NAME OF CORPORATION
THE BEST P13 & J INC
CORPORATE MAILING ADDRESS
406 MAIN ST, EDMONDS, WA 4SQ20
CORPORATE OFFICERS
0
F BEST PAI�JL4
F
BEST JASON
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FIRST
APT NO CITY
PLACE OF BIRTH
TI FILE
LOCAL CONTACT - LAST NAME. FIRST M I TITLE
President
Secretary
STATE Z I P
M I
STATE ZIP
S! i
STAT` ZIP
PHONE NUMBER
206) 484-0439
FEDERAL TAX LID NUMBER
208379150
DATE OF BIRTH
08/10/1976
10/03/1974
PHONE NUMBER
EMERGENCY NOTIFICATION NAME PHONE NUMBER
FOR PREMISE ACCESS (1) 13EST JASON 206 484-0462
IN EMERGENCY (2)
le=�
APPLICANT'S BUSINESS f2
SIGNATURE X TITLE V�( y, de kl�- DATE