406 MAIN ST STE 108SNO
F
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Serving Brier, E6.1—M., and 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace Everett, WA 98208 []EDMONDS
[I BRIEh �
Phone (425) 551-1200 El MOUNTLAKE TERRACE
[3 UNINCORPORATED
www.FireDistrictl. org Fax (425) 551-1272
FREQUENCY STATION & SHIFF"**'
LOCATION: 406 Main Street',Suite 108 98020 2 Year 14 1 17-D
BUSINESS NAME: Vacant PHONE: 4252605856 SCHEDULED Feb 2014
DATE DUE
MAILING UFIF493
ADDRESS: 406 Main Street, Suite 108, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Hein, Marilyn HOME PHONE: 4254-850888 CURRENT
KEY ACCESS-2: HOME PHONE: CITY I YES NO
BUSINESS
EMAIL: LICENSE
INITIAL INSPECTION DATE
�PERSON CONTACTED:
NAME OF INSPECTOR: S '�9-0
FIRE SYSTEMS: FE
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
1 st 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:
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
18
DATE:
DISPOSITION:
7
1� LETTER NEEDED [] YES NO
LETTER NEEDED C] YES N01
8
FIRE DEPARTMENT COPY
SNOHOMISH CO.
Serving Briet; Edinonds
Mountlake Terr'ace,and
'N Tthe Town of Wbodwqy�
www.FireDistrictl.org
I LOCATION: 406 Main Street
BUSINESS NAME:
Vacant
MAILING
406 Main St #103
ADDRESS:
Edmonds
13USINESS OWNER:
Hein, Marilyn
EMERGENCY-1:
Moser, Evelyn
KEY ACCESS-2:
Olson, Angie
PERSON CONTACTED
NAME OF INSPECTOR
FIRE
SYSTEMS:
52
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
103
PHONE: 4252605856
98020
HOME PHONE: 42W50838
HOMEPHONE: 2064785498
HOME PHONE: 4253453035
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY [STATION & SHIFT7'�
731 17 6
SCHEDULED
DATE DUE 11' 02/01/13
LIFIR � 593 2202
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIA
F� — I —
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
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:
1
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:
7
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY