415 MAIN ST STE AstiotiomiSli Co.
FIRE
DIS..."Ar:
Mtizo ST_ J)_Ic Iq
Serving Brier, E61t;onds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
T www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 415.5 Main Street 98020
BUSINESS NAME: Daphnes Cafe
MAILING
ADDRESS: 415.5 Main Street, Edmonds, WA 98020
BUSINESS OWNER:
PHONE: 4257766402
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
gEDMONDS
BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIFT
Annual 17-B
SCHEDULED
DATE DUE I` Jan 2017
UFIR 0 513 202
k,
EMERGENCY-1: Tayior, Brian HOME PHONE: 4257440878 CURRENT
KEY ACCESS-2: HOME PHONE: 17 CITY YES NO
BUSINESS F__1
EMAIL: LICENSE i 1 0
rPERSON CONTACTED: INITIAL INSPECTION DATE
LNAME OF INSPECTOR:
FIRE SYSTEMS: FE -L/ZZ (Z165,_0
Date Last Serviced: IL C-)GS-Zo
7HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
5
6
3
4
5
6
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 complia,
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.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; i6r
Mountlake Terrace or Brier, call (425) 744-6231.
r
z �j
FIRE PREVENTION
Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
E3 EDMONDS
Mountlake Terrace Everett, WA 98208 ."-[3BRIER
Phone (425) 551-1200 [3 MOUNTLAKE TERRACE
Twww. FireDistrict]. org Fax (425) 551-1272 - [3 UNINCORPORATED
FREQUENCY 7STATION & SHIFT
LOCATI ON:
415.5 Main Street 98020 1 7.
Annual 17 A
BUSINESS NAME SCHEDULED
Daphnes Cafe PHONE: 4257766402 DATE DUE � Jan 2016
MAILING LIFIR 0 513 202
ADDRESS:
415..5 Main Street, Edmonds, WA 98020
BUSINESS OWNtR: HOME PHONE:
EMERGENCY-,1:-. Taylor, Brian HOME PHONE: 4257440878 CURRENT YES �NO
KEY ACCESS-2: HOME PHONE: CITY -
BUSINESS F-1
EMAIL: 110ENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE /19
C!--,; ? 4-
Adiiiiilwh%
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
FIRE
Everett, WA 98208
OEDMONDS
0 BRIER
I, the Town of Woodway
DISTR.1f*w:1T
Phone (425) 551-1200
OWOODWAY
[] MOUNTLAKE TERRACE
www.FireDistrictl.org,
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY STATION& SHIFT')
LOCATION: 415 1/2 Main Street
365 17 6
I
BUSINESS NAME: Daphnes Cafe
PHONE: 425776W2
SCHEDULED
DATE DUE 11' 01/01/13
MAILING 415 Main St #A
UFIR 0 513 1202
ADDRESS: Ednionds
98020
BUSINESS OWNER: Taylor, Brian
HOME PHONE: 4257440878
ACTIVE
EMERGENCY-1: Mayo,Jacque
HOME PHONE: 4259544085
e-CURRENT
KEY ACCESS-2: Taylor, Kevin
HOME PHONE: 4257541482
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: 4e IA CJ115
FIRE
FE
SYSTEMS:
Ai4ZNU�_L
HAZARDS FOUND AND 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
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D TE 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 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
14 18
4
18
DATE:
DISPOSITION:
7
LETTERNEEDED [-] YES No
LETTERNEEDED F] YES NO
8
FIRE DEPARTMENT COPY