424 5TH AVE S (2)SN01
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rie:, __.ids, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
JLL--3 JL JMJL%.# J w,wwFireDistrictLorg Fax (425) 551-1272
LOCATION:
424 5 th Maim S @3021)
BUSINESS NAME: Ctr&m &mk
MAILING
ADDRESS: 424 r)Lh A\mmm E� Ldmnd-N WA W020
PHONE: 42MWW5
FIRE PREVENTION
INSPECTION REPORT
0EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY I STATION& SHIFT
Antu 17-C
SCHEDULED
DATE DUE %pr 2014
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BUSINESS OWNER: HOME PHONE:
EMERGENCY-1 -. amw8ank HOME PHONE: s&w7,32v "CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
ti-2 S- 79,o BUSINESS
EMAIL: LICENSE 1:1 El
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: —1-0 12-0 440 3o -7 S e; n /pA rj_ *cj a o,,?_ -7 L/
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HAZARDSF UND AND LOCATIONS /COMMUNICATIONS
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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
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:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE: q
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED [-] YES El NO
LETTER NEEDED F] YES NO
I 1
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
AMON
Serving Brier, Edinonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
FIRE
)IT
Everett, WA 98208
OEDMONDS
0 BRIER
SThfi*W*i0o the Town of Woodway
Phone (425) 551-1200
-
El WOODWAY
[I MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
[I UNINCORPORATED
e FREQUENCY
STATION & SHIFT
LOCATION: 424 5th Avenue
S
365
I
17 6
BUSINESS NAME: Chase Bank
PHONE: 4257755545
SCHEDULED
DATE DUE 11' 04/01/13
MAILING 424 rkth Ave S
LIFIR � 592 4202
ADDRESS: Edmonds
98020
BUSINESS OWNER: Chase Bank
HOMEPHONE: 3884973237
ACTIVE
EMERGENCY-1: ADT
HOME PHONE:
7_
CURRENT
KEY ACCESS-2: -P0er,-6wj;da
HOME PHONE: -9-90643904
CITY YES NO
47 5 1 lr� IlLkk
BUSINESS
LICENSE
9
1:1
PERSON CONTACTED:
INITIAL'INSPECTION DATE
NAME OF INSPECTOR: 01507-
13 113
FIRE
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A N A—L
HAZARDS FOUND AND LOCATIONS /COMMUNICATIONS
'A)()
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
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
�s
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
8
4
8
DATE:
DISPOSITION:
7-
LETTER NEEDED E] YES El No
FETTERNEEDED E] YES [I NO
8
FIRE DEPARTMENT COPY
SNOHOMISH CO. Serving Briet; Ednionds 12425 Meridian Ave S
Mountlake Tgrraceand Everett, WA 98208
'FIR the Town of Woodway Phone (425) 551-1200
DIST T www.FireD trictl.org, Fax (42-5) 551-1272
LOCATION:
424 5th Avenue
S
BUSINESS NAME:
Chase Bank
PHONE: 4257755545
MAILING
424 5th Ave S
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
Chase Bank
HOME PHONE: 8384973287
EMERGENCY-1:
ADT
HOME PHONE:
KEY ACCESS-2:
\pj pmetz%mtr
HOME PHONE. SM95MM
1-1 19,11-4 -7 IA.,j e P e-
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I I PERSON CONTACTED
NAME OF INSPECTOR
FIRE
SYSTEMS:
FIRE PREVENTION
INSPECTION REPORT
OEDMONDS
El BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION & SHIF`*'
365 17 A
SCHEDULED
DATEDUE 11' 04/01/12
LIFIR ll� .592 4202
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
EF- _L�
A14NUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
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 E DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
2ATE:
DATE:
3.
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
�'LETTER NEEDED E] YES El NO
LETTER NEEDED [] YES NO
8
otopy
FIRE DEPARTIV AT
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION: 424 5th Avenue
BUSINESS NAME: Chase Bank
MAILING 424 5th Ave S
ADDRESS: Edmonds
BUSINESS OWNER: Chase Bank
EMERGENCY-1: ADT
KEY ACCESS-2: EH0WWw6jp&FWW
17nt-13
S
aRn,in
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257755545
FREQUENCY
STATION & SHIFT
365
17 D
SCHEDULED
DATE DUE 10
04/01/11
UFIR 0 592
4202
HOME PHONE: 8884973287 ACTIVE
HOME PHONE:
HOME PHONE: qww
PERSON CONTACTED: INrTIAL INIF E I
DAT
NAME OF INSPECTOR:
FIRE FLO /0
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS ENTER CODE ONLY ONCE I�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
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 mufti -family occupancies in the City of
Edmonds.
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 City of Edmonds.
Please call (425) 775-7720 within 30 days to schedule a reinspection.
Any overlooked hazards or violations of the fire regulations does not Imply approval of such condition or violation.
If you require additional information or assistance, please contact this office by calling (425) 775-7720 between
the hours of 8 a.m. and 5 p.m., Monday through Friday.
BUSINESS COPY
FIRE PREVENTION
CITY OF EDMONDS SAFETY, SURVEY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
4�' S t C3 z
LOCATION: 424 5th Avenue
BUSINESS NAME: Chase Bank
MAILING 424 5th Ave S
ADDRESS: Edmonds
BUSINESS OWNER: Chase Bank
EMERGENCY-1: ADT
KEY ACCESS-2: Piper, Brenda
S
PHONE: 4257755545
98020
HOMEPHONE: 8884973237
HOME PHONE:
HOMEPHONE: 5099543001
FREQUENCY
STATION& SHIFT
17 C
SCHEDULED
DATE DUE
-04/01/10
LIFIR 11 592
4202
ACTIVE
PERSON CONTACTED: 113 k, I c_ INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE FEG look
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
No fz:� q 14 P
ENTER CODE ONLY ONCE ll�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
lst 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
18
DATE*
DISPOSITION:
7
8
LETTER NEEDED [[:]] YES 0 N
�TTER NEEDED 0 YES NO
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FIRE DEPARTMENT COPY
C)l �-Wzs