525 5TH AVE S STE 102&M
F1
Y445— S74h A iJi7 J 7-9 / 0 2— FIRE PREVENTION
INSPECTION REPORT.
Serving Brie 1 4, 1,2425 Meridian Ave S
0 EDMONDS
Mountlake Ter�aceand 'Everett, WA 98208 El 13RIER
the Town of Woodway' Phone (425) 551-1200 0WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 [1 UNINCORPORATED
LOCATION: ,, 525 5tKAvenue S Suite 100 98020
BUSINESS NAME: Champions Real Estate
MAILING
ADDRESS: 525 5th Avenue S, Suite 100, Edmonds, WA 98020
PHONE: 4257784974
FREQUENCY STATION & SHIFT
2 Year 113 17-A
SCHEDULED Sep
DATE DUE
LIFIR 10
BUSINESS OWNER:
Email:
HOME PHONE:
EMERGENCY-1:
Lord, Pat
HOME PHONE: 2006504728
CURRENT
KEY ACCESS-2:
HOME PHONE:
YES NO
CITY
BUSINESS
LICENSE
PERSON CONTACTED:
0 C4 in do n
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
Ac�n,�4.-�4ff
FIRE SYSTEMS:
'FE�!3 4_14
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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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:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
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VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
13
7
RETURN RECEIPT
RECEIVED
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4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
LETTER NEEDED C] YES [I NO
8
FIRE DEPARTMENT COPY
Serving Brier, Edmonds 12425 Meridian Ave S
Mountlake Terraceand Everett, WA 98208
the Town of Woodway Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 525 5tKAvenue S Suite 102 98020
BUSINESS NAME: PHONE:
4_5 /00
MAILING
ADDRESS: 525 5th Avenue S, Suite 102, Edmonds, WA 98020
BUSINESS OWNER:
Email:
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRESYSTEMS: FE_/_
HOME PHONE:
206542445
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIFT
2 Yearl 13 � 17-A
SCHEDULED Sep
DATE DUE
UFIR 593
HOME PHONE: CURRENT
HOME PHONE: CITY YES NO
BUSINESS
LICENSE 1:1 1:1
INITIAL INSPECTION DATE
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
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1 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 compliance
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 or the Town of Woodway, call (425)
775-7720; for Mountlake Terrace or Brier, call (425) 754-0434.
BUSINESS COPY