530 BELL ST STE AFIRE PREVENTION
XSPtCTION REPORT
SN0HOM181i Co. Serving Brier, Edmonds, and 12425 Meridian Ave S IIEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
F11 Iff E 0 MOUINTLAKETERWE
TPhone (425) 551-1200 [1 UNINCORPORATED
Rt Twww. FireDistrict]. org Fax (425) 551-1272
LOCATION:530 Bell Street 98020
BUSINESS NAME.-VacanL k �Vck PHONE:
MAILING
ADDRESS:
BUSINESS OWNER: HOME PHONE:
FREQUENCY
STATION & SHIFT
2018
17-B
SCHEDULED
Apr 2018
DATE DUE I,
UFIR 0 0
EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: 17 CITY YES NO
BUSINESS
EMAIL: UCENSE El
INITIAIJAISPE ON DATE
PERSON CONTACTED'
on
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
Cate I ast So icer"
HAZARDS TND AND LOCATIONS MUNICATIONS
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IF d;
2
2
3
3
4
4
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I St RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUF_'
EXTENSION
GRANTEDTO:
FINAL FIE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR*
INSPECTOR:
INSPECjMR:
2
DATE:
DATE:
DATE:
VIOLATIONS
1 5
VIOLATIONS
1 16
PRE-CrtATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
6
DATE:
CODE
SECTION:
3
.2
7
RETURN RECEIPT
RECEIVED
-7
4
18
4
DATE:
DISPOSITM:
,_LETTER NEEDED 0 YES 0 No
LETTER NEEDED 0 YES 0 No
a
FIRE PREVENTION
Serving Brier, Ech"onds, and 12425 Meridian Ave S INSPECTION REPORT
OEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 [3 UNINCORPORATED
(' FREQUENCY
STATION& SHIFT�
LOCATION'
530 Bell Street Suite A 98020
2019
I 17-C
BUSINESS NAME
0orter & Yoek
PHONE:
8588486328
SCHEDULED
DATE DUE I Apr 2019
MAILING
UFIR 0 0
ADDRESS:
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
HOME PHONE:
RENT V
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
EMAIL:
17
BUSINESS
1:1
11
LICENSE
PERSON CONTACTED: /V,
INITIANN—spEcTiON DATE
NAME OF INSPECTOR: q
FIRE SYSTEMS: FE
INUM$W11MLOCATIONS/COM
MUNICATIONS
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
1 st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
==D:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
5
VIOLATIONS
PRE-WATION
LETTER SENT
crwm ISSUED-
NUMBER:
4
2
6
2
6
DOTE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
4
.8
nATE:
DISPOSITION:
7
1% LETrER NEEDED YES NO
LETTER NEEDED [] YES No
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