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550 MAIN ST BLDGSNOHOMISH CO. FIR DIS r 7 'OLD& ------- FIRE PREVENTION -Serving Brier, Admonds, and 12425 Meridk� Ave S INSPECTION REPORT jf - �-- - - - " - - "' - - - "_ 'Tv Tr7t i.-WI9 8 2 0 8 EIEDMONDS Mountlake Terrace [I BRIER Phone (425) 551-1200., [3 MOUNTLAKE TERRACE www.FireDi�trictl.org Fax (425) 551-1272 [1 UNINCORPORATED LOCATION: .550 Main'Street Bldg 98020 BUSINESS NAME: Wybo Qorhmercial Bldg MAILING ADDRESS: 550. Main Street, Bldg, Edmonds, WA 98020 BUSINESS OWNER: PHONE: HOME PHONE: 4257752014 FREQUENCY STATION & SHITT`� Ammus' SCHEDULED DATE DUE � hA@y 9nj6 UFIR 509203 EMERGENCY-1: HOME PHONE: 4.N; " CURRENT HOMEPHONE: 4257-7t2014 CITY YES NO KEY ACCESS-2: Wybo,-Piefm_ BUSINESS LICENSE ,EMAIL: Tw- *f- ?,f - 7P PERSON CONTACTED: MOA-1- thp om INITIAL INSPECTION DATE NAME OF INSPECTOR: AAJ,�&v FIRE SYSTEMS:. (AS 6�/15 FIE j994 .0t Daftftu§stdBsm4t;9db-cAM1Ts-/ COMMUNICATIONS 2 2 In I/ < IQ ZI A C,+- I- ;4 3 ..3 ecinM 10Z?_An 77A) 4 tj &2r IM, p Al 31 yz - vF cazu&L AS ^07- Z?g-m Y&r, SPC, 4 Aw A 15 AC47-elf- —I)t6- C414A4WN /�,V 5 77- 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 GRANTEDTO: PER40N CONTACTED: INSP CTOR: VIOLATIONS CITED:' 2 PERSON CONTACTED: PERSON CONTACTED: IN PECTOR: WIIK1710 INSPE CTOR: DATE: DATE. 5,ft, AVf, rP DATE:\ VIOLATIONS 5 VIOLATIONS,`.` 5 'fit PRE -CITATION LETTER SENT C11 N R: C' I&S-4 �__ I CODE 'A, / 2 6 2 jRATE: S ECTION: 3 — 7 3 RETURN RECEIPT RECEIVED 6 4 8 _—K 4 Ni� 8 DATE: DISPOSITION: 7 LETTER NEEDED [] YES [I NO LETTER NEEDED [] YES [I NC4 41 'FIRE PREVENTION Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT SNOHOMISH Q`EDMONDS Mountlake Terrace Everett, WA.98208 0 BRIER F1 Phone (425) 551-1200 0 MOUNTLAKE TERRACE 0 UNINCORPORATED D1 R T www.FireDistrictl.org Fax (425) 551-1272 550 Main Street Bldg 98020 FAR�VAJCY STAJ?tt� SHIF"� LOCATION: Wybo Commercial Bldg BUSINESS NAME: MAILING 550 Main Street, Bldg, Edmonds, WA 98020 ADDRESS: Wvbo Jan (Yonl BUSINESS OWNER: I HOME PHONE:'7014.1)Cl I �- - 0.51 -L- LI) -L-1 Wybo, Pierre I I EMERGENCY-1: HOME PHONE: 17 CURRENT Mtn NO KEY ACCESS-2: HOME PHONE: CITY WC( Ir 4 . BUSINESS � kd G()4NN EMAIL: K LICENSE Zl--P A-2&-A7W044 PHONE- q - '%$3 4 IT) PERSON CONTACTED: IVA NAME OF INSPECTOR: -70 Date Last Servicedn .yZqj-j,7 17-14 SCHEDULED m5y—zmT-- DATE DUE I` 1 5509203 UFIR INITIAL INSPECTION DATE q.. 7,-,l - 1-1 e �'7� -FIRE PREVENTION IN�PECTION REPORT ServingBrier, Edinonds, and 12425 Meridian Ave S SNIOH*OMISH CO. i'4 � , -ffEDMONDS Mountlake Terrace Everett, WA 98208 0 BRIER FIR� Phone (425) 551-1200 0 MOUNTLAKE TERRACE DO. T' www.FireDistrictl;org Fax -(425) 551-12 7-2 [1 UNINCORPORATED 550 Main Street Suite B 98020 MffNCY STAfFtff SHIFT'*' LOCATION: BUSINESS NAME: Ombu Spa PHONE: 4257786322 SCHEDULED My 2017 DATE DUE � 513 203 MAILING 550 Main Street, Suite B, Edmonds, WA 98020 FIR ADDRESS: �U _j BUSINESS OWNER: Sanger, Tom HOME PHONE: 01-1 EMERGENCY-1: Sanger, Beth HOME PHONE: 2063274045 ;U KEY ACCESS-2: HOME PHONE: 17 RRENT NO EE4 (-0 (� Or"' SIC BUSINESS EMAIL: LICENSE PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: Date Last Serviced: 40 1 (-F Co�'Ofidence Testing Company: WT:p] Wolfe Fire Protection, Inc. 17321 Tye St. S.E., Ste. "B" - Monroe, WA 98272 Fax: 360.794.3080 0 Ph.: 360.794.8621 Fire Department Confidence Test Report SPRINKLERS - WET Certification Given RED YELLOW WHITE (ONE SYSTEM PER REPORT) CONFIDENCE TEST: R E P A I R S:T 0 Occupancy Address: 5,�C) (VIC"'Y', r:�Imonc�,; OccupancyName: WV90 131,4;1Aj'r)A Building Owner: 1-� Phone Number: Ll Z r. 7 7F, - 2- 01 Responsible Person: P,*r((t kA)vb(D Phone Number: 77K - (�Zq Building Owner Address: . Zoo -/10�- 4�ft A). �F--JmnndS voot C19()?,Q Date of Inspection:-()- 10 - j Inspection Frequency Type: Annual Tester's Name (print): Certification Number: SCP- Central Station monitoring? Yes C1 NoJO Monitoring Co. Name: Lnr r., 1 6 n Ix t7 1. - Primary Component: 1 64 System Make: 5+ System Model: -6- 176- D System Location: 6 10 5 r- t- �4,, r6- Identification Number: Problems Found: (1fadditional room is required, please add a separate sheet.) P,10k, Corrections Made: Date Corrected: Corrected by: (if additional room is required, please add a separate sheet.) "Certification Number: SCP- This certifies that this Fire and Life Safety system s een properly inspected for reliability to cover the items ;4avi listed in this report and is consistent with the Auth ri' en th he n§A risd i cti on's Fire Department Fire- Code standards. ty,�vin All discrepancies are noted and�ave ej� repo ted t Eling Owner/Manager for corrective action. "Ah, Signature of Tester: �0) Testing Agency: VVjofe Fire Pro ction, Inc. 'ro cti I C. Phone #: 360.794.8621 Mailing Address: 17321 Tye St. S.E., Ste. "B" - Monroe, WA 98272 Building Representative (signature): Sprinklers - WET Page: I of 2 T �bel I o'w items on the check list shall be inspected and tested. This list does not constitute all of the required inspecting and testing of the Fire and Life Safety system. Refer to the Authority Having Jurisdiction's 'Fire Department Fire Code for inspecting and testing requirements. General Flow Test conducted? ............................................................................................................ Yes �JP No El 2. Static Pressure: OC� psi Flow Pressure: psi Total number of sprinkler heads on this system? 4. Was 2" Main Drain -checked? ..................................... ......... ....... 0-th-er E) — Yes P7.- No Q- 5. Flow Switches, Supervisory Switches and Alarm Bells tested? ......................... N/A 19 Yes El No C3 Pressure regulating valves tested? .............................................................................. N/A W Yes El No L) 71. Alarm Bell operates? ..... ... N/A Q Yes 0' No Q 8. System' inspected and lubricated ? ................................................................................... Yes Er No 0 9. Valves sealed or supervised? ............................................................................... Yes (1)? No 10. Signs provided on all valves? .................................................................................................... Yes No C1 11. Pumper Connections and Clapper valves unobstructed and turn freely ? ................ Yes (3-- No C) 12.Sp.rirLkler head coverage acceptable? .......................................................... Yes Er No 0 13. Have the sprinkler heads been replaced or successfully sample tested in the last 50 years? Yes W, No E) 14. Proper number spare sprinkler heads available with appropriate wrenches for each? ...... Yes No E) 15. Syitirm left in service? ............................................................................................................ Yes)EF No LI 16. System gauges been replaced or calibrated within the last 5 years? .... ........ Yes JEF No El 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? .... Yes No El 1 18. Was any debris. found in the Fire Department Gonnection (FDC)? .............. * .......... Yes L) N o E17 C)be7n I 19, Was the Pire Department 9�pnnettiSn (FD )ac-fk flushed in the last 5 years? ... Yes.n No E) 20. Was an internal pipe and v'alv'e- inspection pery6,rIm`ed within the last 5 years? ................. YesE), No LI Date Performed: 01 Z 21. Was a signal received at the Central Station monitoring company? .................... N/A ;I Yes LI No El Sprinklers - WET Page: 2 of 2 Confidence Testing Company: .,-.,�DVAJVCED '%,FIRE PROTECTIO�L, INC. P.6. Boiel 543 - Woodinville, WA 98072 Ph.: 425.483.5657 - Fire Department Confidence, Test Report Confidence Testing: 206.793.0936 SPRINKLERS WET Certification Given __7YELLOW RED WHITE (NOTE. ONE SYSTEM PER REPORT) CONFIDENCE TEST: �4�R E P A I R S Occupancy Address: IWAI A/ Occupancy Name: Building Owner: Phone Number: Responsible Person: Phone Number: Z2 2 5_ - --VOl ez' Building Owner Address: Date of Inspection: Inspection Frequency Type: ±.n n u a I Tester's Name (print) 02- -0 S�M_42E!"O i/ Certification Number: SCP- _<,z Central Station monitoring? Yes N o-Q— Monitoring Co. Name: ---Primary Component: System Make. System Model: System Location: Identification Number:. ProblernsFound: (if additional room is required, please add a separate sheet Correctibns Made: Date Corrected; Corrected by: (if additional room is required, please add a separate sheet.) Certification Number: SCP- This certifies that this Fire and Life Safety system has been properly inspected for reliability to cover the items listed in this report and is consistent with the Authority Having Jurisdiction's Fire Department 'Fire Code standards. All discrepancies are noted-]ppd have been re or ed o he building Owner/Manager for cor'rectiv'e action. Signature of Tester: Phone #: 425.483.5657 Testing Agency: - Xdv'an'ced Fire Protection, Inc. Mailing Address: P.O. Box 1543 - Woodinville 98072 Building Rep rese ntati ve (signature): Sprin klers - WET Page: 1 of 2 The below items on the check list shall be inspected and tested. -This list does not constitute all ofthe required intl:rercti�g and testing of the Fire and Life Safety system. Refer to the Authority Having �Jurisdiction's Fire'Department Fire Code for inspecting and testing requirements.. General 1 -ifl6w T-est,conducted? .................................................. ...................................................... I ............................... Yesa No El 2. Static Pressure: ps 1* Flow P ressure: psi !",Total number of sprinkler heads on this system? 4. Was 2" Main Drain checked? ..................................................... Other Ej Yes .2— No El 0.,Flow Switches,,,$ upqrvj�9p',Switdhes and Alarm Bells tested? .............. ..................... M N/A Yes.WL,, No (3 6. Pressure -regulating �"aivds tested?- ................................................ N/A No C3 7. Alarm, Bell,, operate? ............................... ........................................ ................. N/A [I Yes No E) 8. System inspected,,and lubric�,kqd ? ..................... M ....... .......... .................................... Yes Gl;r N o C) 9. Valves sealed or superviseo,,? ............................................................................... A ......... Yes Ja-- No L) 10. Provided on all valves? ............................................................................................................. Yes No C1 11. Pumper Connectior an.d-C.1apper valves unobstructed and turn freely ? .................... Yesjd- No (3 12. Sprinkler coverage acceptable? .............................................................................................. Y e sea, No D 13. Have the sprinkler heads been replaced or successfully sample tested in the last 50 years? Y e S.'En No Q 14. Proper number spare s prinkler heads available with appropriate wrenchs for each? .............. Ye,§Z:Q_ No 0 15. System left in service? ...................................... I ...................................................................... Yeqa - No Q 16. System gauges been replaced or calibrated within the past- 5 years? ............................... Yes,,Q­ No E) 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? ..................... Ye No U 18. Was debris found in the Fire Department Connection (FDC)? ................................................ Yes (j N o'Q 19. Was the Fire Departme"' t� Connection s ./VA . e LI No 0 9 IFDC) b.ack flushed within the last 5 year ? Y s .20. Was an internal pipe and valve inspection performed within the last 5 years? ................. Y e s Ea-- N o El Date Performed: 21. Was a signal received at the Central Station monitoring company? .................... N/A El Yes.2— No (3 Sprinklers -, WET Page: 2 of 2 Serving Brier. Edmonds, and' SNOHOMISH CO. FIRMountlake - Terra . ce wwwTireDistrictLorg DISTim T LOCATION: 550 MainStreet BldgQ8020 BUSINESSNAME: W�bo Corn m ercial Bldg MAILING ADDRESS: Main Street, Bldg, Edmonds, WA 98020 BUSINESS OWNER: FIRE PREVENTION 12425 Meridian Ave S INSPECTION REPORT 0 EDMONDS Everett, WA 98208 0 BRIER Phone (425) 551-1200 - MOUNTLAKE TERRACE . . ' ' - __ ' [I UNINCORPORATED Fax (425) 551-1272 4 PHONE: 425775201J HOME PHONE: I` FREQUENCY I STATION& SHIF'*) Ar.nual 17-A SCHEDULEP ')014 DATE DUE UFIR �09 203 EMERGENCY-1: lh�bo, Pierre HOME PHONE: 4257752014 CURRENT YES NO KEY ACCESS-2� HOME PHONE: CITY BUSINESS EMAIL: LICENSE ER N CONTACTED: kh 11 f— INITIAL INSPECTION DATE P M S ' .11� —] .,/ — 'u — / -- [LNA E00F INSPECTOR: _5 < __j FIRE'SYSTEMS: AS 5/13 �E AalLy HAZARDS FOUND AND LOCATIONSX COMMUNICATIONS 2 2 3 3 77 4 4 5 5 6 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE -NEXT 30 DAYS X W RE -INSPECTION 2nd RE -INSPECTION FINAL RE-INSPt6TION f DATE DUE: -DATE DUE: EXTENSION GRANTEDTO: DATE DUE: VIOLATIONS CITED: PERSON' PERSON PERSON CONTACTED: CONTACTED: CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS i VIOLATIONS PRE -CITATION CITATION ISSUED 1 5 1 5 LETTER SENT NUMBER: 4 CODE 5 2 6 2 6 DATE: RETURN RECEIPT -SECTION. 3 7 3 7 RECEIVED 6 DISPOSITION: 14 4 8 DATE: 7 LETTER NEEDED E] YES El NO LETTER NEEDED [] YES NO 8 FIRE DEPARTMENT COPY idence Testing Company: VA NCE DI P.O. Box 15,43 - Woodinville, WA 98072 Ph.: 425.483.5657 Swa-tift-Fire Department Confidence Test Report 206.386.1448 Confidence Testing Officer 206.615.1068 (fax) 206.233.7219Red Tag.Hotline SPRINKLERS -WET Certification Given RED 0 YELLOW C] F_ WHITE -a — (ONE SYSTEM PER REPORT) CONFIDENCE TEST: HDI—R E P A I R S El Occupancy Address:/-�57EO 1V2A)1V 27 2FP��)VkdZpancy Name: 111a Y13n Building Owner: Phone Number: Responsible Person: WyR2 Phone Number: Building Owner Address: /Cp Pate of Inspection Inspection Frequency Type: A n n a_L_ Tester's Name(print):AA SFD Certification Number: SCP- C�htral Station monitoring? Yes-U-No El Monitoring Co. Name: Primary Component: System Make: /Z2?/vL L System Model: System Location: Identification Number: ProblernsFound: (if additional room is required, please add a separate sheet.) Corrections Made: Date Corrected: Corrected by: (if additional room is required, please add a separate sheet.) SFD Certification Number: SCP- This certifies that this Fire and Life Safety system has been properly inspected for reliability to cover the items listed in this report and is con istent with the Seattle Fire Department Fire Code standards, and all discrepan-61'e-s- are noted and have bee r rted tothe bujildincdbwner/Manager for corrective action. �_VSignature of Teste- Phone #: 425.483.5657 Testing Agen6y: Advanced Fire Protection, Inc. Mailing Address: P.O. Box 1543 -Woodinville, WA 98072 Building Rep rese n tati ve (signature): Sprinklers * WET Page: 1 of 2 41% 1 -!� - - The below items on the check list shall be inspected and tested. This list does not constitute. all of the '�� I, � - A ftired inspecting and testing of the Fire and, Life Safety system.,Refer to the Seattle Fire Department �ire Code for inspecting and testing requirements. General FlowTest conducted? ....... vn== ......................................................................................... ............................. Yes-9—No C) 2. Static Pressure: psi ',�-'Flo'w" Pres--s-urd: �psl 11IT-Otal number of sprinkler�heads-on this system? 4. Was 2" Main Drain checked? ..................................................................................................... OtherL] Yes-9 No Q 5'.,- Fl6wSwitches, SupervisoryjSwitch6s-and Alarm Bel'IsAested? . ........ ..................... Ye,;s-EJ- -No Q N/A Q 6. Pressure regulati g.�;v'67' s ............................................................... No (j ve -tested?-.. 7. Alarm, Bell operate? ................................. Y s-@— ........... N/A L] e No 8. System inspected and lubricated ? ................................................................................. .... Yes-0— No U 9��Valves,sealed or supervised?.,, ........... I ................................. I ....................... ............ Yes-5— No Q -L-77 10. Provided on all valves? ............................................................................................................. YeszQ— No El I C-Pumper Connections and Clapper valves unobstructed and turn freely ? ................................... .............. —No El' 12. Sprinkler coverage acceptable? .............................................................................................. Y e-.szQ— N o (j 13.14a.V6,1he sprinkler heads been rep I laced� or successfully sample tested in the, last 50 years? Ye No (3 14. Proper number spare sprinkler heads available with appropriate wrenchs for each? .............. Yeszo- No [I IS., System left in service? ......................................................................... ..................................... Yes-iEl- No E) 16. System gauges been replaced or calibrated within the past 5 years? ............................................. Y e sQ- N o El 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? ..................... Y ez-a No E) 18. Was debris found in the Fire Department Connection (FDC)? ................................................ Yes (j No-@- 19. Was the Fire Departrrfeiii- Connection (FDC)- back flushed within the last 5 years, ............. Yes Q No El 20. Was an internal pipe and valve inspection performed within the last 5 years? ................. Y e s-E]-- N o [I Date Performed: 21. Was a signal received at the Central Station monitoring company? .................... N/A Ej Y e 9-Cr N o L] Sprinklers..'e.,WET Page: 2 of 2 T-7 SNOHOMISH CO. Serving Briet: Edtnbnd�; 12425 Meridian Ave S Mountlake Terraceand Everett, WA 98208 : FIRE the Town of Woodway Phone (425) 551-1200 DIST R., T www.FireDistrictl.org Fax (425) 551-1272 LOCATION: 550 Main Street BLDG Om o BUSINESS NAME: VVybv-GeffnmciaI-Bldg. PHONE: MAILING 422 Olympic Ave Ed onds 98020 JA2 BUSINESS OWNER: Wybe, Pieffe- H 0 M E P H 0 N E: -4Q5W5z'91­4-- EMERGENCY-1: HOME PHONE: KEY ACCESS-2: HOME PHONE: PERSON CONTACTED: NAME OF INSPECTOR: FIRE SYSTEMS: FIRE PREVENTION INSPECTION REPORT 0 EDMONDS OBRIER OWOODWAY 0 MOUNTLAKE TERRACE 0 UNINCORPORATED FREQUENCY STATION& SHIFT-) 366 17 C I SCHEDULED DATE DUE 0 05/01112 UFIR � 509 5203 ACTIVE CURRENT CITY , YES NO BUSINESS LICENSE INITIAL INSPECTION DATE D. / 72- -!�_ FE I ANNUAL HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS -r 1 -1 /1 i oiftA Aal�_ �6rng, (,ik _'a�L t oP cle 1,6 I (ecvl�e 1 2 2 3 3 4 4 5 5 6 6 A 7 V 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' EXTENS GRANTE00 FINA DATE DUE: PECTION VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 1/ PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 7 7 RETURN RECEIPT RECEIVED 6 14 8 4 8 DATE: DISPOSITION: 7 LETTER NEEDED [] YES NO LETTER NEEDED E] YES [I NO 1 8 FIRE DEPARTMENT COPY Confidence Testing Company: -S-ev,ajV1W- Fire Department ,,,FIRE PROTECTION, INC. P.O. Box 1543 - Woodinville, WA 98072 Ph.: 425.483.5657 Confidence Test Report 206.386.1448 Confidence Testing Officer 206.615.1068 (fax) 206.233.7219Red Tag Hotline SPRINKLERS - WET Certification Given R E D YELLOW WHITE —a - (ONE SYSTEM PER REPORT) CONFIDENCE TEST: j.-Q-+ R E P A I R S F 0 Occupancy Address-, Occupancy Name: 1�t///60 Building Owner: Phone Number: Responsible- Person: Phone Number: Building Owner Address: Date of Inspection: 4_2 Inspection Frequency Type:, Annual Tester's Name (print),I�/2 s�z�� SFD Certification Number: SCP- a��as­lc Central Station monitoring? Yes -a— No Monitoring Co. Name: c,,/ Primary Component: <; System Make: <!�� �_Al 7P,741 System Model: M (922 — System Location: Identificati.on Number: ProblernsFound: (if additional room is required, please add a separate sheet.) Corrections Made: Date Corrected: Corrected by: (if additional room is required, please add a separate sheet.) SFD Certification Number: SCP- This certifies that this Fire and Life Safety system has been properly inspected for reliability to cover the items listed in this report and is consistent with the Seattle Fire Department Fire Code standards, and all discrepancies _PO are noted and have been repo . ted to the bAldi Wner/Manager for corrective action. Signature of Tester: Phone #: 425.483.5657 Testing Agency: edvanced Fire Pri�te�`ction, Inc. Mailing Address: - P.O. Box 1543 -Woodinville, WA 98072 Building Representative (signature): Sprinklers - WET Page: 1 of 2 The below items on the. check list shall be inspected and tested. This list does not constitute� all of the required inspecting and testing of the Fire and Life Safety system. Refer to the Seattle Fire Department - Code for inspecting and testing requirements. General 1. Flow Test, conducted? ........................................................................................................................................ Yes.@ --,No El 2. Static Pressure: psi Flow Pressure: psi 3. Tot a8l number of sprinkler heads on this system? 4. Was 2" Main Drain checked? ....................................................................................................... OtherEj Y es-B- N o 11 5..Flow Switches, Supervisory Switches and Alarm Bells tested? .................... .................. N/A Q Y"B's-El- No LI 6. Pressure regulating valves tested? ............................................................................... N/A.,U—Yes 0 No Q 7. AlArM-Bell,-Operate? ........................................ ............................................................... Ye4,;-�,No El N/A (3, 8. System inspected and lubricated ? .................................................................................. Yes;-.0 No (3 '9,-,Ivalves sealed' or supervised? ................................................................. .......... Yeq,-M—.No Q .............................. . 10. Provided on all valves? ...................................................................... ........................................ Yes -a-- No 0 ,opprZonnections and Clapper valves unobstructed and turn freely,? .............................................. YesM�No Q 12. Sprinkler coverage acceptable? .............................................................................................. Yez-E�.-- No 0 13. Have the sprinkler heads been replaced or successfully sample tested in -,the last 50 years? Yes-�- No (3 14. Proper number spare sprinkler heads available with. appropriate wrenchs for each? ............... Yes-@- No C) Systemleft in serv-i,ce? ............................................................................................................... Yes. --El- No U 16. System gauges been replaced or calibrated within the past 5 years? ............................................. Yes No D 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? ..................... Y es. -El' N o C3 18. Was debris found in the Fire Department Connection (FDC)? .................................... ............. Yes LI No-EA- 19. Was the Fire Department Connection (FDC) back flushed within the last 5 years? ... .... .... Yes El No C) 20. Was an internal pipe and valve inspection performed within the last 5 years?,.'� ................ Y es-t�N o (3 Date Performed: 21. Was a signal received at the Central Station monitoring company? .............. f ..... N/A El Ye-S-13-'-- No C1 Sprinklers e WET Page: 2 of 2 FIRE PREVENTION SNOHOMISH CO. �,Orving Brikr, Edmonds 12425 Meridian Ave S INSPECTION REPORT I 'Mountl�ke, Terrace, and I Everett,. XA 98208_., )FDM ONDS BRIER t e own 6f bodway- DISI:M T Y W -Phone­(425) 551-:1200- 0 WObDWAY 0 MOUNTLAKE TERRACE ww w.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED FREQUENCY STATION & SHIFT LOC . ATION: 550 Main Street BLDG 366 17 6 BUSINESS NAME: Wybo Commercial Bldg PHONE: 4257752014 SCHEDULED DATE DUE 05,101/11 MAILING 422 Olympic Ave UFIR " 509 5203 ADDRESS: Edmonds 98020 BUSINESS OWNER: Wybo, Pierre HOMEPHONE: 4257752014 AC-nVE EMERGENCY-1: HOME PHONE: "'CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS El El LICENSE PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: I) In FIRE AS 6/10 F� It) /11 SYSTEMS: ANNUAC­ 1 1) HAZARDS FOUND AND LOCATIONS I COMMUNICATIONS 4 19 FOVA,/h 2 2 3 3 4 4 5 5 6 1� 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION FINAL RE-INSPECTI(5N EXTENSION VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE': DATE: DATE: 3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 1 5 1 5 LETTER SENT NUMBER: 4 CODE 5 2 6 2 6 DATE: SECTION: RETURN RECEIPT 3 7 3 7 RECEIVED 6 DISPOSITION: 7 4 18 4 8 DATE: LETTER NEEDED E] YES El N LETTER NEEDED El' YES NO 1 8 �i I . FIRE DEPARTMENT COPY ,,4 , Confidence Testing Company: ---.AbV-,4NCED P.O. Box 1543 - Woodinville, WA 98072 Ph.: 425.483.5657 Seattle Fire Department Confidence Test Report 206.386.1448 Confidence Testing Officer 206.615.1068 (fax) 206.233.7219Red Tag Hotline SPRINKLERS - WET Certification Given RED LITYELLOW Lj- WHITE-4j�j- (ONE SYSTEM PER REPORT) CONFIDENCE T,EST: 1-d-I REPAIRS-FJ Occupancy, Address: 575-u MZL,6� Occupancy Name: BuildingOwner: e— Phone Number: -3 - 7 75- -5201�z Responsible Person: Phone Number: Building Owner Address: ��Xc::2 0-)-K,2!2EZC AW- 2L2MZ��� 9,C-f0r--;20 Date of Inspection: Inspection Frequency /Type: Annual Tester's' Name (print):, Ct- 17 2 00. SFD Certification Number: SCP- �5 -C), Central Station monitoring? Yes U No-B- Monitoring Co. Name: C-710,V/- V Primary Component: System Make: System Model: g2�RE lAqa-p g!�2 / System Location: Identification Number: ProblemsFound: (if additional room is required, please add a separate sheet.) Corrections Made Date Corrected: Corrected by: (if additional room is required, please add a separate sheet.) SFD Certification Number: SCP- This certifies that this Fire and Life Safety system has been properly. inspected for reliability to cover the items listed in this report and is consistent with the Seattle Fire Department Fire Code standards, and all discrepancies are noted and have been reported to th in OW r/Manager r orrectiv n. "70 Signatui re of Tester - - ----- 111one #: 425.483.5657 Testing Agency: Advanced Fire Prot Inc. Mailing Address: P.O. Box 1543 - Woodinville(,OL 98072 Building Representative (signature):,X V Sprinklers * WET U �� Page: 1 of 2 The below items on the check list shall be inspected and tested. This list does not constitute all of the Fe jired inspecting and testing of the Fire and Life Safety system. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements. General 1. Flow-16st conducted? ........................................................................................................................................ Y e Vf3— N o [I 2. Static Pressure: /0 C7 psi Flow Pressure: psi 3. Tot� Vvl,umber of sprinkler heads on this system? 4. Was 2" Main Drain checked? ..................................................................................................... Other L) Yes-5- No El 5. FlowSwitches, Supervisory Switches and Alarm Bells tested? ..................................... N/A (j Yes -a' No C1 6-. Pressure. regulating valves tested? .............................................................................. N/AI0- Yes Q No El 7. Al a-r - m--Bell operate? ..................................................................................................... N/ Ye,s=a— A No 8. System inspected and lubricated ? .................................................................... .............. Y e s No Cl ;+ 9. Val*&isea,led or supervised? ...................................................................... ................. ................. Yes,&,, No 10. Provided on all valves? ............................................................................................................. Y e s_2�- N o L) 11. Pumper -Connections and Clapper valves unobstructed and turn freely ? ...................................... ........ Yes.-� No LI 12. Sprinkler coverage acceptable? ................................. I ............................................................ Y e No E) 13. Hav'6-the sprinkler heads beenreplaced or suIccessfully sample, tested, in the- last 50 y'ears?� Ye Q Nov9 14. Proper number spare sprinkler heads available with appropriate wrenchs for each? .............. Y e S--d' N o Q 15. System left in service? ............................................................................................................ Y e s-a' N o E) 16. System gauges been replaced or calibrated within the past 5 years? ............................................. Yes 0 No-a- 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? ..................... Y e s--B-- N o C3 18. Was debris found in the Fire Department Connection (FDC)? ................................................ Yes (3 N 19. Was the Fire Department Connection (FDC) back flushed within the last 5 years? ................. Yes E) N 20. Was an internal pipe and valve inspection performed within the last 5 years? ................. Yes Q N o-t7f) Date Performed: 21. Was a signal received at the Central Station monitoring company? .................... N / A-0_____Y e s LI No El Sprinklers * WET Page: 2 of 2 City of Se, Me- Fire Department —.,I,o�DVANCED CONFIDENCE TEST REPORT Seattle Fire Department Confidence Testing Officer: 206..386.1448, Fax:206.615.1068' I WET - AUTOMATIC SPRINKLERS I Certification Given (NOTE: ONE SYSTEM PER REPORT) I RED 0 IYELLOW0 I WHITE-E Date of Inspection: e(:,-, FCONFIDENCE TEST.- Ann ua4-8--QuarterlyEl Acceptance Q REPAIRS: El Tester's Name (print): //,4y7(9ZP sFD certirication Number. SCP Occupancy Name: Occupancy Addres 411Y 577 Responsible Person: Phone Number: Building Owner's Name: ;2 Building Owner's Address.-!�w 4 4T E-24:92AZE-S", 9e,6?.2 0 1 ContactPerson: 7;;�T— Phone Number:-3/— r_;001!Z Central Station monitoring? Yes El N o-El Control Panel Manufacturer: AI-14 Monitoring Co. Name.,/ Model Number: 'ProblemsFound: (If addifional room is required, please add a separate sheet) Corrections Made: (If addifional rwm is required, please add a separale ova) Date Corrected: Corrected by: J The below items on the check list shall be inspected and tested. This list does not constitute all the required inspecting and testing of the Fire and Life Safety system. Please refer to the Seattle Fire Department Fire Code for inspecting and testing requirements. 80. Was a Flow Test conducted? LI-1 C:- 81. Static Pessure: psi Flow Pessure: 10 psi 82. Was 2" Main Drain checked? 83. Were all Flow Switches, Supervisory Switches and Alarm Bells tested? 84. Does the Alarm Bell operate ? (,,� 7-OF 4::�; 49A`1C 85. Were all valves inspected and lubricated ? 86. Were Pressure Regulating valves tested? 87. Were all valves "sealed" or supervised? 88. Are signs provided on all valves? 89. Are the Pumper Connections and Clapper valves unobstructed ? 90. Are the sprinkler heads less than 50 years old? 91. Is the sprinkler head coverage acceptable? 92. A re spa re s p rin kler head s av ailable? 93. Was the system left in service? Yes -a- No Q Yes -a.— No Q OtherQ Y e s-Q— No C) N/A El Yes -a- No El N/A El Yes-rE� No C] Yeso5— No C] Yes C] No-5— Yes-a— No Q Yes-@-- No C3 Y e s43-- N o E] Yesa— N o C] Yes -El— N o Q Yes --a- N o El Yes-0— N o Q This certifies that this Fire and Life Safety system has been properly inspected for reliability to cover the items listed in this report and is consistent with the Seattle Fire Department Fire Code standards and discrepancies are noted and have been I reported to the building Owner/Manager for corrective action. Signature of Tester 0 Testing Agency: Advanced Fire Protection., Inc. Mailing Address: P.O. Box 1543 , Woodinville, WA 98072 Phone: 425.483.5657 CITY OF EDMONDS 121 5T11 AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215 FIRE DEPARTMENT 4�' t S 1� z LOCATION: 550 Main Street BUSINESS NAME: Wybo Commercial Bldg MAILING � 422 Olympic Ave FIRE PREVENTION SAFETY SURVEY BLDG PHONE: 4257752014 ADDRESS: Edmonds 98020 BUSINESS OWNER: Wybo, Pierre HOMEPHONE: 4257752014 EMERGENCY- 1: HOME PHONE: KEY ACCESS-2: HOME PHONE: FREQUENCY STATION 1, SHIFT 366 17 A SCHEDULED 01 05/011'10 DATE DUE UFIR P, 509 5203 AC-nVE INITIAL INSPECTION DATE PERSON CONTACTED: NAME OF INSPECTOR: 174 FIRE AS 6/07 SYSTEMS: ANNUAL HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS ENTER CODE ONLY ONCE 10 VIOLATION CODE 2 lao<) A ,hpe; y e" I -IF VILIL 3 3 4 4 5 5 6 6 7 7 8 8 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: I 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: C�DE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 4 18 4 8 DATE: DISPOSITION: 7 8 ��ER NEEDED 0 YES F] No LETTER NEEDED [] YES NO FIRE DEPARTMENT COPY C11TY E:TIMONDIS FIRE. 1--IAZAI:-,X:t FORM ........ .... .... ........ .............................. .... .... .... .... ...... .... .... ... .... BUISUNIES"), NAMEKO 4 4 . Wyr!(3 C(I)MMERClAL BU11 I 11 KI DATE* 550 MAVq ST 41-BI 6/02/95 . . ..... . ......... . .................... ......................... ........ ........... . . ........... ........... ........................................................................... I. -I I ........ . . .... ................... ....... ........... ................... .................. ..................................................................... ... .......................... I ...................................... A Z A 1-*� D E.) ....... I ...................... ................ . . ............ ........... .................... I ...................... ............ ........ .................... The Fire Department connection (F.D.C.) for your sprinkler system must be quickly and easily accessible by fire engine personnel. The cover must be fragile enough to allow quick breadkage in order to assist your sprinkler system in quickly subduing a fire. Please remove the aluminum bar from the F.D.C. and replace with a proper frangible cover. 01 -ell D PAWL- I--,' - &.,i q5 15-" L, j��D,6- WIAI Z -A. CITY OF EDMONDS CIVIC CENTER - EDMONDS, WA 98020 - (206) 771-0215 - FAX (206) 771-0208 FIRE DEPARTMENT 1 890 . 1 9 C� DATE: June 8, 1995 TO: Attn-Pierre Wybo Wybo Commercial Building P 0 Bo,� ,224. Edmonds, WA 98020 SUBJECT: WYBO COMMERCIAL BUILDING PERSON CONTACTED: LAURA M. HALL MAYOR In our continuing effort to promote Fire Safety and Prevention within the community, your Fire Department conducts regularly scheduled "Fire Safety Inspections" of all businesses and multi -family occupancies in the City of Edmonds. You are to be congratulated on the relative good condition of your oc- cupancy in regards to fire safety. Attached 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. A re-�-inspection will be conducted after 30 days to Confirm that the listed item(s),have been corrected. Any overlooked hazard or violation of the fire regulations does not imply approval of such condition or violation. If you require addi- tional information or assistance, please contact this office by call- ing 771-0215, Ext. 301, between the hours of 8 a.m. and 5 p.m., Monday through Friday. With your cooperation, we can have a safer community through fire pre- vention. Aj. In' r e ly-;, g, J, hn J,'. Westfall S, nior'\J�nspector Enclosure 0 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan '. . i ,o and HOUSTONGENERAL INSURANCE GROUP February 21, 1995 Pierre Wybo P.O. Box 224 Edmonds, WA 98020 RE: BPP 94-63778 550 Main Street, Edmonds This letter will confirm my visit to 550 Main Street on February 7, 1995 to obtain underwriting information and to review your operations and saf ety procedures. Thank you f or your time and cooperation in answering my questions and allowing me to tour your facilities. As a result of our survey, the following recommendations are being submitted to assist you in your efforts to control losses. They do not necessarily cover every hazard or loss producing condition that may exist in your operatiori. They should, however, help you to recognize other potential loss producing conditions as they occur. If you should have any,questions about these recommendations or if you need assistance in your safety or loss control activities., please feel free to call on us. To keep our Underwriting Department informed of the action taken or planned on these recommendations, r)lease return a copy of this letter with—itour comments on it within 60 days. Eric C. Peterson Senior Loss Control Representative HOUSTON GENERAL INSURANCE GROUP cc: Underwriting Department Agent - Brunni-Colbath ECP/jdr ISLAND CORPORATE CENTER, SUITE 650, 7525 S. E. 24th STREET, MERCER ISLAND, WASHINGTON 98040 206-236-1400 1-800-275-2797 Local fax # 206-236-0429 Fax # 1-800-275-2802 . 1. 0 Pierre Wybo P.O. Box 224 Edmonds, WA 98020 Page 2 Priority Definitions: [E]ssential - Immediate Action Necessary [I]mportant - Less Critical But Serious, Must Be Done Prior To, Rene�ral RECOMMENDATIONS 9511 The sprinkler system in the building was last serviced in September of 1993 according to its service tag. To help insure that the sprinkler system is in good operating condition, it should be inspected, maintained, and serviced according to the attached schedule published by the National Fire Protection Association. This servicing can be by a sprinkler contractor or by a trained employee. The results of the service, inspection,'and maintenance should be recorded on the appropriate form. 9521 Consideration should be given to connecting the automatic sprinkler system to a 24 hour manned central station. This will reduce the chance of damage being done in the event of a fire or sprinkler leak. Local bells are often ignored. 9531 There is some ceiling insulation which is sagging onto the sprinklers at the new east entrance of the building. When this construction is done the insulation should be adequately supported so that it does not sag onto the sprinklers. Regular inspections of the insulation should be made to help assure that it is not sagging in other sections of the building. This type of insulation is subject to sagging when the paper barrier tears around the supports. This should become a part of the normal servicing of the sprinkler system. DRAFTING / CAD PROGRAM CURRICULUM SECTION 1 (2 MONTHS) HOURS INTRODUCTION TO DRAFTING 148 INTRODUCTION TO CADKEY 76 MATH 1 36 TECHNICAL COMMUNICATIONS 36 SECTION 11 MANUFACTURING PROCESSES INTERMEDIATE DRAFTING DESIGN TEAM PROJECT GEOMETRIC DIM/TOL INTERMEDIATE CADKEY INTERVIEWING/RESUME SECTION III CAD PROJECT AIRCRAFT/AIRFRAME (INKING) MATH 11 AIRCRAFT/AIRFRAME DRAFTING RESUMEtWORK ORIENTATION ENGINEERING DOCUMENTATION TOTAL IJ QUALITY VOCATIONAL TRAINING IN DRAFTING/CAD SPECIALIZING IN THE AEROSPACE -AIRCRAFT AND ELECTRO-MECHANICAL PACKAGING INDUSTRIES Cl START DATES 6 TIMES PER YEAR PROGRAM IS 6 MONTHS LONG WITH 8 HOUR DAYS TUITION $2550.00 PLUS BOOKS & SUPPLIES 30 ASSISTANCE WITH: 42 RESUME PREPARATION 112 PORTFOLIO DEVELOPMENT 24 WORKORIENTATION 76 JOB PLACEMENT 12 AVERAGE STARTING WAGE $9.00 PER HOUR 76 42 36 FOR INFORMATION CONTACT: 112 12 MICHELE LOGUE 30 SNOHOMISH TECHNICAL COLLEGE INC. 900 550 MAIN EDMONDS, WA. 98020 (206) 774-3600 ' r SNOHOMISH ) TECHNICAL � COLLEGE j DRAFTING/CAD CERTIFICATE PROGRAM LEARN TODAY- WORKTOMORROW 550 MAIN EDMONDS, WA. 98020 (206) 774-3600 The high technology industries in the Puget Sound area are growing rapidly. These companies need well trained, technically oriented personnel. The aerospacelaircraft industry together with the Electro-mechanical packaging, design, development and production industries make up over 83% of the advanced technology employment in Washington state. These industries are the primary employers of Drafting/CAD personnel. Snohomish Technical College is providing quality technical vocational training with a Drafting/CAD program specializing in the needs of these industries. Our program is designed to meet the funding and time requirements of Vocational Rehabilitation and Labor & Industries students. Our approach in training is realistic and appropriate for entry level employment in the Drafting/CAD profession. The program at Snohomish Technical College has proven capable of producing versatile, team oriented drafters. These people have demonstrated their value and capabilities to many employers in the Puget Sound area. This program produces employees who are: El Design Team Oriented Q Flexible Team Members with team communication skills Q Strong in drafting skills U Strong in Computer skills El CAD software experienced SNOHOMISH TECHNICAL COLLEG 550 MAIN, EDMONDS WA. ERRY DOCK FOUNTAIN 6TH 5 CORNERS C2 04 V4 - HWY 99 66 TH FREEWAY 220 TH EXIT MOUNTLAKE TERRACE 1-5 There exists a shortage of adequate training programs with realistic time frames or with a strong industrial orientation. This program shortage is especially critical for the person that has been disabled or injured so that they cannot return to their former employment. People that have suffered a major back, neck, or joint injury and cannot lift more than 25 pounds and sit or stand constantly have very limited options. The Drafting/CAD program here at Snohomish Technical College is a very viable option for these people. It: 0 Is consistent with their physical capabilities May be completed within the allotted time frame Q Is capable of providing an open ended career CITY OF EDMONDS LARRY S. NALIGHTEN MAYOR CIVIC CENTER - EDMONDS, WA 98020 - (206) 775-2525 FIRE DEPARTMENT 890 . 194 October 17, 1991 Michele A. Logue Snohomish Technical College 7605-137th Avenue S. E. Snohomish, WA 98290 Dear Ms. Logue, SUBJECT: COMMERCIAL REMODEL, 550 MXI,'N -8.7REE�T-­,-E,DMON-DS WA !4 The Fire Department and Building Department have reviewed your request to omit sprinkler protection below the suspended ceiling in the general study area. It is our opinion that because current codes do not require a sprinkler system for your classification of occupancy that automatic sprinkler coverage can be omitted. However, we strongly recommend that the system should be extended to completely protect this build- ing. If you decide to omit this area, the status of the build- ing will change from fully sprinklered to partially sprinkler- ed and a fire starting in the ge neral study area could grow too large for the remaining sprinkler system to control.. If you have any further questions, please call me at 775-2525, #232. Sincerely, Ga7 McComas Fire Marshal GLM: be cc: Building Official Pierre & Marie Wybo 0 Incorporated August 11, 1890 * Sister Cities International — Hekinan, Japan L)A I A �)H I FOR COATINGS, RESINS AND RELATED MATERIALS 'Approved by U.S. Department of Labor "Essentially Similar- to Form OSHA-20) DATE OF TREP- 8 1 ,4ANUFACTUAER'S NA I ,,11rSdEGUARD, INC. %DDRESS Avenue MERGENCY TELEPHONE No. 214/234-2481 'RODUCT CLASS Photographic Finish (Lacquer) Section I CITY, STATE. AND ZIP CODE Richardson, TX 75081 MANUFACTURER'S CODE IDENTIFICATION PL-20 RADE NAME ..Semi Gloss Photo Lacquer ,,Section 11 — HAZARDOUS INGREDIENTS 4GREDIENT oluene *PERCENT 35 TLV PPM mg/M3 100 - LEL VAPOR PRESSURE 1.0 22 .sopropyl Alcohol 15 400 - 2.0 33 -sobutyl Acetate 25 150 - 2.4 13' lethyl Ethyl Ketone 10 2bO - 1.8 7G Values to nearest 5% by weight mmHg @.20*C -)ecuon Ill PHYSICAL DATA 1ILING RANGE 174 246*F VAPOR DE NSITY HEAVIER. LIGHTER. THAN AIR APORATION RAT� FASTER SLOWER. THAN ETHER PERCENT VOLATILE WEIGHT PC 13Y VOLUME 91.93% CALLON R7.35 pounds Section IV FIRE AND EXPLOSION HAZARD DATA 1T CATEGORY 'Flammable Liquid FLASH POINT 34*F T.C.C. LEL SEE SECTION II NNCUISH.114G MEDIA Carbon dioxide, dry chemical, water fog or foam. USUAL FIRE AI`40 EXPLOSION HAZAnCS V44por can form explosive mixture with air; containers may rupture when exposed to fire. CLAL FIRE FIGHTING PROCEDURES Self contained breathing apparatus should be worn by fire fighters. I Section V — HEALTH HAZARD DATA THRESHOLD LIMIT VALUE SEE SECTION II :FFECTS OF OVEREXPOSURE Dizzinesss nausea, headache or irritation of respiratory tractl MERGENCY AND FIRST AID PROCEDURES INHALATION - Remove victfm to fiesh air and restore breathing if required. SKIN CONTACT - Flush with water, remove with mild soap solution. EYE CONTACT - Flush with water. For severe or persistant symptoms, consult physic.ian immediately. Section V1 — REACTIVITY DATA -TABILITY UNSTABLE STABLE CONDITIONS TO AVOID Open flames, sparks, or other 4COMPATABILITY (Matorials t6 avoid) ignition sources. (AZARDOUS DECOMPOSITION PRODUCTS Carbon dioxide, carbon monoxide, oxides of. nitrngen. AZARDOUS POLYMERIZATION = MAY OCCUR =WILL NOT OCCUR ONDITIONS TO AVOID N/A Section'VII .—.SPILL OR LEAK PROCEDURES rEPS TO BE TAKEN IN CASE MATERIAL IS RELFASED OR SPILLED Absorb with an inert oil absorbing compound and place Ln an air tight container for disposal. Avoid use of sparking materials when removing. Avoid Lnhalation, skin & eye contact when removing spill. ASTE DISPOSAL METHOD Dispose of in accordance with local, . state and federal regulations for disposal )f f1rimmable organic compounds (solvent based paint). Section Vill — SPECIAL PROTECTION INFORMATION �SPIRATORY PROTECTION Recommended for use only in areas equipped with power ventilated spray booths ind overspray arrestors. (See below under Ventilation). For respiratory protection when spilled _n unv ; entilated area, see OSHA 2206 Sub -parts G, H, and I. �IITILATION ' Provide exhaust ventilation in volume and pattern to keep TLV of most hazardous in- ,redients in Section II below acceptable limit and LEL in Section IV below limit. See OSHA ;afety and Health Standards (29C.FRI910) OSHA 2206 Sub -parts G, H, and I. OTECTIVE CLOVES Solvent resistant gloves for handling liquid material and cleaning up spills. E PROTEMOfo Use safety eye wear designed to protect against splash of liquid into eyes. HER PROTECTIVE EOUIPMENT Solvent resistant apron when handling liquid material. Section IX — SPECIAL PRECAUTIONS --------------- ECAUTIONS To BE TAKEN IN HANDLING AND STORING Do not store above 120OF I Store large quantities in build- ngs,depigned for storage of National Fire Prevention Association Class II Flammable Liquids. HER PRE�AUTIONS Store in manufacturer,"s original container securely closed in a cool, dry sheltered rea. Overspray should -be 4rrested by suitable means and not allowed to accumulate excessively. verspray dUst is flammable"and fire fighting procedures are the same as for liquid material. ispose of emptied containers in accordance with local, state and federal regulations. Emptied. ontainers containing residual amounts of lacquer constitute� fire and explosion hazards.an'd hould be disposed of promptly. TO: BRUCE FINKE From: Gary McComas Subject: Commercial Remodel @ 550 Main Street,Sound Color Corp. -ADB-1-36-84 After review by the fire department the submitted plans are approved without comment. Gat/ /7Y Ic 4P t McComas February 2, 1983 MEMO TO: Hal Reeves Building Official FROM: Gary L. McComas Fire Marshal SUBJECT: COMMERCIAL REMODEL AT 550 MAIN STREET - SOUND COLOR CORP. After review, the fire department has the following requirements: 1. Provide an -approved second exit from the new second level. -Table 33-A requires a second exit when the area exceeds 3,000 square feet for office type use. 2. Provide certification from an -'engineer that the mod- ified sprinkler system properly protects the build- ing and complies with all applicable codes. 0 GLM: be Attachment .�SINESS SOUND COLOR CORPORATION FILE CODE 5dO MAIN STREET UFIR 797-000-002 NAME PIERRE WYBO BUS. PHONE 775-1541 IRE S S SAME 01,R�IER SAME HOTE PHONE 775-2014 422 OLYMPIC AVE., EDMONDS,.WA 98020 7,'A, G E R HOME PHONE HOME PHONE G Ro lill OCC. LOAD ,KLER ALARM SYS. "NDPIPE PERMITS PLAN S PEE I-" T 1I D BY DATE L SO�� (S) CON'TACTED u REIt,'SPECTIOI�' DATE --DAYS FROM N014) FOL��,D .AAA -tAAUiW a lAAfJA'At Ap� . P, CITY OF EDMONDS CIVIC CENTER * EDMONDS, WASHINGTON 98020 - (206) 775-2525 FIRE DEPARTMENT DATE: March 9, 1981 TO: Sound Color Corp.- Attn: Gary Harless. Manager 527 Main Street Edmonds, WA 98020 SUBJECT:— SOUND COLOR CORP.: FITY COT)F- 797-nno-nng HARVE H. HARRISON MAYOR Attached is a copy of a notice advising you that certain items are in violation of current City Ordinances or Fire Codes. We request the correction(s) indicated on the attached memo be made. We will reinspect after 30 days. Item(s) # has(have) been corrected in accordance with our request. Item(s) # has(have) not been corrected. We will reinspect after days. Please advise by return mail or by telephone your intentions or questions regarding this matter. = Other: Any overlooked hazardous conditions and/or violation of the fire regulations does not imply approval of such condition or violation. If we may be of further assistance, please contact this office by calling (206) 775-2525, Ext. 247, between the hours of 8 a.m. and 5 p.m., Monday through Friday. Yours for a safer community through fire prevention, ;'� Z�/" Stanley Olsen Senior Inspector Enclosure CITY OF EDMONDS HARVE H. HARRISON MAYOP CIVIC CENTER * EDMONDS, WASHINGTON 98020 9 (206) 775-2525 FIRE DEPARTMENT . ;� I - g / FIRE DEPARTMENT HAZARD FORM I to 0 0� BUSINESS NAME: Sound Color Corp. FILE CODE: 797-000-002 ADDRESS: 527 Main Street OWNER/MANAGER:- Gary Harless, manager PHONE: 775-1541 HAZARDS: vel 1. Replace the bulbs or plugs in the open receptacles on the ceiling in the big print room. D Maintain 18 inches of clearance on all sides of the sprinkler heads throughout the premises. L--4. Cover the breach in the wall in the downstairs men's room. Provide bulb or plug-in receptacle in the ceiling at the top of the stairs., L,6-.- Provide cover plate for receptacle behind the pop machine. L,J' Provide flexible conduit from the junction box to the'fluorescent lights in the maintenance room. Provide a cover plate on the junction box in the processing room #3, also on the box on the south wall.and directly behing said box on other side of the wall. L/9. Cover light switch box in the processor room #2. - V/(E.2Replace the spinkler head in room 553 with a standard pendant sprinkler. PERSON CONTACTED: Slater Williams INSPECTED BY: Marc Petrella DATE. 2-27-81 REINSPECTION DATE TENATIVE: ACTUAL: _e ib(sec4 COMMENTS:4&7 DATE: BY: 1�& DATE: BY: COMMENTS: DATE: BY: COMMENTS: PAGE 1 OF 2 MS : 1v10 / 79 CITY OF E13MONDB CIVIC CENTER * EDMONDS. WASHINGTON 98020 * (206) 775-2525 FIRE DEPARTMENT FIRE, DEPARTMENT HAZARD FORM HARVE H. HARRISON MAYOP BUSINESS NAME: Sound Color Corp. FILE CODE: 797-000-002 ADDRESS: 527 Main Street OWNER/MANAGER:- Gary Harless, manager PHONE: 775-1541 HAZARDS: —(CONTINUED) ,,-Ill. Cover electrical box in processor room #1 \,-,""12. Provide Kellem clamps for cords providing power to analyzing tables. PERSON CONTACTED: INSPECTED BY: REINSPECTION DATE DATE: TENATIVE: ACTUAL: DATE: BY: COMMENTS: DATE: BY: COMMENTS: DATE: BY: COMMENTS: PAGE 2 OF 2 MS: MO / 79 INSPECTION FORM ICIJANGE11DELETE1 HAZARDI F�_ F___1 ��l C9 ME CT Fill in this information before leaving on inspections. Check with the person contacted on whether or not the information is correct. Use black ink for the original information when you copy it down, and use red 1-n-k— for any corrections made on the information and to record any haFa—rds found. This color -coded system will make handling these forms more ef- ficient. Make sure everything is spelled correctly --this is very import- ant for our records. BUSINESS SQ) 'Wfta (�O � CA- CODE LOCATION 2- -7 ULM- � \A -s PHONE 7-7 MAILING ADDRESS OWNER(S) PHONE MANAGER PHONE DAYTIME CONTACT PHONE NOTES INSPECTED BY DATE PERSON (S) CONTACTED c) 4z.9- 5 TENATIVE REINSPECTION DATE -A))u rc_.L DAYS FROM NOW) NOW mWCEW-Up N I M7.1 9- WN = FA �r I W_ ME lCfiAN E IDELETEI INSPECTION FORM Fill in this information before leaving on inspections. Check with the person contacted on whether or not the information is correct. Use black ink for the original information when you copy it down, and use red ITR_ for any corrections made on the information and to record any ha ards found. This color -coded system will make handling these forms more ef- ficient. Make sure everything is spelled correctly --this is very import- ant for our records. BUSINESS CODE 7�7­000-oo?__ LOCATION MAILING ADDRESS (C/O -)(-- OWNER (S) MANAGER PHONE PHONE PHONE DAYTIME CONTACT PHONE NOTES INSPECTED BY PERSON(S) CONTACTED I "T 11 TENATIVE REINSPECTION DATE DAYS FROM NOW) D 2- i It. CITY OF EDMONDS CIVIC CENTER - EDMONDS, WASHINGTON 98020 (205) 775-2525 FIRE DEPARTMENT DATE:. April 30, 1980 TO: Sound Color Corporation —Attn: Gary Harless 550 14ain Street Edmonds.WA 98020 014 HARVE H. HARRISON . MAYOR SUBJECT: SOUND COLOR CORPORATION; FILE CODE: 797-000-002 Attached is a copy of a notice advising you that certain items are in violation of current City -Ordinances or Fire Codes. We request the corrections indicated on the attached memo be made. We will reinspect after days. Items 1-4,6,& 8 have been corrected in accord- ance with our request. Items 5 & 7 have not been corrected. We will reinspect after __�O days. Please advise by return mail or by telephone your intentions or questions regarding this matter. = Other: THIRD LETTER If we may -be of further assistance, please contact this office by calling (206) 775-2525, Ext. 247, between the hours of 9 a.m. and 5 p.m., Monday through Friday. Yours for a safer community through fire prevention, I Stanley Olsen Senior Inspector Enclosure CITY OF EDMONDS CIVIC CENTER - EDMONDS. WASHINGTON 98020 (206) 775-2525 FIRE DEPARTMENT SAINILWTVIV49MR11.4 - - - _�Ar_qh_ Attn: Gary Harless — 550 14ain Street HARVE H. HARRISON MAYOR I fe! r6+ 5 0 SUBJECT: SOUND COT -OR CORE-. FTT,a cnnp - 797_nnn_na2__A Attached is a copy of a notice advising you that certain items are in violation of current City Ordinances or Fire Codes. We r-equest the corrections indicated on the attached memo be made. We will reinspect after - days. L= Items 1.2.3,4.6,& 8 have been corrected in accord- ance with our request. Items —5 & 7 have not been corrected. We wi 11 reinspect after 30 days. Please advise� by return mail or by telephone your intentions Or questions regarding this matter. Other: If we may be of further assistance, please contact this office by calling (206) 775-2525, Ext. 247, between the hours of 9 a.m. and 5 p.m., Monday through Friday. Yours for a safer community through fire prevention, 6�2 Stanley Olsen Senior Inspector Enclosure CITY OF EDMONDS Civic CENTER - EDMONDS. WASHINGTON 98020 (206) 775-2525 FIRE DEPARTMENT DATE: February 7,,' 1980 TO:— Sound Color -CorT). Attn: Gary Harless 550 Main_ -St. HARVE H. HARRISON MAYOR fo qep SUBJECT: SOUND COLOR CORP. ; FILE CODE: 797-000-002 Attached is a copy of a notice advising you that certain items are in violation of current City Ordinances or Fire Codes. "I Z]E�T We request the corrections indicated on the attached memo be made. We wi 11 rei nspect af ter --30 days. Items have been corrected in accord- ance with our request. Items have not been corrected. We will reinspect after days. Please advise by return mail or by telephone your intentions or questions regarding this matter. Other: If we may be of further assistance, please contact this office by calling (206).775-2525, Ex't. 247, between the hours of 9 a.m. and 5 p.m., Monday through Friday. Yours for a safer community through fire prevention, Stanley'5701sen Senior Inspector Encl6sure CITY OF EDMONDS CIVIC CENTER - EDMONDS. WASHINGTON 98020 (206) 775-2525 FIRE DEPARTMENT FIRE, DEPARTMENT HAZARD FORM HARVE H. HARRISON MAYOR BUSINESS NAME: SOUND COLOR CORPORATION FILE CODE: 797-000-002 ADDRESS: . 550 MAIN STREET OWN 4��A ��A�-� ARLES �PHON�E�75-�1541 2ARY H� �S HAZARDS: CV1. ri �- I -- N-L- (f%(f 4 - REMOVE THE EXTENSION CORDS BEING USED IN PLACE OF PERMANT WIRING THROUGH -OUT. REPLACE THE WIRING WITH APPROVED ELECTRICAL CODE CONDITIONS .... CUSTOM PANEL LIGHT TO THE DESK. MOUNT APPROVED BLANKS FOR BREAKER PANEL DD. ALL �MPRESSED GAS BOTTLES MUST BE RESTRAINED ..... CHAINS, OR ANOTHER DESIGN TO - E __ - ____ __ BOTTLES SECURED . . ALL OPENINGS MUST PROVIDE INTERIOR FIRE PROTECTION IN CONSTRUCTION ..... SEAL ALL OPENINGS IN THE PLASTER ... WALLS ... CEILING...FREEZER ROOM.. 40 r- 6. REPAIR THE LIGHT SWITCH IN THE BASEMENT STAI�S LANDING. pp�7, REPAIR THE HOLE IN THE PIASTER ... SPRAY ROOM, 8. REMOVE THE CARDBOARD BOX ON THE LIGHT FIXTIET.CINE PROCESSER ROOM....'OTE: TED ON THE SCENE. PERSON CONTACTED: INSPECTED BY: SPRINGER, OLSEN, ALLISON DATE: FEB. 4, 1980 REINSPECTION DATE TENATIVE: 3-4-80 ACTUAL: DATE:4-1-4-4,? BY: COMMENTS: A&--r �(,qX-7- DATE:,tL BY: COMMENTS: DATE: BY: COMMENTS: PAGE MS: lvlO / 79 OF CITY OF EDIVIDIMOS HARVE H. HARRISON CIVIC CENTER - EDMONDS WASHINGTON 98020 (206) 775-2525 MAYOR FIRE DEPARTMENT May 12, 1978 Mr. Gary Harless 550 Main Street Edmonds, WA 98020 RE: C & K COLOR LAB - FILE CODE 797-000-002 Dear Mr. Harless: On April 4, 1978, the Fire Department advised you by letter that certain items at the above referenced address were in violation of City ordinances or Fire Codes. On May 5, 1978, a reinspection of the premises was made. This inspection indicated, that the following items have been cor- rected: 1. Provid*e all control, drain, test and alarm valves with identification signs. 2. Replace missing outlet coverplates near sump drain.- 3. Replace co mbustible'waste containers (except in work area) with approved noncombustible types. Plastic liners may be used in metal containers.. 4. Provide sign for sprinkler drain. 5. Fasten insulation to overhead and provide a protective basket for sprinkler head. 6. Remove safe light from sprinkler piping. .7. Discontinue placing rubber padding on sprinkler head. Below are listed the items that still remain uncorrected: 1. Remove obstruction from fire extinguisher so it is notobscured from view. 2. Lower stock and storage to not more than 18 inches below sprinkler -heads. Mr. Gary Harless 0 May 12, 1978 Page 2 3. Discontinue practice of storing combustible items on ledge above stairs to -lunchroom. Basement Film Room 1. Install coverplate on open electrical box. 2. Maintain 18 inches clearance around sprinkler heads. Basement Storage Area 1. Secure plastic pipe to,overhead. 2. Repair hand rail. Main Floor -�- Work Area 1. Remove fan cords from sprinkler piping.. Main Floor - Splicing Room 1. Repair existing light. .2. Discontinue the use of light gauge electric cords. Provide 14 gauge extensions where needed. Main Floor -.Developing Room 1. Provide solution for eye wash station. Boiler Room 1. Provide proof of boiler inspection from Department of Labor and Industries. 2. Patch holes in Boiler Room walls. The Fire*Department is aware that it may be difficult at times to correct such violations immediately. However, the ordinan- ces and Fire Codes were adopted by the City of Edmonds to pro- vide a minimum of equal protection for all its citizens and their property and are a matter of law. It is therefore neces- sary that you correct those items that remain.uncorrected. Mr. Gary Harless May 12, 1978 Page 3- The Inspector will r.einspect after may 26, 1 . 978 to ascertain your status. Please advise by return mail your intentions or questions regarding this matter. 8incerely, Jack F. Cooper Fire Chief TT/amm r r C & K COLOR LAB Additional correction to be made Basement A. Film ROOM 1. Provide sign for sprinkler drain. 2. . Fasten'insulation to overhead and provide a protective basket for sprinkler head. 3. Tnstall cover plate on open.electrical box. 4. Maintain 18" clearance aro. Und sprinkler head. B. Storage Area 1. Secure pl;�stic pipe to overbe�id. Repair hand rail. Main Floor A. Work Area 1. Remove safe light from sprinkler piping. 2. Remove fa%a cords from sprinkler piping. B.* Splicing Room 1. Repair existing,light. 2. Discontinue the use of light gauge electric cord. a. Provide 14 gauge extensions where needed. C. Developing Room 1. Provide solution for eye wash stat-ion. Upstairs A. Work Area 1. Discontinue.placing rubber padding on sprinkler head. F 2� J� IG 0 �-777 UZI .............. RAT vor tv Nk 1 sit Ono A A a low, fill nos PAT% a i I oil , , 14 .00 lot, f " 4�j , ,, ; I , 4'r q A' o" �Y, 41" o �eh�4 ;,xrt W", 14, 4, 7 4�1 R �4� m 0 zv i� T ", "k T Y 4 if "S 4 4'r P* 4 N w there's a revolving cloott": 0 K, U q a %01% K that gives yo ALL the features, .40 90 you look for in a darkroom door? Ri HESE It's the latest in safe, easy V� access to any type darkroo OUTSTAINVEDIN' FEATURES Keep4,darkrooms completely.-,lor light safe, protecting ex n;1iii40 pe 34" film from fogging, Helps keep�19116'1- EASY cleaner, too. And '5 FROM INSIDE OR OUTSIDE Airkr:6oms darkircipm personnel can ent0ft- Suisp�nslon and lower guide e ve without interfering b�arin gs facilitate movement, y WraP7around alurninum With' thet ac�tivities. 4 ne,Zpeedmatic Revolving if provides su 4 handra re 'A Dar"m Door is safe, grip inside. P, Poni'venient and sturdy. It s - Convenient finger grips circle t" outside for easy entry shipped, complete and 01- 1 bled. All you do is fit it to any standard 31 door open Ing. STURDY "0 Once the door is in place, CONSTRUCTION unique breakaway hardware", Made of rigid high -impact 00 4��- makes it easy to pop the door olystyrene, IV Jose�in case of emergenc F k 10,9, Steel members r' eted and welded for extra st rength. This feature makes moving Q Rotates easily. J arg K I e pieces of equipment in and out an easy matter, Never needs painting- _0 Reinstallation is just as easy. Reinforced steel flangi + around the outside means And,the stationary floor with J, - li� lasting rigidity. surface helps prevent f.: Br6akaway aluminum flan ge A41 accidents. is bolted to steel mounting flange. Aft. A6 Z 12"; IN W , ? Q "T A", P W, A 147 % 4 4 :'V 7", �4 L MA141MINIMS IP" DOOR 10 36" WALL OPENING — THRUST BEARING. 321/211 1/ 2 2 0 0" 7ENTRANCE- 35" OUTSIDE DIAMETER BREAKAWAY ALUMINUM FLANGE RUBBER GASKET STEEL FLANGE DOOR CASING WALL DARKROOM "Is DOUBLE FELT LIGHT SEALS U) z t: ce) REINFORCED FLOOR ARCHITECT'S SPECIFICATIONS Overall Height 8211 Wall Opening Height 8011 Wall Opening Width 36" Overall Diameter 3511 Inside Diameter 321/211 Inside Height 7311 Entrance 2011 Door only 187 lbs. Crated 233 lbs. 3WAY DOOR ARCHITECT'S SPECIFICATIONS r Overall Height 8 23-4 Wall Opening Height 80" Wall Opening Width 4811 Overall Diameter 46 3/4" Inside Diameter 4511 Inside Height 7411 Cushing, Oklahoma 74023 Entrance 2 O� 918/225-1269 Door only 225 lbs. Crated 265 lbs. Litho in U.S.A. 1175 f AN C:T'V` of' Civic Center - Edmonds, Washington 98020 - Tolephone (206) 775-2525 Mr. Lloyd Linderberry C & K Colorlab S50 Main Street Edmonds, Washington 98020 Dear Sir: June 11, 1976 'e RE: C & K Colorlab (797-000-002) On May 9, 1.976, C & K Colorlab was inspected. by members of the Edmonds Fire Prevention Progra�n. As a result of the inspection we request the following corrections: 1. Extension cords are prohibited. Permanent wiring and recep- tacles shall be installed where needed for electrical appliances. Extension cord routed from the lamp at Mary Lou JohnSOTI'S desk. b) Extension cord located in the light side of the 34KO room. Routed t1irough the coiling fan to the upstairs outlet. Extension cord routod through the light fixture inthe maintenance room. r,)t— Extension cord routed from the coffee pot in the con- ference room. Extension cord routed from the adding machine in Bev's office. 4—Roplace cover plate on wall outlet in the Model 30 processing room. Replace the cover plate on the wall outlet in the retouching room #2. 4. Maintain a minimuji IS inch clearance between the sprinkler head and stock. a) AII upstairs storage roolTis b) BaSOTTiont storago room. 5. Kitchen: ea�j Replace the plaster board panel removed from the west wall of kitchen. '['his area ro(I ' uires one hour separation by installing 5/8 inch or Type X plasterboard. All scams and joints must be sealed. �,I) Re-plaue thO Plastler board rernovcd from the fire, stop in the attic- located to the left of the renioved k;-tchc.n wall area. Thi-S arC;l 0110 hOUT' V)y i nsta I I P T 11 g, S/8" or 'f,,.c X plastor board. All SOWIRS and C & K Colorlab -- Page Two. joints must be sealed. The Fire Department will reinspect your building after IS,days. If we may be of further assistance please contact this office (77S-2525, Ext. 247), business hours, 9:00 A.M. to 5:00 P.M. Yours for a safer community through Fire Prevention, Dojuia J. Gorman, Fire Prevention hispector asd C . N. Civic enter - Edmonds, Washington 98020 - Telephone (206) 775-2525 Mr. Lloyd Lindberry C & K Color Lab 550 Main Street Edmonds, Washington 98020 Dear Sir: June 17, 1975 RE: C & K Color Lab '7 92 - 0 o a On May 22, 1975, C & K Color Lab was inspected by members of the Edmonds Fire Prevention Program. As a result of the inspection we request the following corrections: Fire Extinguishers Have fire extinguishers serviced (see attached sheet) Basement: a. Cover plate required for electrical outlet above empty film reels (north wall) b. Maintain a minimugi 18 inch clearance between .sprinkler heads and stock. Upstairs: Replace the plasterboard panel removed from the west wall of the kitchen. Remove all storage from this area or protect by installing 5/8 inch or type F plasterboard to provide a minimum one hour separation. All seams and joints must be sealed. Maintain a minimum 18 inch clearance betwe . en sprinkler heads and stock in the wire cage storage areas. Clean and or replace filter and screens in spray room. Replace appliance cord to the bleach return pump (7 KO) The Fire Department will reinspect your building after 15 days. �f we may be of further assistance please contact this office (775-2525, Ext. 247), business hours, 9:00 A.M. to 5:00 P.M. Yours for a safer community through Fire Prevention, C? - William R. Angel, Fire Prevention Inspector peh RECEIVED PEB 6 I.M., A P P L I C A T 1 0 N To: CITY OF EDMONDS FIRE DEPARTMENT EDMONDS FIRE DEPT*- For Permit (DATE) JanuaAy 15, _1975 'Jack F. Cooper, Fire Chief Edmonds Fire Department 250 - 5th Avenue North Edmonds, WA 98020 Dear Sir: In conformity with the terms of the Fire Code, application is hereby made to store, use or maintain the following specific materials or processes: MoDomald Photo PAadurtA PRO-TECTA-COTE LaqueA TjjLnnea,, Cteat Laquea, UoAent�ne. Matte AA-Aa)rtPdj3 r. aeA6An.? Ap-,j,�y paiht The materials or processes are at the following specific locations at the below address: Two o4 thAee aaUoM o6 taqueA bazed spAay ztoted in z2aqy toom �LequiAed 6o,%. on?, dau'.4 use. RemaindeA stAoed in paint tockeA tocated at AeaA'emptoyee enttance, Ner-,,.e of F--"-r-Lp, or Company C. K. . Potot Lab Address (Street and Number), 550 Main.St. Edmondz, Wcok�ngton.98020 S�`.gnature Leoqd V. Lindbmtf, It. —7 e Maintenance SupeAvizo& F Lj� 0' G jg7j N, CITY TREASURER EDMONDS, WASH.,