600 MAIN ST STE A00 ln4' A) ST
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-lko.
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:
Main Street Suite A 98020
BUSINESS NAME: PHONE:
Insurance Services Group, Inc. 4257756446
MAILING
ADDRESS:
600 Main Street, Suite A, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
Campbell, Scoff
FIRE PREVENTION
INSPECTION REPORT
0 '�ONDS
IS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIFF"
SCHEDULED
DATE DUE 11' 1, in ?01F;
FIR 0
591 203
EIVIERGENCY-1: HOME PHONE: CURRENT
KE Y ACCESS-2: YES NO
Insurance Group Services HOME PHONE: 4257756446 CITY
EMAIL: A (:Q 4) 1 y BUSINESS El
LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: AAAAVPIAI Lrmj Ili I It,
rIRE SYSTEMS: F E (P
[DM&P§§P9&WatDCATIONS COMMUNICATIOi7S
2
2
3
3
4
4
5
6
5
6
7
7
I AGREE TO CORRECT.THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
11st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE: _
DATE:
3
VIOLATIONS
5
VIOLAT,67NS"
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
ECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8 -
14
'8
DATE:
DISPOSITION:
7
LETTER NEEDED 11 YES 0 NO
LETTER NEEDED [:] YES NO
SNOHOMISH C6.
FIRE
STY
Serving Brier, Edmonds
Moun"dake Terrace, and
the Town of Woodway
www. FireDistrict]. org
LOCATION: 6130 Main Street
BUSINESS NAME: Insurance Services Group, Inc.
MAILING 600 Main St
ADDRESS: Edmonds
BUSINESS OWNER: Insurance Group Services
EMERGENCY-1: Campbell, Scott
KEY ACCESS-2: Campbell, Trevor
PERSON CONTACTED
NAME OF INSPECTOR
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
A
PHONE: 4257756446
98020
HOMEPHONE: 4257756446
HOMEPHONE: 4,25775418-1
HOMEPHONE: 2064128287
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
I` FREQUENCY I STATION & SHIFT�
730 17 A
SCHEDULED
DATE DUE 0 06/01/13
LIFIR 0 591 6203
ACTIVE
CURRENT
CITY YES NO
BUSINESS j
LICENSE 0
INITIAL INSPECTION DATE
FE If_a
ANNUAL
HAZARDS FOUND AND LOCAT11%COMMLOATIO'N�
1
, UAL
I'M
1 � S
1
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
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D E:
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
j4
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED C] YES [I No
LETTERNEEDED [] YES F-1 NO
8
FIRE DEPARTMENT COPY
C
FIRE PREVENTION
Serving Brier, Edmonds,-'
SNOHOMISH-CO.
12425 Meridian Ave S
INSPECTION REPORT
Mountlake Terraceand
FIRn
Everett, WA 98208
0 EDMONDS
0 BRIER
the Town of Woodway
DISTR T'
Phone (425) 551-1200
0 WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
e- FREQUENCY
STATION 1, SHIFT�
LOCATION: 600 Main Stre
-
730
17 D
I
BUSINESS NAME: Insurance Services Group, Inc.
PHONE: 4257756446
SCHEDULED
DATE DUE 06/01/12
MAILING 600 Main St
FIR � 591 6203
�U
ADDRESS: Edmonds
98020
10
BUSINESS OWNER,.� Insurance Group Services
HOMEPHONE: 4257756446
ACTIVE
EMERGENCY-1: Campbell. Scoft
HOMEPHONE: 4257754181
'CURRENT
KEY ACCESS-2: Campbell, Trev'ar
HOMEPHONE: 2064128287
CITY . YES NO
BUSINESS El El
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
FE
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
IV Z) W�wz'v)�
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.
1
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
8
4
8
DATE:
DISPOSITION:
LETTER NEEDED C] YES [I NO
LETTER NEEDED [] YES C3 NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier, Edmonds 12425 Meridian Ave S INSPECTION REPORT
SNO,HOMIS,H CO. []EDMONDS
Mountlake Terraceand Everett, WA 98208 0 BRIER
FIRE 4 E]WOODWAY
DISTR� 931-KI, the Town of Woodway
t �� i Phone (425) 551-1200 [1 MOUNTLAKE TERRACE
' www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY STATION & SHIFF"
LOCAflb�N�: 600 Main �jtLe,@t.� 6 731 17 D
BUSINESS NAME: Vacant k) Cl-VO III PHONE: 4257759070 SCHEDULED
DATE DUE 1' 06/01/12
MAILING 600 Main St #6 LIFIR 10 593 6203
ADDRESS:
Edmonds 98020
BUSINESS OWNER: HOMEPHONE: 4263790933 ACTIVE
EMERGENCY-1: Stole, Bert HOMEPHONE: 4257765598 CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE FE I
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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
DA E 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
L4
8
DATE:
DISPOSITION:
7
\. LETTER NEEDED 0 YES El NO
LETTER NEEDED [I YES NO
8
FIRE DEPARTMENT COPY
oft *'
S IOMISH Co. Serving Briei; Edt,nond�.
Mountlake Terrace, and
DISIt th Town of Woodway
I R www.FireDistrictl.org
LOCATION: 600 Main Street
BUSINESS NAME: Vacant _W�Jmvk <;'Jokcls
MAILING 600 Main St #C
Ar)r%Qr:Q.zw
1.1425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
C
PHONE: 4257785.400
Edmonds 98020 " .
BUSINESS OWNER: Shaprio, Tony HOMEPHONE: 4256721882
EMERGENCY-1: McCarty, Kathy HOMEPHONE: 4253373531
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIFT_*'
730 17 D_
SCHEDULED
DATE DUE 11' 06/01/12
LIFIR � 594 6203
F-TOKIFI;
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
FE I
ANNUAL
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
11st 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:
0 E:
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,
18
DATE:
DISPOSITION:
7
LETTER NEEDED [-] YES El N 0
LETTER NEEDED [-] YES NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5T11 AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
LOCATION: 600 Main Street A
BUSINESS NAME: Insurance Services Group, Inc.
MAILING 600 Main St
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257756446
ADDRESS: i
Edmonds 98020
BUSINESS OWNER: Insurance Group Services HOMEPHONE: 4257756446
EMERGENCY-1: Campbell, Scoff HOMEPHONE: 4257754181
"p
KFY ACCFSS-2- rnmnhpll TrPtinr HOMEPHONE: 2064128287
FREQUENCY
STATION & SHIFT
1
17 6
SCHEDULED
DATE DUE 1�
06/01/10
LIFIR lo 591
6203
ACTIVE
FIRE FE,* % 1 1-0
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 11�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
..8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
E DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERsbN
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
5
VIOLATIONS
1 5
PRE-CITAMON
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
8
DATE:
DISPOSITION:
8
� LETTER NEEDED [] YES NO
LETTER NEEDED C] YES NO
FIRE DEPARTMENT COPY