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FIRE PREVENTION
COMISH CO. Serving Brier, Edmonds, and 12425 Meridianft S INSPECTION REPORT
Mountlake Terrace Everett, WA 98208 .[3EDMONDS
[3 BRIER
ISTRERE Phone (425) 551-1200 0 MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
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LOCATION:
B6SINESS N . AME: 625 Bell Stree I t 98020
MAILING
ADDRESS:
12721 50th Ave SE, Everett, WA 98208
BUSINESS OWNER: HOME PHONE:
Wilson, Michal
EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: Wilson, Jeannine HOME PHONE CITY YES NO
BUSINESS
EMAIL: LICENSE El El
PERSON CONTACTED: INITIAL INSPECTION D 7TE
NAME OF INSPECTOR:
Ah.,",'— III/Q- 10. fo -
FIRE . SYSTEMS: (FE'i�10
PHONE:
2063647994
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COMMUNICATIONS
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
2nd RE-INSPECTIOW--
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
PERSON
CITED:
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED -
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INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS;-�'-'
PRE -CITATION
CITATION ISSUED
1 5
1
LETTER SENT
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
4
18
4
8
DATE:
7
\,.LETTER NEEDE D [] YES 0 NO
LETTER NEEDED [] YES NO
FIRE PREVENTION
Serving Brier, Edmonds'
ffj�D_.
12425 Meridian Ave IS
INSPECTION REPORT
SNOHOMISH CO.
FIRE(
Mountlake Terraceand
Everett, WA 98208
EDMONDS
BRIER
DISTR
*�40,01 1�1 I i, e Town of Woodway
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Phone (425) 551-1200
0 WOODWAY
0 MOUNTLAKE TERRACE
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W"ww.FireDistrictLorg
fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT�
LOCATION-
625 Bell Street
365
17 D
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BUSINESS NAME:
3 Sells Triplex
PHONE: 2063647994
SCHEDULED
DATE DUE � 07/01,113
MAILING
LIFIR
422 7203
ADDRESS:
BUSINESS OWNER:
.-Evefet�-
98204 4z5 -5iIL (.-nt
HOME PHONE:
"Knaftom,_flL�'
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EMERGENCY-1:
Mail report to Qwner
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: Ck
FIRE
N
FIE Z01 0
SYSTEMS:
ANNUAL
-A HAZARDS FOUND AND LOCATIONS /.COMMUNICATIONS
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[IA=GREE TO CORRECT THE ABOVE VIOLATION(�) IN THE NEXT 3.0 DAYS X
1 S
1st RE -INSPECTION
DATE DU�-.
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON *I,'
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
VIOLATIONS
5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
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 C]
8
FIRE DEPARTMENT
COPY
FIRE PREVENTION
Seh,ing Briet: Edmonds
124?5 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
TIR
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
FREQUENCY
STATION & SHIFF"
LOCATION:
625 Bell Street
365
17 B
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13USINESS NAME:
3 Bells Triplex
PHONE: 2063647994
SCHEDULED
DATE DUE 1 07/01/11
MAILING 12600 4th Av W #4H
UFIR "' 422 7203
ADDRESS: Everett
98204
BUSINESS OWNER:
"Knudson, R. Marion Owneru
HOME PHONE: 4257456426
ACTIVE
EMERGENCY-1: M3iI report to Grwner
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED: A/W
INITIAL INSF"ECTION DATE
NAME OF INSPECTOR: OPO I
11
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SYSTEMS:
AlliNUZ
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2
2
3
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3
4
4
5
5
6
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
Ist RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
.
EXTENSION
VIOLATi bNS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE v
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
�7
RECEIVED
6
DISPOSITION:
7
4
18
4
18
DATE:
LETTERNEEDED El,'YE S;`[]� NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY.,,