630 MAIN STS7-
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www. FireDistrict]. org Fax (425) 551-1272
FIRE PREVENTION
!YSOECTION REPORT
.oOO EDMONDS
0 BRIER
D MOUNTLAKE TERRACE
[]UNINCORPORATED -
r FREQUENCY
STATION & SHIFT
LOCATION:
Main Street 98020
47 17%
BUSINESS NAME:
PHONE:
SCHED ED
Mcdonald & Mcgarry Insurance
4257743200
DATE DUE 0
11 in
gni I;
MAILING
UFIR 0
ADDRESS:
591 203
630 Main Street, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
Mcdon aid, John
EMERGENCY-1:
.
HOME PHONE: '20&
COARENT
KEY ACCESS-2:
Mcdonald, Sandy
HOME PHONE: 42&77-44172
CITY
YES NO
EMAIL:
0.0.1
BUSINESS
LICENSE.
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS:
FE 10/12 1 At 15 Y -L-
[9&jbT&§t)@&*i)atDCATIONS / COMMUNICATIONS
t? \J-
----
2
2
3
3
4
4
5
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I AGREE TO.CORRECT THE ABOVE VIOLATIbN(S) IN THE NEXT 30 DAYS X
.
lst RE -INSPECTION
2nd RE -INSPECTION
I
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO;
DATE DUE:
CITED:
PERSON
PERSON
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CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
15
5_
LETTER SENT
NUMBER:-
4
2
6
2
6
DATE:
CODE
SECTION:
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RETURN RECEIPT
3
7
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RECEIVED
I OSITION:
6
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4
8
4
'8
DATE:
7
ED [] YES 0 No
rL ETTERNEEDED [] YES [j NO
SNOHOMISH CO.
FIRE
STE
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT,
I
Mountlake Terraceand
Everett, WA 98208
OEDMONDS
0 BRIER
the Town of Woodway
Phone (425) 551-1200
OWOODWAY
MOUNTLAKE TERRACE
T www.FireDistrictl.org
Fax (425) 551-1272
0
0 UNINCORPORATED
LOCATION:
630 Main Street
BUSINESS NAME:
Mcdonald & Megarry Insurance
MAILING
636 Main St
ADDRESS:
Edmonds
BUSINESS OWNER:
"Mcdonald, John"
EMERGENCY-1:
"Mcdonald, San(V
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
PHONE: 4257743200
98020
HOMEPHONE: 0257744172
HOMEPHONE:- 4257744172
HOME PHONE:
le FREQUENCY STATION & SHIFT-)
731 17 A
SCHEDULED
DATE DUE � 06101/13
LIFIR 0 591 6203
ACTIVE
CURRENT
CITY YES NO.
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INITIAL INSPECTION DATE
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(fMPUNICATIO S,
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2
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3
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4
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5
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
DATE DUE:
I
2nd RE -INSPECTION
DATE DUE:
E)CrENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
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PERSON
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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
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
\1
LETTER NEEDED [] YES NO
I f
-
FIRE DEPARTMENT COPY
Serving Briet; Ednion& 12425 Meridian Ave S
Mountlake Terrace, and Everett, WA 98208
the Town 6f Woodway Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 630 Main Street
BUSINESS NAME: Mcdonald & Mcgarry Insurance
MAILING 630 Main St
ADDRESS:- Edmonds
;y BUSINESS OWNER: "Mcdonald, John"
EMERGENCY-1: "Mcdonald, Sandy"
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
PHONE: .,,4257743200
98D20
HOMEPHONE: 4257744172
HOMEPHONE: 4257744172
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
El BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION & SHIFF*'�
17 D
SCHEDULED
DATE DUE 1' 06,101/12
UFIR 0 591 6203
ACTIVE
CURRENT
CITY YES NO
BUSUNESS
El 1:1
LICENSE
INITIAL INSPECTION DATE
FE f
ANNUAL
HAZARDS FOUND AND LOCATIONS /COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
—7
I'l AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
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
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
13
7
RECEIVED
6
DISPOSITION:
7
14
8
8
DATE:
LETTER NEEDED F] YES No
LETTERNEEDED F] YES NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 51H AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
4�' t 8
LOCATION: 630 Main Street
FIRE PREVENTION
SAFETY SURVEY
BUSINESS NAME:
Mcdonald & Mcgarry Insurance
PHONE:
4257743200
MAILING
630 Main St
ADDRESS:
Edmonds
98020
13USINESS OWNER:
uMcdonald, John"
HOMEPHONE:
4257744172
EMERGENCY-1:
"Mcdonald, Sandye
HOMEPHONE:
4257744172
KEY ACCESS-2:
HOME PHONE:
FREQUENCY
STATION 1, SHIFT
I
17 6
SCHEDULED
DATE DUE 0'
06/01/10
UFIR 1� 591
6203
ACTIVE
lo INITIAL INSPECTION DATE
PERSON CONTACTED: UJAJ C5� , -7-
NAME OF INSPECTOR: IV7 1 -7— H
FIRE FE W10'4
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 0-
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
ist 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:
DATE�
DATE: __3
VIOLATIONS
vIoLATibNS
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
7
4
18
4
DATE.
DISPOSITION:
8
�l LETTER NEEDED 0 YES F) NO
LETTER E§ �0 NO
'*-,`�",O�:`FIRE DEPARTMENT MPY