630_602 7TH AVE N6POZ' 4;k)
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SN0110NIIS11 Co. Se�ving Birier, r_ufuunuJ,:an_1 12425 Meridian Ave S
Mwintlake Terrace Everett, WA 98208
FIRE Phone (425) 551-1200
D I S-, r. rL R T www.FireDistrict, - org Fax (425) 551-1272
LOCATION: 630 7 th Avenue N 98020
Holy Rosary Church
BUSINESS NAME:
MAILING 630 7th Avenue N, Edmonds, WA 98020
ADDRESS:
BUSINESS OWNER: Nevia—Ellun
EMERGENCY-1: Holy Rosary Parish
KEY ACCESS-2:
EMAIL:
'PERSON CONTACT ED:
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NAME OF INSPECTOR:
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Date'Last Serviced: �"v V
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4257783122
PHONE:
HOME PHONE:
HOMEPHONE: 4257783197
HOME PHONE:
F IRE PR EV ENTI ON
INSPECTION REPORT
9 EDMONDS
BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY STAfFy SHIFT
Annual I
SCHEDULED Oct 2016
DATE DUE I` ".
131 253
LIFIR
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
17
FIRE PREVENTION
'-&r'vinkArier, Edthonds, afid
12425 Meridian Ave S
INSPECTION -REPORT
SNORONIISH CO
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FIRE
Mmintlake Teprace
Everett, WA 98208
EDMONDS
A BRIER
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Phone (425) 551-1200
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
012 JLL
www.FireDistrict].org
Fax (425) 551-1272
LOCATION: 760 Aloha Strebt- 98020
FREQUENCY
Annual
SHIFT
I STTf
Holy Rosary Office & Bldg
4257783122
SCHEDULED Oct. 2016
BUSINESS NAME:
PHONE:
DATE DUE 11"
MAILING
ADDRESS: 760 Aloha Stredt,Edmonds, WA 98020
5U9
UFIR
McConaghy, Gary
1,'�4 oql").
BUSINESS OWNER:
J�DME PHONE:
Holy Rosary Parish
EMERGENCY-1:
4257783122
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME'PHONE:
CITY
YES
NO
BUSINESS
M
EMAIL:
LICENSE
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PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
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Date Last Serviced:
HAZARDS FOUND. AND LOCATIONS/ COMMUNICATIONS
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
REANSPECt��
E-)(TENSION �JFIAL VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO.
DATE DUE: CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR-
INSPECTOR-
2
INSPECTOR:
DATE:
DATE:
:3
DATE:
ViOLATIONS
VIOLATIONS
CITATION ISSUED
PRE -CITATION
5
1 .5
LETTER. SENT NUMBER
CODE 5
2 6
2 6
DATE SECTION
RETURN RECEIPT
3
3 7
RECEIVED 6
DISPOSITION
7
4 8
4 8
DATE
LETTER NEEDED YES NO
LET -TER NEEDED C] YES [:1 NO
8
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FIRE�PREVENTION
Serving Brie Edni6nds, and' 12425 Meridian Ave S
3ECTION REPORT
SNOH61VIISH Co. Mountlake Terrace Everett, WA 98208 EDMONDS
FBRIER
FIREPhone (425) 551-1200 0 MOUNTLAKE TERRACE
[I UNINCORPORATED
D I S, TL R AT www.FireDistrict].org Fax (425) 551-1272
,- WnEQU CY STAff)y SH I FT'*1
770 Aloha Street 98020 nuEal
LOCATION:
Holy Rosary School 4257783197 SCHEDULED uct-2016
BUSINESS NAME: PHONE: DATE DUE �
213
MAILING 770 Aloha Street, Edmonds, WA 98020 UFIR
ADDRESS:
BUSINESS OWNER: McConaghy, Gary HOME PHONE:
Johnson, Dave 4257783197 -'s
EMERGENCY-1: HOME PHONE: URRENT
KEY ACCESS-2: HOME PHONE: I YES NO
USI
FBNESS
EMAIL: LICENSE M El-
INITIALINSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:V- e� L
Date Last Serviced: 7,116.- "'j,
SNO
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FIRE PREVENTION
INSPECTION REPORT
Serving Brier, Edmonds, and 12425 Meridian Ave S
XEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
www.Fi�IeDistrict].org F0 (425) 551-12 72 0 UNINCORPORATED
FREQUENCY STATION & SHIFT')
LOCATION:
&10 7 th A�miiue N QW20
Antimil
17-D
BUSINESS NAME:
I loly Rotiary Church
PHONE:
426-77831""
SCHEDULED 0r_1.2014
0
DATE DUE
MAILING
L
LIFIR 1, 131 2.J.3
ADDRESS:
B30 7th Avcr iuc N. F-dmondb, WA 9,03021)
BUSINESS OWNER:
Nf-�Afi, Eilten
HOME PHONE:
EMERGENCY-1:
I loly.,Hbcary PariStj
HOME PHONE:
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CURRENT.
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KEY ACCESS-2:
HOME PHONE:
CITY I iy E
EMAIL:
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LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
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5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE-
2nd RE -INSPECTION
DATE DUE-
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED -
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 15
VIOLATIONS
1 15
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:
7
LETTER NEEDED F] YES NO
LETTER NEEDED [-] YES El NO
8
FIRE DEPARTMENT COPY
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the following information -
Name of Company (DBA):
Holy Rosary Church
Edmonds Location :
630 7th Avenue N
In conformity with the
terms of the International
Fire Code,- application is
hereby made to store, use
Places of Assembly - Occupant Load: Church 1200
or maintain the following
Multi -purpose 507 / Gymnasium 580
activity, storage or pro-
CdU46417' 'S/ 6 A.)�GCI .V�d 44X_S
cesses:
c/o Holy Rosary Parish
Mailing Address:
P.O. Box 206
Edmonds, WA 98020
EFD UFIR #:
(for office use)
1312001OC253
Your Signature
Your Name (print)
Your Title
7-1 FS oW,44f 66W
Please make corrections, attach $40 payable to the City of Edmonds and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North
Edmonds, WA 98020
FOR OFFICE USE ONLY
Rec'd
2— � 9)
Check#
5-0� 2,
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
March 7, 2011
Please verify and correct the following information:
DLcL�- U
MA PAID
R; R 1 7 j
EDMONDS RRE DEPT.�
munw—
Name of Company; DBA
Holy Rosary Church
Edmonds Location
630 7th Avenue
In conformity with the terms of
Places of Assembly - Occupant Load: Church 1200 Multi -
the International Fire Code,
purpose 507 / Gymnasium
580
application is hereby made to
store, use or maintain the
following activity, storage or
processes:
Mailing Address:
Holy Rosary Parish
P.O. Box 206
Edmonds WA 98020
EFID LIFIR #:
1312001OC253
(for office use)
Your Signature
Your Name (print)
Z)R tl J�o
*/VYSC/i
Your Title
Please make corrections, attach $40 payable to the City of Edmonds, and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North
Edmonds, WA 98020
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT
January 1, 2011 131-200-1 OC-253 December 31, 2011
Date of Issue UFIR Number Date of Expiration
This PERMIT is issued to: I Holy Rosary Church
located at: 1630 7th Avenue N Edmonds, WA
To engage in the business, occupation or pr cess of:
And shall constitute permission to maintain, store, use or handle materials or to conduct
process which produce conditions hazardous to life or property or to install equipment used in
connection with such activities as follows:
Places of Assembly - Occupant Load: Church 1200 / Multi -purpose 507 / Gymnasium
580
I Allowed Occupant Load: I
Pursuant to the provisions of the International Fire Codej any violation of the Code may be
grounds for the revocation of this PERMIT.
This permit does not take the place of any
license required by law and is not
transferable. Any change in the use or
occupancy of premises shall require a new
permit.
This Permit Must Be Posted At All Times in The Premises Identified Above
City of Edmonds Community Development Code 19.25.020
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER * EDMONDS. WASHINGTON 98020 * (206) 775-2525
FIRE DEPARTMENT
August 12, 1981
J.C. Fowler and Associates
1530 Eastlake East, Suite 202
Seattle, WA 98102
Gentlemen:
On August 5, 1981, 1 conducted an acceptance test of the
fire alarm and emergency lighting systems at the Holy Rosary
school, gym, and church. All systems performed as required
and were complete.
If you should have any further questions, please contact
me by calling 775-2525, Ext. 233, between the hours of 8 a.m.
and 5 p.m., Monday through Friday.,
Sincerely,
Gary(D. McComas
Fire Marshal
GLM: lv
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525
FIRE DEPARTMENT
August 12, 1981
Bumgardner Architects
2021 Minor Avenue East
Seattle, WA 98102
Attn: John Brennis
Gentlemen:
On August 5, 1981, 1 conducted an acceptance test of the
fire alarm and emergency lighting systems at the Holy Rosary
school, gym, and church. All systems performed as required
and were complete.
If you should have any further questions, please contact
me by calling 775-2525, Ext. 233, between the hours of 8 a.m.
and 5 p.m., Monday through Friday.
Sincerely,
Gary L(�DMcComas
Fire Marshal
GLM: lv
A
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER * EDMONDS. WASHINGTON 98020 - (206) 775-2525
FIRE DEPARTMENT
August 12, 1981
Nolet Electric
Smokey Stover
1415 134th N.E.
Bellevue, WA 98004
Gentlemen:
On August 5, 1981, 1 conducted an acceptance test of the
fire alarm and emergency lighting systems at the Holy Rosary
School, gym, and church. All systems performed as required
and were complete.
If you should have any further questions, please contact
me by calling 775-2525, Ext. 233, between the hours of 8 a.m.
and 5 p.m., Monday through Friday.
G114: lv
Sincerely,
Gary L. McComas
Fire Marshal