635 PARADISE LN (2)4 7.
. , 36—
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FIRE PREVENTION
12425 Meridian Ave S INSPECTION REPORT
SNOHOMISH CO Serving Brier, P-anionds, and OEDMONDS
Mountlake Terrace Everett, WA 98208 El BRIER
F1 JVJ Phone (425) 551-1200 0 MOUNTLAKE TERRACE
DII fii T www.FireDistrict].org Fax (425) 551-1272 0 UNINCORPORATED
635 Paradisel-ane 98020
LOCATION:
McCormick Medical �4257784421
BUSINESS NAME: PHONE:
MAILING 635 Paradise Lane, Edmonds, WA 98020
ADDRESS:
McCormick Jon
" FA�YRCY STAffp� SHIF"�
SCHEDULED May 20 17
DATE DUE I`
5911
UFIR 10
BUSINESS OWNER: HOME PHONE:'70,(,,-'G I
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�URRENT
KEY ACCESS-2: HOME PHONE: YES No
EMERGENCY-1: HOME PHONE:
BUSINESS
EMAIL, LICENSE El 1:1
PERSON CONTACTED: TO k INITIAL INSPECTION DATE
NAME OF INSPECTOR: 0-1
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Date Last Serviced C-7(lb �FA-
.HAZARDS FOUND AND LOCATIONS / C-05MMUNICATIO-N-9—
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U2. 2
3 3
4 4
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5
6
6
7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION 2nd RE -INSPECTION
E)(TENSION FINAL RE -INSPECTION
DATE DUE' GRANTEDTO:
DATE DUE: I I I I DATE DUE:
PERSON PERSON
. PERSON
VIOLATIONS
CITED:
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
2
INSPECTOR:
DATE,
DATE
DATE,
VIOLATIONS
VIOLATIONS
CITATION ISSUED
PRE -CITATION
1 -5
1 i5
4
LETTER SENT NUMBER
CODE 5
2
2 �6
DATE, SECTION'
3 7
3 7
RETURN RECEIPT
RECEIVED 6
DISPOSITION
8
4 8
DATE
LETTER NEEDED [:] YES NO
LETTER NEEDED E] YES [I NO
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace,; Everett, WA 98208
Phone (425) 551-1206
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:
635 Paradise Lane 98020
BUSINESS NAME: PHONE:
McCormick Medical 4257784421
MAILING
ADDRESS:
635 ParadiseLane, Edmonds, WA 98020
FIRE PREVENTION
INSPECTION REPORT
A EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY S TAT 1 -0 W &_ -S H-1 FT
Aigigbial
SCHEDULED
DATE DUE 0
LIFIR 0
591 103
BUSINESS OWNER: HOME PHONEAZ51711 H4ZI
EMERGENCY-1:\,.ij%1 t-A-M-6 Qelt HOMEPHONE: L-425'71L'
KEY ACCESS-2: McCormick, Jon HOME PHONE: _42_5Z7S4A21 YES NO
EMAIL: :&-3&MCC '2c(. 617- 6ok
PERSON CONTACTED: INITIAL INSPECTION D ATE'�
.,NAME OF INSPECTqR�_� I)AQ %k b 2,
FIRE SY5tEMS: (� EA1211 [�iE?6_/13 FD Lk Box
IONS/ CO MUNICATIONS
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3
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4
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7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS
1st RE-INSPECTI
DATE DUE-
I .. __L_
2nd RE -INSPECTION
DATE DUE:
I
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GRAMA
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
P�R'
CONT
PERSON
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INSPECTOR:
OAT
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
3
IOLAT
1
VIOLATIONS:,
1 5
PRE-C TATION
LETTEIR SENT
CITATION ISSUED
NUMBER:
4
2
2
6
DATE:
CODE
SECTION:
5
7
3
.7
RETURN RECEIPT
RECEIVED
6
AO
4
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
:E�:
LETTER NEEDED [] YES No
8
Fire Alarm Inspection & Testing Report
Date: J fO i I e
Inspection Job,#:
Inspection Type:
start rwoe.
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Motored? Z Y" 0 No
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tqc. InsPection Job#:
Fire Alarm Inspection & Testing Report
O"coTesting DOW
Device Typo Codw, L' Signal TVPW. aAliam 0 'SW'U-y Pathway (a Hld'*W 0 Ww4im/FMd 0 Wiralasm/Portaf**
Device Area:
Location:
Environment indoor 0 Outdoot Zone/Ploint Device count on zone:
of total devices on zone:
Item/Model Manufacturer
Action Taken (ch** A that am*y GreatOA6W 00son OUnjai#yny chack OV*"Q"Cpo"#1 Cy4ot Tftud Measonp
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Inspectionjob#-
Fire Alarm InsPection & Testing Report
SNOHOMISH CO.
FIRE
DIST 0
Serving Briet: Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
LOCATION:
635 Paradise Lane 98020
BUSINESS NAME:
McCormick Medical
MAILING
ADDRESS:
635 Paradise Lane, Edmonds, WA 98020
BUSINESS OWNER:
EMERGENCY-1:
MCCOrMiCk. JOn
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED: Jan
NAME OF INSPECTOR: d i;-n 860� I<o
FIRE SYSTEMS: FA 10/13 FE 7/13(E§)Lk eox
(��a q-1qv-,r-,0-J_3
FIRE PREVENTION
12425 Meridian Ave S
INSPECTION REPORT
Everett, WA 98208
WDMONDS
LIMRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
Fax (425) 551-1272
FREQUENCY STATION & SHIFT
Annual I 17-D
PHONE: 4257784421
SCHEDULEQ�jjay 2014
DATE DUE
UFIR
HOME PHONE:2&,6
HOME PHONE: 4257784421 CURRENT
HOME PHONE: CITY YES NO
'INESS
'BUS W 1:1
/ LICENSE
INITIAL INSPECTION DATE
<-, -7 , la
HAZARDS FOUND A�b*_�IONS / CIMICATIONS
0�?/ - r
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:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
ONTACTED:
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
4
18
DATE:
DISPOSITION:
7
\1 LETTER NEEDED [] YES El NO
LETTER NEEDED E] YES El NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
SNOHOMISH CO. Serving Brier Edinonds 12425 Meridian Ave S INSPECTION REPORT
OEDMONDS
Mountlake Terraceand Everett, WA 98208 0 BRIER
FIRE the Tow I n of Woodway Phone (425) 551-1200 OWOODWAY
0 MOUNTLAKE TERRACE
DISTR T www.FireDistrict].org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION: 1 17 C
635 Paradise Lane 77-,65
BUSINESS NAME: PHONE SCHEDULED
McCormick Medical 4257784421 DATE DUE 1' 05/01113
MAILING 635 Paradise Lane UFIR � 591 8555-103
ADDRESS:
Edmonds 93020
BUSINESS OWNER: McCormick, Jon HOME PHONE: 425778U21
EMERGENCY-1: HOME PHONE: (.00 If
" CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED: So" V4 <- Ct,
NAME OF INSPECTOR: L2
C10fq
FIRE FA 1/08 FD Lk[3x FE It
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SYSTEMS �_x7_7Y, VV__ ANNUAL
HAZARDS FOUND ANDtOCATIONS /COMMUNICATIONS
5 E"
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2
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3
3
1 4
4
5 PA
5
6
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X////fl--
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D E DUE:
I
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
IN-SPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
12
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
.8
4
18
DATE:
1
DISPOSITION:
7
LETTER NEEDED C] YES El NO
LETTER NEEDED C] YES [01 NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier, Edrhonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
12(EDMONDS
Mountlake Terraceand
FIRE
Everett, WA 98208
0 BRIER
SI the Town of Woodway
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT�
LOCATION: 635 Paradise Lane
365
1 17 6
13USINESS NAME: McCormick Medical
PHONE: 4257784421
SCHEDULED 05/01/12
DATE DUE �
MAILING 635 Paradise Lane
UFIR 1, 591 8555103
ADDRESS: Edmonds
98020
BUSINESS OWNER: McCormick, Jon
HOME PHONE: 4257784421
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
BUSINESS
LICENSE
PERSON CONTACTED: To14 ft�,,UkMICK
INITIAL INSPECTION DATE
NAME OF INSPECTOR: K- Get)Rfi& LAASOA/
9—o-10—
I
FIRE FA 1/08 FD LkI3x
FE _Laf_La_
SYSTEMS:
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
In our continuning effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standrads adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violation.
If you require additional information or to schedule a re -inspection for Edmonds or the Town of Woodway, call
(425) 775-7720; for Mountlake Terrace or Brier, call (425) 754-0434.
BUSINESS COPY
"Am- Ilk
FIRE PtR,,gVENTION
Servin� Briet;'Edtnonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMI
Mountlake Terraceand
FIR
Everett, WA 98208
0 EDMONDS
0 BRIER
e Town of Woodway
DISTR T thww.FireDistrictLorg
Phone (425) 551-1200
OWOODWAY
0 MOUNTLAKE TERRACE
Fax (425) 551 -1272
OUNINCORPORATED
FREQUENCY
STATION & SHIFF)
LOCATION: 635 Paradise Lane
365
17 A
I
BUSINESS NAME:
McCormick Medical
PHONE: 4257784421
SCHEDULED
DATE DUE 1' 05,101/11
MAILING 635 Paradise Lane
LIFIR " 591 8555103
ADDRESS: Edmonds
98020
BUSINESS OWNER: McComick, Jon
HOME PHONE: 4257784421
EMERGENCY-1:
HOME PHONE:
"CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
2 El
LICENSE
ell-
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE FA 1108 FD LkI3x 0
FE7 I_Zj
SYST1=-MS: 7-to
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
V ON S
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:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
IC
VIOLAT ONS
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
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED F] YES NO'k
I LETTER NEEDED E] =YES=0 NO
8
FIRE DEPARTMENT COPY