651 EDMONDS WAY STE B7
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FIRE PREVENTION
SC�V Brier, Edmonds, and
ing
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.'
_AJEDMONDS
Mountlake Terrace
FIRE
Everett, WA 98208
0 BRIE14
DISTR T
Phone (425) 551-1200
[3 MOUNTLAKE TERRACE
[3UNINCORPOR�Tff
w'w'w.FireDistrict1.org
Fax (425) 551-1272
FREQUENCY
STATION & SHIFF`�
LOCATION:
651 Edmonds Way Suite B 98620
BUSINESSNAME:
PHONE:
SCHEDULED
DATE DUE 0
Sound Family Clinic
4257441360.
may gn 16
MAILING
LIFIR II,
ADDRESS:
593
651 Edmonds Way #104, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
Lawson, Alaro
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE: 2064401624
CITY YES NO
BUSINESS
EMAIL: s",
—Un
LICENSE
PERSO N CONTACTED:
INITIAL INSPECTION DATE, .
41
NAME OFINSPECTOR:
FIRE SYSTEMS: FE 6/14
UaMkWdliflIYAQVIC)CATIONS COMMUNICATIONS
2
2
3
3
4
5
6
6
7
7
I -AGREE TO CO RRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INS PECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE-INSPECfiON
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
8
VIOLATIONS
3
6
VIOLATIONS:-
6
0 YE_StjN0
PRE -CITATION
LETTER SENT
(5T-AT56N ISSUED
NUMBER:
CODE
SECTION:
DATE:
RETURN RECEIPT
RECEIVED
DATE:
DISPOSITION:
LETTER NEEDED E] YES [I No
LETTERNEEDED
Serlii.ng Briei; Edmonds, and
SNOHOMISH CO
Mountlake Terrace
FIR
STRT -W, . wwFireDistrictl.oig
LOCATION:;,t6i Edmonds `v�
�y Suite B 98020
BUSINESS NAME: Sound Fami1v Clinic
MAILING
ADDRESS: 651 Edmonds VVay#1.04, Edmonds, WA 98020
124125 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257441360
FIRE PREVENTION
INSPECTION REPORT
> EDMONDS
91B" R I E R
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
,' FREQUENCY I STATION &SHIFT
2 Ye� 17-B
SCHEDULEP
DATE DUE �4 av 2014
LIFIR P3
BUSINESS OWNER: Lawson, "Jaro
HOME PHONE:
EMERGENCY-1:
HOME PHONE: 2064401624
CURRENT
KEY ACCESS-2-
HOME PHONE:
CITY
YES NO
EMAIL: -x-
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BUSINESS
LICENSE
PERSON CONTACTED: -Alao
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
0') lz
FIR E SYSTEMS: Fr-
44
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�AZARDS FOUND AND LOCATIONS COMMUNICATIONS
)k
2
2
3
3
4
4
5
5
6
6
7
IJAGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS XL4
lit RE -INSPECTION
�,E DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
9ONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
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INSPECTOR:
INSPECTOR:
2
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D�TE; / y
DATE:
DATE:
3
VIOLATIONS
it n/r 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:
7
LETTER NEEDED [] YES 0 N01
LETTER NEEDED F] YES NO
FIRE DEPARTMENT COPY
CIL-
CITY ODMONDS.
121 5TH AVENUE N. EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
FIRE PREVENTION
SAFETY SURVEY
LOCATION: 651 Edmonds Way B
BUSINESS NAME: Sound Family Clinic PHONE: 4257441360
MAILING 651 Edmonds Wy 4=4
ADDRESS: Edmonds 98020
BUSINESS OWNER: Lawson, Alaro HOMEPHONE: 4257531625
EMERGENCY-1: HOME PHONE: 20W01624
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION& SHIFT
731
20 6
SCHEDULED
�
05/01/10
DATE DUE
UFIR i� 593
5103
ACTIVE
11 INITIA INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
Ft 911-),
SYSTEMS:
ANO,E7
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
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:
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
13
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
8
DATE:
DISPOSITION:
8
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY