700 MAIN ST STE 210VIRE PREVENTION
SN . 0 . HOMIS . H CO. ServingBrier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
0 EDMONDS
Mountlake Terrace Everett, WA 98208 DBRIER
FIRE i`-;`��
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
0 UNINCORPORATED
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EQUENICY STyf)p& SHIFT
LOCATION: 700 Main Street Suite 210-211 98020 Tnn . Ua
BUSINESS NAME: Sculptor's Workshop (&211) 4257748282 SCHEDULED Dec 2016
PHONE: DATE DUE 4
233 ZU3
MAILING 700 Main Street, Suite 210, Edmonds, WA 98020 LIFIR 0
ADDRESS: J
BUSINESS OWNER: Carpenter, Tina HOMEPHON . E:
Bates, Stephanie 4255839925
EMERGENCY-1: HOME PHONE: URRENT
KEY ACCESS-2: HOME PHONE: ITY YES NO
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EMAIL: LICENSE ff El
PERSON CONTACTED: F E. INITIAL INSPECTION DATE
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NAME OF INSPECTOR:
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Date Last Serviced:
SNOHOMISH Co.
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12425 Meridian Av e S
Everett, WA 98208
Phone (425) 551-1206
Fax (425) 551-1272
LOCATION: 700 Main Street Suite 210 98020
.BUSINESS NAME: Sculptors Workshop (&211) PHONE: 4257748282
MAILING !�a 0
ADDRESS: 700 Main Street, Suite 210, Edmonds, WA 98020
BUSINESS OWNER Carpenter, Tina HOME PHONE:
Flftt. PR�ViNT'ION
INSPECTION, REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
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Annual 17-P
SCHEDULED
DATE DUE 0 Dec 2015
UFIR 0 233,1203
EMERGENCY-1 : Bates, Stephanie HOME PHONE: 4255839925 CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS r--j
EMAIL: LICENSE .1 1 1:1
PERSON CONTACTED: AAA4_e� INITIAL INSP ECTION DATE
NAME OF.INSPECTOR:
FIRE SYSTEMS: FE
Date Last Seryodede
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS
RALE_PUE: __ PA�E. DUE: GRANTEDTO: DATE DUE: CITED:
PERSON PERSON PERSON
CONTACTED: CONTACTED: CONTACTED:
INSPECTOR: INSPECTOR: INSPECTOR: 2
DATE: DATE: 3
DATE:
VIOLATIONS VIOLATIONS", diTAT(6N'F!kSLFEb_____
15 1 15 _L". PRE -CITATION 4
5
CODE 5
16 2 16 DATE: SECTION:
RETURN
3 7 RECEIVED 6
DISPOSITION-
8 1
7
LETTER NEEDED [] YES NO LETTERNEEDED YES NO 8
SNOHOMISH CO.
FIRE PR EVENTION
INSPECTION REPORT
0 EDMONDS
OBRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIFT-"'
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LOCATION: 700 Main Street Suite 210 98020 Annual! I 7-A
BUSINESS NAME: Sculptor's 'IfYork.shop (&211) PHONE: 4257748282 SCHEDULED Dec 2013
DATE DUE
MAILING LIFIR 233
ADDRESS: 700 Main Street, Suite 210, Edmonds, WA 98020
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BUSINESS OWNER: Morgan, Rose HOME PHONE:
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EMERGENCY HOME PHONE: 4a5WeY 7 3
KEY ACCESS-2: HOME PHONE: CITY YES NO
EMAIL: BUSINESS El 0
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FIRE SYSTEMS:
"�Serving Brier Edmonds, and
�'-_,,Wunflake Terrace
TwwwFii-eDisti-ictLoig
12425 Meridian Ave S
Everett, WA 9820ffl
14
Phone (425) 5�1!1200
Fax (425) 551-1272
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
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
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED: -
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
5
1 15
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVtD
6
DISPOSITION:
4
8
4
8
DATE:
LETTER NEEDED YES NO
LETTER NEEDED C] YES F1 NO
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier, Edmonds,
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
4ftDMONDS
Mountlake Terrace,and
FIRE
Everett, WA 98208
0 BRIER
the Town of Woodway
DIST R*117w6iT
Phone (425) 551-1200
0 WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
LOCATION: 700 Main Street
210
r FREQUENCY
365
STATION & SHIF'*�
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BUSINESS NAME: Sculptor's Workshop (&211)
4- PHONE: 4257748282
SCHEDULED
DATE DUE 11,
MAILING 700 Main St
UFIR 11. 233 1;203
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ADDRESS: Edmonds 98020
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BUSINESS OWNER: 0 IL
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ANN AL
HAZARDS FOUND AND LOCATIONS COMMUNICATINS
2
2
3
3
4
4
5
5
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6
7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
1
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:
D TE:
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
LE17ER NEEDED F] YES NO
LE77ER NEEDED YES NO
FIRE DEPARTMENT COPY
SNOHOMISH CO.
Serving Bi Edmond&
-ier
;FIRE
Mountlake Terrace, and
the Town of Woodway
DISTRW7
www.FireDistrictl.org
LOCATION:
700 Main Street
BUSINESS NAME:
Sculptoes Workshop (&211)
MAILING
700 Main St
ADDRESS:
Edmonds
BUSINESS OWNER:
Morgan & Murphy
EMERGENCY-1:
Gallagher, Faye
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR: F'z'Q__0
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
210
PHONE: 4257748282
98020
HOME PHONE: 4257450773
HOME PHONE: 2067890398
HOME PHONE: -
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
MOUNTLAKE TER9,ACE
UNINCORPORATE6',__,','_
I'— FREQUEN CY I STATION & SHIF`�
365 17 C
SCHEDULED
DATEDUE
UFIR 1, 233 1;203
11 __1
ACTIVE
e'CURRENT
CITY YES NO
BUSINESS
LICENSE 1:1 El
INITIAL INSPECTION DATE
I C / 16 / a
FE 11 1 tl
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
12
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:
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
3
7
RETURN RECEIPT
RECEIVED
6
14
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED C] YES NO
12LETTER NEEDED F] YES [I NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
S 121 �)
LOCATION: 700 Main Street
BUSINESS NAME: Sculptoes Workshop (&211)
MAILING 700 Main St
FIRE PREVENT10N
SAFETY SURVEY
9H
PHONE: 4257748282
ADDRESS: Edmonds 98020
BUSINESS OWNER: Morgan & Murphy HOME PHONE:' 4257450773
EMERGENCY-1: Gallagher, Faye HOME PHONE: 2067890398
KEY ACCESS-2: HOME PHONE:
FRE(WENCY
STAT11ON & 8HIFT
3 5
7
SCHEDULED
12,101/10
DATE DUE
LIFIR o.,233
1203
ACTIVE
el INITIAL INSPECTION DATE
PERSON CONTACTED: /Vtz, j
NAME OF INSPECTOR:
FIRE FE I
1, SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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ENTER CODE ONLY ONCE 1�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
.1st 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
VIOLAnONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
4
18
4
18
DATE:
DISPOSITION:
7
8
LETTER NEEDED [—] YES E] NO
LETTER NEEDED 0 YES NO
FIRE DEPARTMENT COPY
M
CITY OF EDMONDS
FIRE PREVENTION
FILE MEMO/HAZARD FORM
DATE 1 -3 /,F 5- REPORTED BY,4Cll-J_6 CAM-. LJC14�r
OF
SUBJECT
ADDRESS: 190 A44-JA) 97- 42-10
CONCERNS/
HAZARDS:
7_0
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SIGNED
FOLLOW-UP: v
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2- 17- 3 /8 -7 -
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SIGNED