7009 212TH ST SW STE 202111111111 -7001
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
LOCATION: 7009 212 th Street SW Suite 202 98026
BUSINESS NAN<
MAILING
ADDRESS: 7009 212th Street SW 202, Edmonds, WA 98026
z a4h CT- XLJ
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257746627
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY 7STATlq� & SHIFT
2017 16-C
SCHEDULED Jul 2017
DATE DUE
UFIR � 591
Freese, Ralph
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1: Freese, Ralph
4257746771
HOME PHONE: "CURRENT
KEY ACCESS-2:
HOME PHONE: 16
CITY
YES NO
EMAIL:
BUSINESS
M
El
LICENSE
I
r_ZZON CONTACTED: \1
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
4
r 'I
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
3
FA
In our continuing 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 standards adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-'
Mountlake Terrace or Brier, call (425) 744-6231.
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FiMpkeridian v S
FIRE PREVENTION
INSPECTION REPORT
SNOHOMISH CO.
F I R E
Mountlake. Terrace
Everett, WA 98208
OEDMONDS
0 BRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
DISTR
IT
0 UNINCORPORATED
www.FireDistrict].org
Fax (425) 551-1272
FREQUENCY
STATION & SHIFT
LOCATION:
7U)Q 212 th Sreet SIA/ Suite 20.' 2 98M6
Annual
16-D
BUSINESS NAME:
Vacanl
PHONE: 426774CE27
SCHEDULED
DATE DUE 0 Jul 2014
MAILING
LIFIR � 4K,
ADDRESS:
700 212 lh IS Lrcd SW 202, EdITmndE, WA 0802f)
BUSINESS OWNER:
Frmt-&.-, RaInh HOME PHONE:
EMERGENCY-1:
Frcmc, Ralph HOME PHONE: 42E774E771
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
EMAIL:
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
Aj 07-02--
7-)0- Z01
FIRE 3'v'S I EMS:
I- L
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 300AYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
E DUE:
1
EXTENSION
GRANTEDTO:'
FiNAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSVNi
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
8
4
8
DATE:
DISPOSITION:
11 LETTER NEEDED C] YES C1 NO
LETTER NEEDED [] YES NO
1
8
FIRE DEPARTMENT COPY