100 2ND AVE S STE 270SNOHOMISH CO.
Z7v FIRE PREVENTION
Serving Brier Et 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace❑BRIER
the Everett, WA 98208 ❑S
RIER
the Town of Woodway Phone (425) 551-1200 ❑ WOODWAY
❑ MOUNTLAKE TERRACE
Yt'tit'tit?FireDistrictLorg Fax (425) 551-1272 ❑UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION:
100 2nd Ave S
270
731 17 R
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BUSINESS NAME:
--S uires Maddux ►& Co. RLLC
PHONE:
4257120515
SCHEDULED 11101112
DATE DUE
MAILING
UFIR / 591 1202
ADDRESS:
BUSINESS OWNER:
Squires, Gary
HOME PHONE:
2065952647
EMERGENCY-1:
Rfiaddux, John
HOME PHONE:
$65-5i
CURRENT
KEY ACCESS 2:
HOME PHONE:
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CITY YES NO
BUSINESS
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LICENSE
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PERSON CONTACTED: Q—{ y�
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INITIAL INSF CTIO N DATE
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NAME OF INSPECTOR: -
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FIRE
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ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
1
2
2
3
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4
4 .'' ..
5
5
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6
6
7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
ISt 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:
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
8
4 18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5 AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215
FIRE DEPARTMENT
I LOCATION: 100 2nd Ave S
BUSINESS NAME: Squires Maddux $s Co. PLLC
MAILING
ADDRESS:
BUSINESS OWNER: Squires, Gary
EMERGENCY-1: Maddux, John
KEY ACCESS-2:
�. PERSON CONTACTED: L `j�Ury
NAME OF..INSPECTOR:.
i FIRE
1r SYSTEMS:
I.
FIRE PREVENTION
SAFETY SURVEY
FREQUENCY STATION & SHIFT „
270 731 17 D
PHONE: 4257120515 SCHEDULED
DATE DUE ► 11/01/10
UFIR ► 591 1'•?_02
HOMEPHONE: 2065952647
HOMEPHONE: 3606535787
HOME PHONE:
INITIAL INSPECTION DATE
1; /66 v
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ANNUAL
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HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ENTER CODE ONLY ONCE ►
VIOLATION CODE
i
12
2
,
3
3
4
4
5
5
ry
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
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
8
7
4
8
4
8
DATE:
DISPOSITION:
8
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
FIRE DEPARTMENT COPY