108 5TH AVE Si I QiLO)
SNOHOMISH CO. Serving Brier, Edmonds, and 12425 Meridian Ave S
10TIM 10 Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
P DMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION:, 08 5 th Avenue S 98020 2019 17-C
BUSINESS NAME PHONE: SCHEDULED
Coldwell Banker Bain Assoc 4257711000 DATE DUE ► Feb 2019
MAILING UFIR ► 591 202
ADDREss"08 5th Avenue S, Edmonds, WA 98020
BUSINESS OWNER- HOME
Wayne HOME PHONE:
EMERGENCY-1: HOME PHONE: 141 J �, + �6 y
CURRENT YEb/E:l
No
KEY ACCESS-2: ` 1, /► p,HOME PHONE: CITY EMAIL: fr11c-eIQ N' L -- ( q O�17 BUSINESS LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: t C �, *rf qT) 5
FIRE SYSTEMS: FE 1/17
D
LOCATIONS /COMMUNICATIONS
2
2
3
3
4
4
5 - ---------- - -- . _.. _.. __.. _ .. ---- —' ---
. _. ._.
5
6
7
6
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:
I
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
8
4 8 _
LETTER NEEDED ❑ YES` ❑ NO
DATE:
DISPOSITION:
__.
7
8
LETTER NEEDED ❑—YES `❑ NO