110 JAMES ST (3)Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
LOCATION:, 10 James Street 98020
BUSINESS NAME: 10 James St. Condos
MAILING
ADDREss:110 James Street, Edmonds, WA 98020
BUSINESS OWNER:
EMERGENCY-1,
KEY ACCESSPeeks, Mike/ Suite 110
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FA 6/17 FE ;9�8
D
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE:
HOME PHONE:
HOME PHONE: 425775$19$
HOME PHONE:
17
FIRE PREVENTION
INSPECTION REPORT
DMONDS
BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY
STATION & SHIFT
Annual
17-C
SCHEDULED
DATE DUE ►
Dec 2018
UFIR ► 541
CURRENT CITY Yes No
BUSINESS
LICENSE
INITIAL INSPECTION DATE
ftZ bti N
LOCATI S / CO MU (CATIONS
2
2
3
3
4
4
nn
T
5 _ r
5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
Tat 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
6
Af-
4
8
4
8
DATE:
DISPosmON:
T
LETTER NEEDED ❑ YES ❑ No
LETTER NEEDED 0 YES ❑ NO
•