110 JAMES ST_1.pdfti•
' Jr
SServing Brier, Edmonds, and 12425 Meridian Ave S
NO HOMISH CO.
FIRE���/// Mountlake Terrace ` Everett, WA-98208,
Phone (425) 551-1200
DISTR i wwwFireDistrictl.org Fax (425) 551-1272
110 James Street 98020
U Y STATION &SHIFT
LOCATION-
'110 James St,Condos 4256408660 D c 2017
BUSINESS NAME: SCHEDULED
DATE DUIS041
MAILING' 10 James Street,. Edmonds, WA 98020 UFIR ►'
ADDRESS:
BUSINESS OWNER:
Meeks, Mike/ Suite 110
EMERGENCY-1:
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
Date Last Serviced: r AI
PHONE:
HOME PHONE:
4257758198
HOME PHONE: 17
HOME PHONE:
k
FIRE PREVENTION �
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑UNINCORPORATEDi�j
CURRENT
CITY
YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
HAZARDS FOUND AND LOCATIONS /COMMUNICATIONS
1
/
/
1
2
2
3.,
3
4
4
r'.
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:-
�
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:
�
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ' ❑ NO
8