111 JAMES ST4
Serving Bi bnds, and 12425 Mei-idian Ave S
Mountlake Tert-ace Everett, WA 98208
Phone (425) 551-1200
wwwFireDist�.ictl.org Fax (425) 551-1272
LOCATION: I I I Main Street Bldg 98020
BUSINESS NAME: Main Street Plaza Bldn PHONE:
MAILING
ADDRESS: 1212 NWCulbertson Drive, Seattle,WA 98177
BUSINESS OWNER: Tynes, Linda HOME PHONE:
FIREPREVENTION
INSPECTION REPORT
Of EDMONDS
El BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION 1, SHIFT
Annuall 17'
"063631994 SCHEDULED
4 DATE DUE � Od 2013
LIFIR � 509
EMERGENCY-1: Tynes, Redar.PLinda HOME PHONE: 2063
3631994' CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
EMAIL: 7 BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED: �jo cofj�F;cr
NAME OF INSPECTOR:
FIRE SYSTEMS: lk� �11 3,* 11 /1 �FE 6 1 /_Z FID Lk Box
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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Zq
2
2
3
3
4
A A
Ii/V
4
5
5
I ZI ki
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS;
DATE DUE:
D E DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
INSPECTOR:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
2
DATE:
D E:
VIOLATIONS
DATE:
3
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2 6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
4
18
4
8
DATE:
7
LETTER NEEDED F) YES No
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
CS
FIRE DEPARTMENT - CITY OF EDMONDS
05-22-97
Date of Issue
P E R M I T
509-591-12B-202
Number
12-31-97
Date of Expiration
This PERMIT is issued to .................... Basin Tank & Environment
.......................................................................................................................... .........................
located at ---------------- ------------------------------ 1-3.0.-.2.n-d ... Aye.n.u.e ... S.0.u.tb .......................... Edmonds, Va. to engage in the business,
q and cuttinq oppK.�!:tio
occupationor process of ........................ w --- e --- I d- --- i-n- -- ---- - ---- - ---- ------- . ...... ...... n --------------- — .......................... ........................
and shall constitute permission to maintain, store, use or handle materials, or to conduct processes which produce conditions haz-
Remov 1
ardous to life or property, or to install equipment used in connection with such activities as follows . ...... ............. ...... Q_Q_Q .........
.g.�t-l.lo.n .... c.omublis.t.i-b.le ---- 1.ijqq-i.d ---- t-a-n.k ........................................ ------------------------------------------------------------------------ ..............
.. .... .— ......... .. .. .. .. ....
------------------------------------------------------------------------------------------------------------------------------------------- Allowed Occupant Load --------------------------------
pursuant to the provisions of the Uniform Fire Code. Any violation of the Code may be grounds for the revocatoin of this
PERMIT.
This permit does not take the place of any license
required by law and Is not transferable. Amy change
in the use or occupancy of premises shall require a
new permit.
Fire Marshal
Bureau of Fire Prevention
This Permit Must At All Times Be Posted On The Premises Mentioned Above
Ord. 2436
4�
i
It
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
U. F. I. R. #,
Date:
Mail To:
Fire Marshal
Edmonds Fire Department
250-5th Avenue North
Edmonds, WA 98020
Dear Sir,
In conformity with the terms of the Fire Code, applica-
tion is hereby made to store, use or maintain the following
specific materials or processes:
* \c' !n(-')
The materials or processes are at the following specific
locations at the address below:
j ts 'i
Name of Firm or Company
Address (Street and Number)
Signature
Title
03/.91be
W
ML CITY OF EDMONDS BARBARA FAHEY
MAYOR
250 5TH AVENUE NORTH 9 EDMONDS, WA 98020 e (206) 771-0200 FAX (206) 771-0208
POLICE DEPARTMENT 9 A STATE ACCREDITED LAW ENFORCEMENT AGENCY
9 0 9 C�
-FACSIMILE TRANSMITTAL SHEE
TO 5�j
Recipient's Fax Number
FROM
DATE TRANSMITTED, 2 NUMBER OF PAGES
If there are any problems during transmission, please call:
Police Department 771-0200, extension
Fire Department 771-0215, extension
Municipal Court 771-0210, extension
RE:
CONFIDENTIALITY NOTICE: The documents accompanying this facsimile
transmission contain information belonging to the City of Edmonds. This information
may be confidential and/or legally privileged and is intended only for the use of the
individual or entity named on this transmittal sheet. If you are not the intended recipient,
you are hereby notified that disclosure, copying, distribution, or the use of the contents of
this transmitted information is strictly prohibited. If you have received* this facsimile in
error, please notify us immediately by phone at the above listed number.
EPD310 1/96
0 0 Incorporated August 11, 1890 0
q;.f— (-;+;nc — poteinAn AnnAn