111 MAIN ST STE 101 - FIRE INSP -.' ;,; - I - t :�� '. * ", -
.'Serving Brier Edinortux, L4rL,
ISNOHdmi�li Co.
Mountlake Terrace
FljLiojvj
www.FireDistrict].org
DISTR
111 Main Street Suite 101 98020
LOCATION:
BUSINESS NAME: Edmonds Realty.
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FIRE PREVENTION
12425 Meridian Ave S
Everett, WA 9.8208
INSPECTION REPORT
'YEDIVIONDS
OBRIER
Phone (425) 551-1200
Fax (425) 551-1272
OMOUNTLAKE TERRACE
[I UNINCORPORATED
PHONE:
MAILING 111 Main. Street, Suite 101, Edmonds, WA 98020
ADDRESS:
BUSINESS OWNER: Howard, Dennis HOME PHONE:
4259212200
FRETU�NCY STAIFV SHIFT
20 6
SCHEDULED Oct 2016
DATE DUE �
591 ZUZ
UFIR �
Noel, Lucille
2065714009
EMERGENCY-1:
HOME PHONE: URRENT
KEY ACCESS-2:
HOME PHONE: ITY
YES NO
VICQ�k�- NfT
BUSINESS
F-1
EMAIL:
LICENSE
PERSON CONTACTED:
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INITIAL INSPECTION DATE
NAME OF INSPECTOR:
2"1 —
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Date Last Serviced:
1/15
)—I�
S&ving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208.
Phone (425) 551-1200
Fax (425) 551-1272
LOCATION:
111 Main Street Suite 101 98020
BUSINESSAAME:
Edmonds Realty
PHONE: 4259212200
MAILING
ADDRESS:
111 Main Street, Suite 101, Edmonds, WA
98020
BUSINESS OWNER:
Howard, Dennis
HOME PHONE:
EMERGENCY-1
Noel, Lucille
HOME PHONE: 2065714009
KEY ACCtSS-2:
HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS:
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FIRE . PREVENT16k
INSPECTION'R&O'RT
[]EDMONDS,:.
0 B91ER
0 MOUNTLAKE TERRACE
[I UNINCORPOkAftD
e' FREQUENCY STATION & SHIFT
2015. 17�C___
SCHEDULED
DATE DUE Ii. Oct 2015
FIR o 591 202
CURRENT
CITY YES NO
BUSINESS fn E]
LICENSE
INITIAL INSPECTION DATE
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
6
6
7
7
I AGREE TO.CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -I NISPECTION
2nd RE -INS PECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATION S..
PRE -CITATION
CITATION ISSUED
..5
5
LETTER SENT
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
4
8
4
DATE:
DISPOSITION:
7
8
LETTER NEEDED YES NO
LETTERNEEDED YES' 0 NO
FIRE PREVENTION
Serving Briet: Ednionds
12425 Meridian Ave S
INSIDE ICTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
jFIRE
Everett, WA 98208
El EDMONDS
0 BRIER
Dr the Town of Woodway
ISmR' T
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistricti.org
Fax (425) 551-1272
0 UNINCORPORATED
e- FREQUENCY STATION 1, SHIF,*)
LOCATION: 111 Main Street
101
365 17 D
I
BUSINESS NAME: Festivities Fine Gifts
PHONE: 4257120342
SCHEDULED 1 o/ 1 /,11
DATE DUE 0 0
MAILING 111 Main St #101
UFIR 1, 531 11202
ADDRESS: Edmonds
98020
BUSINESS OWNER: Three Chix LLC
HOME PHONE: 4257120342
ACTIVE
EMERGENCY-1: APostolou, Demetra
HOME PHONE: 2069093482
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS El El
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
FE — I —
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
(A 1A
2
2
3
3
4
4
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
DISPOSITION:
7
LETTER NEEDED [:] YES NO
LETTER NEEDED [] YES NO
IDATE,
8
FIRE DEPARTMENT COPY