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111 MAIN ST STE 111 - FIRE INSP�w -FIRE PREVENTION INSPECTION REPORT 9 mer Eld�,uftu.,, ,.d 12425 Meridian Ave S SNOHONTISli CO. 0 EDMONDS Mozintlake Terrace Everett, WA 98208 0 BRIER m Phone (425) 551-1200 0 MOUNTLAKE TERRACE DISTRT [1 UNINCORPORATED www.FireDistrict].org Fax (425) 551-1272 111 Main Street Suite 111 98020 LOCATION: Z-1 Vacant BUSINESS NAME: L�S69 uf� t4ow Lon"'-s MAILING ADDRESS: 5 A. BUSINESS OWNER: L EMERGENCY-1: KEY ACCESS-2: EMAIL: w ku rr t�,g brAqea _j I PERSON CONTACTED: NAME OF INSPECTOR: Date Last Serviced: El PHONE: 4�5 _�� I HOME PHONE: NCY I STTfy SHIFT SCHEDULED zu IV DATE DUE � U 2U2 LIFIR � HOME PHONE: 44�� cl�j �).4f CURRENT YES NO HOME PHONE: CITY BUSINESS El LICENSE - INITIAL INSPECTION DATE )VIC, SNOHOMISH CO. Serving Brier, Edmonds, and FIREMountlake Terrace DISTR1Q*%0w1T www.FireDistrictl.org LOCATION: 111 Main Street Suite 111 98020 BUSINESS NAME: Dodd Technology & Eng. LLC MAILING 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 PHONE: 4 ADDRESS: 111 Main Street, Suite I 11, Edmonds, WA 98020 BUSINESS OWNER: HOME PHONE: FIRE PREVENTION INSPECTION REPORT KEDMONDS LJ BRIER 0 MOUNTLAKE TERRACE [I UNINCORPORATED FREQUENCY STATION & SHIFF") 2 Yearl 13 17-B SCHEDULED DATE DUE 0 Oct 2013 LIFIR � 591 EMERGENCY-1: Dodd,erian HOME PHONE: 2069639199 CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS EMAIL: LICENSE E] 1:1 INITIAL INSPECTION DATE RSON CONTACTED: ME OF INSPECTOR: 11S PNE SYSTEMS: FE —1 HAZARDS FOUND AND LOCATIONS COMMUNICATIONS 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 I st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION DATE DUE: EXTENSION GRANTEDTO: 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 4 8 4 8 DATE: DISPOSITION: 7 LETTER NEEDED [] YES NO LETTER NEEDED [—] YES NO 8 FIRE DEPARTMENT COPY FIRE PREVENTION Sei-ving Bilet-, Edinonds 12425 Met-idian Ave.S. . INSOECTION.AEPORT SNOHOMISH CO. 0 Mo un' Hake Per' r*a"' c'e, and FIRE L'WIT Evereti, WA 98M 0 EDMONDS 0 BRIER DISTI e To*n of Woodway Phone (425) 551-1200 E]WOODWAY [1 MOUNTLAKE TERRACE ' w"wwFireDistrict].org Fax (425) 551-1272 - 0 UNINCORPORATED FREQUENCY STATION &SHIFT" LOCATION: 111 Main St 731 17 D I BUSINESS NAME: Dodd Technology & Eng. LLC PHONE. 42567399[)[) SCHEDULED .1()/01111 DATE DUE 0 MAILING Ill Main St#111 UFIR � 591 -i(202 ADDRESS: Edmonds 98020 BUSINESS OWNER: Dodd, Brian HOME PHONE: 2069639199 EMERGENCY-1 : Dodd, Jeremy 2066184733 HOME PHONE: CURRENT KEY ACCESS-2:_ HOME PHONE: CITY YES NO BUSINESS 1:1 LICENSE PERSON CONTACTED: INITIAL INSPECTION DATE '), NAME OF INSPECTOR: � 19 - I -FIRE C> 2 FE &/11 SYSTEMS: A NNUAL E HAZARDS FOUND AND LOCATIONS COMMUNICATIONS 2 4 vi 2 3 3 4 4 5 5 -6 6 7 7 I AGREE TO CORRECT THE ABOVE VI OLATION(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 C 7TATION 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: 7 LETTER NEEDED [] YES No LETTER NEEDED C] YES NO 8 FIRE DEPARTMENT COPY