111 MAIN ST STE 107_RedactedM
III I�� III ; t i mq:.ly '- a,
Serving Brier, Ekrrturiw, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 111 Main Street Suite 107 98020
BUSINESS NAME: WeiCo USA T
8779352687
PHONE:
MAILING 111 Main Street, Suite 107, Edmonds, WA 98020
ADDRESS:
BUSINESS OWNER: Bautista, Joanne HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
F2F&?ljj� NCY STAT�r SHIFT
SCHEDULED Oct 2016
DATE DUE /
UFIR /
EMERGENCY-1:Stroble, Peter HOME PHONE: 3604630045
CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS ❑ ❑
EMAIL: LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 1/13
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
5 _.
1
2
3
4
15
6 �. ___ _---
7
6
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
< FINAL RE -INSPECTION
EXTENSION VIOLATIONS
DATE DUE.
DATE DUE:
GRANTEDTO: "DATE DUE: CITED:
PERSON
PERSON
:PERSON
CONTACTED:
CONTACTED:
;CONTACTED:
2
INSPECTOR:
INSPECTOR'
INSPECTOR:
DATE:
DATE:
3
DATE:
VIOLATIONS
VIOLATIONS
PRE,CITATION i_ CITATION ISSUED
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LETTER SENT NUMBER 4
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DATE. SECTION:
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RETURN RECEIPT
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RECEIVED ' s
DISPOSITION.
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DATE ............. .. .. .... .. ..
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE PREVENTION
ServingBrier; Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
t
FIRE
Mountlake Terrace
Everett, WA 98208R
ERNDS
DISTR
-
Phone (425) 551-1200
AKE TERRACE
❑ UNINCORPORATED
❑UNINCORPORATED
wwtihFireDistr•ictl.org
Fax (425) 551-1272
j
FREQUENCY STATION & SHIFT
LOCATION:
111 Main Street Suite 107 98020
2 Year 13 17-B
BUSINESS NAME:
!I
Weloo USA,
PHONE: 8779352687 SCHEDULED Oct 2013
DATE DUE
MAILING
_
UFIR / 591
ADDRESS:
111 Main Street, Suite 107, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
Strobie, Peter
HOME PHONE: 36-0-463004,1-Ir
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
EMAIL:
BUSINESS
LICENSE
PERSON CONTACTED:
Ali
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
'a Novo 1
FIRE SYSTEMS:
FE !_L5
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
1
2
3
2
3
4
4
5
6
I
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5
6
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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:
1
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
SNOHOMISH CO.
Serving Brier, Edmonds 12425 Meridian Ave S INSPECTION REPORT
FIRE JT
Mountlake Terrace,and Everett, WA 98208 ❑BRIER S
❑BRIER
the Town of Woodway Phone (425) 551-1200 ❑WOODWAY
DISTR ❑ UNINCORPORATED
TERRACE
www.FireDistrictl.org org Fax (425) 551-1272 ❑UNINCORPORATED
FREQUENCY I STATION & SHIFT
LOCATION: 111 Main St 107 730 17 D
BUSINESS NAME: WBICO USA PHONE: 8779352687 SCHEDULED ��/01/1
I'• rUFIR
ATE DUE
MAILING 111 Main St ##107 ► 591 1[202
ADDRESS: Edmonds 98020
BUSINESS OWNER: Stroble, Peter HOME PHONE: 360463OD45
EMERGENCY-1: Tyens, Ryder HOME PHONE: 2064272016 CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
LICENSE El 1:1
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
l !� L ( � o.. x �' �
FIRE Fit f
SYSTEMS: ,v , . ;, ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 s
1
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2
2
3
3
4
4
5
5
6
6
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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:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5 1'
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
a
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
5
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
C.v-6 z O 2-
CITY OF EDMONDS
BUSINESS LICENSE APPLICATION- COMMERCIAL ill's
FEE: $125.00"
CITY CLERK'S OFFICE, BUSINESS'LICENSE DIVISION
j4lByu 121 5' AVENUE NORTH, EDMONDS. WA 98020 PHONE: 425.775.2525
OFFICE USE ONLY
BL# Customer# SIC Year Class SHD Date Paid TKO,-r �� Fee Pal) Mailed Delete
m2IS�391 -4g9 20(16 s4:J1 2Os•.
INSTRUCTIONS: Please complete the application in full and attach the required floor plan. Middle initial or name required of all
parties concerned If no middle name, please Indicate by writing NMN. Sign and return application with fee. Please advise of
Any change in status. New license required If business changes location or ownership. Notification to City of Edmonds required
If 'business closes.
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BUSINESS NAME O a3A fit/ -Ce L)S;t . �g
BUSINESS ADDRESS �/1�lsKif/ Dr%O
Street Suite No. Zip Code
MAILING ADDRESS _ _P _AgOYui
Stitet or PO Box Suite No. City, State and Zip Code
BUSINESS PHONE NO. (%7 t 935 • %•G 91 -y- WA STATE TAX 10 NO. (UBI NO.) �p o a 3 417-0 0. $
BUSINESS E-MAIL tP r3 GLe--the —yj oL. Goun, _BUSINESS WE13SITE LV1V&V W e-IM — ilS A- - C&Wt
PROPERTY OWNER TO"./__5Z ) 40 "219/6
EMERGENCY NOTIFICATION (For Premise Access In Emergency):
its ®GE P't%7�"i� 3( 6o ) J(Z 3 - oews
Last Name First Name MI Phone No.
Last Name First Name Mi Phone No.
NATURE OF BUSINESS fk D AlflCeo f/ tvi/ V pJPeZ**&6 a F 1h,4A1 UF,-7Z1L1X1NL OZ& -
NUMBER OF -EMPLOYEES _ SQUARE FOOTAGE OF BUSINESS SPACE _700
TYPE OF BUSINESS - PLEASE CHi=CK.THE•,APPROPR1ATE CATEGORY'
O CONSTRUCTiON ' O FINANCE; INSURANCE, REAL ESTATE. - O LANDSCAPE, HORTICULTURAL MANUFACTURING O NON-PROFIT
,O RETAIL O- SECONDHAND DEALER ❑ SERVICES O WHOLESALE O.OTHER
AMUSEMENT DEVICES-ONfREMISES? ' .d YES 4NO . 'IF YES, TOTAL NUMBER
LIQUOR SOLO ON PREMISES?: O YES. �NO.. GAMBLING? OYES XNO CIGARETTES SOLD -ON PREMISES? OYES 1I(NO
FLAMMABLE OR HAZARDOt1S MATERIALS USED OR STORED?: O YES ) fNO IF YES; PLEASE PROVIDE LIST OF MATERIALS AND QUANTITIES:
PROPOSED OPENING DAl OF 13USINESS _ �— �— / % BUSINESS HOURS 6 ^ 3QN^
DAYS OPEN O SUNDAY Lf MONDAY W TUESDAY la WEDNESDAY t THURPDAY *RIDAY • O SATURDAY
PARKING SPACES ON SITE: TOTAL _ '� ACCESSIBLE FOR PERSONS WITH DISABILITIES
DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABIUTIES? . ARYES O NO
PREVIOUS BUSINESS USE AT THISADDRESS V N k-k#W 1V
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