10130 EDMONDS WAY_RedactedY
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0 1 0 DMOA)Od Ljij'V FIRE PREVENTION
Serving Brier, P-amurtus, and 12425 Meridian Ave S INSPECTION REPORT,
Mountlake Terrace Everett, WA 98208 16 EDMONDS
0 BRIER
Phone (425) 551-.1200 0 MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 [1 UNINCORPORATED
LOCATION:10130 Edmonds Way 98020
BUSINESS NAME: Hattrup & Associates PS
MAILING
ADDRESS: 10130 Edmonds Way, Edmonds, WA 98020
BUSINESS OWNER: Hattrup, Ryan
FREQUENCY - STATION & SHIFT
2017 20-D
SCHEDULED Jul 2017
DATE DUE �
591
UFIR
(_"YArrj
HOME PHONE:' J,06, 755-- 236-3
PHONE: 4257718239
Ballard, Dave 3606301824
EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE- 20 CITY YES NO
BUSINESS
EMAIL: LICENSE
I, -
PERSON CONTACTED: UL D(Gil -covoc; INITIAL INSPECTION DATE
NAME OF INSPECTOR: W I li%S7V A)
=IRE SYSTEMS: FE 01/11/-7 7-UP-177
Date Last Serviced:
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
TIRE►
Mountlake Terrace,and
Everett, WA 98208
❑ EDMONDS
❑BRIER
DISFRILUT
the Town of Woodway
Phone (425) 551-1200
❑ MOODWAY
UNTLA
❑ MOUNTLAKE TERRACE
wwwFireDistrictl.org
Fax (425) 551-1272
❑UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION:
10130 Edmonds Way
731
20 D
BUSINESS NAME:
Hattrup & Associates P.S.
PHONE: 4257718239
SCHEDULED
DATE DUE ► 07/01/13
MAILING
10130 Edmonds Wy
UFIR ► 591 753
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
Hattrup, Ryan
HOME PHONE: 2062552853
ACTIVE
EMERGENCY-1:
Ballard, Dave
HOME PHONE: 3606301824
CURRENT
KEY ACCESS-2:
HOME PHONE:
YES NO
CITY
BUSINESS
LICENSE
PERSON CONTACTED:
� � Gr'
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
S � M. � 1 � IBC
FIRE p
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SYSTEMS: ' v
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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3
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5
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violation.
If you require additional information or to schedule a re -inspection for Edmonds or the Town of Woodway, call (425)
775-7720; for Mountlake Terrace or Brier, call (425) 754-0434.
BUSINESS COPY
!!�yl 010- 0 0?t3 61s3
CITY OF EDMONDS
BUSINESS LICENSE APPLICATION- COMMERCIAL
FEE: $125.00
r CITY CLERK'S OFFICE, BUSINESS'LICENSE DIVISION RECEIVED
E�
1 5' AVENUE NORTH, EDMONDS, WA 98020 PHONE: 425.775.2525
JAN 0 7 2013
OFFICE USE ONLY -
BL# Customer# SIC Year Class SHO Date Paid TR# Fee Pai f e - A
3 I� b L-�—l_3 ;4.i1 I c�5�
INSTRUCTIONS: Please complete the application in full and attach the tequired floor plan. Middle initial or name required of all
parties concerned. If no middle name, please Indicate by writing NMN. Sign and return application with fee. Please advise of
Any change in status. New license required if business changes location or ownership. Notification to City of Edmonds required
if'business closes.
BUSINESS NAMES --,Uc I
BUSINESSADDRESS ��/3f� i�i+� t�y�S ( 1 iqs �j'woz
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MAILING ADDRESS
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EMERGENCY NOTIFICATION (For Premise Access In Emergency):
Last Name
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Phone No.
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First Name
NATURE OF BUSINESS CPA^yy�
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NUMBER OF EMPLOYEES 3 SQUARE FOOTAGE OF BUSINESS SPACE
TYPE OF BU$INES$ - PLEASE CH$CK^THE APPROPRIATE CATEGORY:
O CONSTRUCTION O FINANCE; INSURANCE, REAL ESTATE O LANDSCAPE, HORTICULTURAL (3 MANUFACTURING O NON-PROFIT
O RETAIL O SECONDHAND DEALER JKSERVICES O WHOLESALE O OTHER
AMUSEMENT DEVICES'ONPREIV1ISES? .d YES ONO _ IF YES, TOTAL NUMBER
LIQUOR SOLD ON PREMISES?: DYES IMNO • GAMBLING? O YES ANO CIGARETTES SOLD -ON PREMISES? OYES JkNO
FLAMMABLE OR HAZARDOUS MATERIALS USED OR STORED?: O YES J,NO IF YES, PLEASE PROVIDE LIST OF MATERIALS AND QUANTITIES:
PROPOSED OPENING DAY -OF BUSINESS _ TrKw►evt�•_ BUSINESS HOURS
DAYS OPEN O SUNDAY XMONDAY RJUESDAY )tWEDNESOAY J9THURSDAY 4KFRIDAY • O SATURDAY
PARKING SPACES ON SITE: TOTAL _ Cf ACCESSIBLE FOR PERSONS WITH DISABILITIES
DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES?/ i-YES O NO
PREVIOUS BUSINESS'USE AT THIS ADDRESS _ s I �r•o-ry �Gh uy
ADDRESS
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Serving Brier; Edrnork& .
Mountlake Ter-race,and
rthe Town of Woodway
www FireDistrictl'. org
-} LOCATION: 10130 Edmonds Way
f BUSINESS NAME: Louis Braille School
i;
MAILING 10130 Edmonds Wy
ADDRESS:
' Edmonds
,\ BUSINESS OWNER: Meyer, Carolyn
EMERGENCY-1: , ' Brotman, Eric
KEY ACCESS-2:'
I'\
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257782384
98020
HOME PHONE: 4257788428
HOME PHONE: 4252863509
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ WOODWAY
❑ MOUNTLAKE'TERRACE
❑ UNINCORPORATED
FREQUENCY I STATION & SHIFT
731 20 B
SCHEDULED
DATE DUE / 07/01/11
UFIR ► 223 753
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE�'"�".�.. FE !�
SYSI cMS: �� ,, t � ' "? ANNUAL
a - .. v % t._
HAZARDS FOUND AND LOCATIONS'/ COMMONICATIONS
1
,�� �'"f �'-J Pl
a P i _.iV
1
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:
�t
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2 Y
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
a "
2
6
2
6
DATE:
CODE
SECTION:
5
"
3
7
3
7
RETURN RECEIPT
RECEIVED
DATE:
,
DISPOSITION:
6
4 1
6
4
'
6
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE. DEPARTMENT COPY