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10016 EDMONDS WAY STE C (3)_Redacted%dU1� FOMOA)0f WRY S L .FIRE PREVENTION ? `Serving Brier; Edrno IIII�lIII 12425 Meridian Ave S C INSPECTION REPORT '� • "O• Mou, ❑ EDMONDS ntlake Terrace Everett, WA 98208 ❑ BRIER Phone (425) 55,1-1200 ❑ MOUNTLAKE TERRACE WWwFireDistrictLorg Fax (425) 551 .1272 ❑UNINCORPORATED }` FREQUENCY I STATION & SHIFT LOCATION: 10016 Edmonds Way Suite C 98020 2015 20-C The UPS Store 4256402855 SCHEDULECFeb 2015 BUSINESS NAME: PHONE: ► MAILING ADDRESS: 10016 Edmonds Way, Suite C, Edmonds, WA 98020 DATE DUE 59554 UFIR ► BUSINESS OWNER: HOME PHONE: EMERGENCY-1: Clark, Amy & Nicholls HOME PHONE: 2069155339 CURRENT KEY ACCESS-2: EMAIL: /'c1 P (�, Q 7 IrVP �� �e _ram HOME PHONE: c� _ co w� CITY BUSINESS LICENSE YES NO PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: HAZARDS FOUND AND LOCATIONS / COiWUNICATIONS 1 � 1 r 2 2 J 1 ' 3 3 4 4 5 a 5 6 6 7 7 1 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 h 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 3 7 RETURN RECEIPT RECEIVED 5 4 8 4 8 DATE: DISPOSITION: 7 LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 5 FIRE DEPARTMENT COPY ievir4 Zweber From: The UPS Store #6392 [store6392@theupsstore.com] Sent: Thursday, March 19, 2015 8:26 AM To: Kevin Zweber Subject: Re: Fire inspection - UPS Store Attachments: ExitLightlnvoice.pdf Hello Kevin, I'm very sorry but I let this slip through the cracks. However, immediately upon receiving your email I put the new exit light on order and it will arrive and be installed ASAP. As a measure of good faith I've attached the invoice for the exit light I ordered. I hope this is sufficient for now. Thank you for following up. Take Care, Nicholas Clark(owner) The UPS Store Westgate Village 10016 Edmonds Way, Ste. C Edmonds WA 98020 (425) 640-2855 ------ Original Message ------ Received: 07:25 AM PDT, 03/19/2015 From: Kevin Zweber <kZweber@firedistrictl.org> To: "'store6392@theupsstore.com"' <store6392@theupsstore.com> Subject: Fire inspection - UPS Store A fire inspection was conducted at The UPS Store, 10016 Edmonds Way on 2/20/15 and it was noted that the Exit light above the front door needed to be repaired or replaced. Could you please inform me of the status of this issue? Thanks, Kevin Zweber, CFI Captain/Deputy Fire Marshal Fire Prevention Services Snohomish County Fire District #1/ City of Edmonds Office 425-775-7720 FIRE PREVENTION Serving Brier; Edmonds, and 12425 Meridian Ave S INSPECTION REPORT SNOHOMISH CO. ❑ EDMONDS FIRE Mountlake Terrace Everett, WA 98208 El BRIER Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE DISTRww. FireDistrictl `org Fax (425) 551-1272 [I UNINCORPORATED FREQUENCY I STATION & SHIFT LOCATION: 10016 Edmonds Way Suite C 98020 �� Annual 20-B /,,L V BUSINESS NAME: The UPS Store / c� PHONE: 2069133803 SCHEDULED DATE DUE ►Feb 201�1 MAILING UFIR595 ADDRESS: 10016 Edmonds Way, Suite C, Edmonds, 20 BUSINESS OWNER: O��e �'S HOME PHONE: EMERGENCY-1: Clark Arnv & icholis HOME PHONE: 2 - CURRENT F, KEY ACCESS-2: HOME PHONE: CITY YES NO S�br�63q � PS S�Or� • '66�'�- BUSINESS ,, EMAIL: LICENSE EL PERSON CONTACTED: /� _1_ INITIAL INSPECTION DATE NAME OF INSPECTOR: FIRE SYSTEMS: FE 2l1�2 HAZARDS FOUND AND ,LOCATIONS / COMMUNICATIONS 2� //� �� Cam/ G —S� 2 3 - 3 4 / 4 5 5. 6 6 7 7 N 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: DATE DUE: GRANTED TO: DATE DUE: CITED: PERSON e CONTACTED: (rl, !!!' PERSON CONTACTED: PERSON CONTACTED: I INSPECTOR O� .ram INSPECTOR: INSPECTOR: 2 DATE: — / / DATE: DATE: 3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 1 d 5 1 5 LETTER SENT NUMBER: 4 CODE 5 2 6 2 6 DATE: SECTION: RETURN RECEIPT ' 6 3 7 3 7 RECEIVED DISPOSITION: 4 8 4 8 DATE: •7 LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 FIRE DEPARTMENT COPY ServingBrier- Edmonds SNOHOMI$H CO. FIREMountlake �, ,,,li,t�. �•, , , , Terrace,and STRI the Town of Woodway IT www.FireDistrictl.org t LOCATION: 10016 Edmonds W!y BUSINESS NAME: The UPS Store MAILING 10016 Edmonds Wry C ADDRESS: Edmonjds BUSINESS OWNER: Clark, Amy & NlcholiS5 EMERGENCY-1: Nelson, RUff KEY ACCESS-2: PERSON CONTACTED NAME OF INSPECTOR FIRE SYSTEMS: 19425 Meridian Ave S iverett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 c PHONE: 2069133803 98026 Z v6 9 1,3 _? po j HOME PHONE: HOMEPHONE: 4258817831 HOME PHONE: FIRE PREVENTION INSPECTION REPORT WDMONDS ❑ BRIER ❑ WOODWAY ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY STATION & SHIFT 365 20 A A SCHEDULED 02/1113 DATE DUE UFIR / 595 2053 CURRENT CITY Yes No BUSINESS LICENSE INITIAL INSPECTION DATE FEOL ILL ANNUAL HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1% Alf", 1 2 2 3 3 4 4 5 5 ),6 g 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X ist 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 B 2 B DATE: CODE SECTION: 5 3 7 3 ' .7; RETURN RECEIPT RECEIVED 8 4 8 ,',.•. ,j,'ia'rt 4 ';•'% Ai`,rly. tr. 8 DATE: DISPOSITION: 7 LETTER NEEDED ❑ YES ❑ NO i L'ETTER NEDEI) ❑ YES ❑ NO FIRE DEPARTMENT COPY 7 ' r,i4 "-• '' C(,F 000 6 2 l3 � 3 CITY OF EDMONDS �20 BUSINESS LICENSE APPLICATION- COMMERCIAL FEE: $125.00 CITY CLERK'S OFFICE, BUSINESSIICENSE DIVISION �"�• tg9° 121 5' AVENUE NORTH, EDMONDS. WA 98020 PHONE: 425.7752525 OFFICE USE ONLY at # I Customer# IC Year I Class I SHD Date Paid T . /3 TR# -t�'a?b Fee Paid / oc Mailed Delete 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. Notiflltion to City of Edmonds required ifbusinessclos / W-�^-�— BUSINESS NAM L I `�S e�.44 Z, • L L.t; BUSINESS ADDRESS _ ltyC`� / C� ����! 0'1 Lf -O �t G 9k-0 a 0 1 Street / Suite No. Zip Code MA.JUNG ADDRESS g7 _ // / �✓� -!— . SC>% L (J�J%� !J�`�`�i'� (,.Ci f� %O 7 Street or PO Box Suite No. City, State and Zip Code BUSINESS PHONE NO. {� /�' 1_ !�,� s�� O3 WA STATE TAX 14 NO. (UBI NO.) BUSINESS E-MAIL _� �G-K �I uC� % 7 ./✓ r�7,Z c�3� BUSINESS WEBSITE PROPERTY OWNER � � CL I S bYI _ •� -19) 7� 3 Name Phone Number EMERGENCY NOTIFICATION (For Prerrdse Aaoess In Emergency): Last Name First Narnif MI Phone No. C/-__'� I /'L/"/c,S �4 qi3 - 39-03 Get Name First Namp_ MI Phone No. NATURE OF BUSINESS L"P'0/dk t_ ►'�'► 6o�cc�s , /Jci�/�vlz er t�� cQ s NUMBER OF EMPLOYEES _._SQUARE FOOTAGE OF BUSINESS SPACE ( G TYPE OF BUSINESS - PLEASE CHECK -THE •APF?ROPRIATF CATEGORY O CONSTRUCTION• • O FINANCE, INSURANCE, REAL ESTATE- - O LANDSCAPE, HORTICULTURAL O MANUFACTURING O NON-PROFIT !kETAIL O• SECONDHAND O&LER VERVIC;ES O WHOLESALE CI OTHER AMUSEMENT DEVICES -ON PREMISES? .[i YES ,(NO _ IF YES, TOTAL NUMBER LIQUOR SOLD ON PREMISES7: OYES . A'(�Ip • GAMBIJNG? O YES ANO • CIGARETTES SOLD ON PREMISES? OYES NO FLAMMABLE OR HAZARDOUS MATERIJ4S USED OR STORED?: O YES NO IF YES, PLEASE PROVIDE LIST OF MATERIALS AND QUANTITIES: PROPOSED OPENING DAY OF BUSINESS 5fI 3 BUSINESS HOURS DAYS OPEN O SUNDAY MONDAY I�ESDAY 9LWEDNESDAY AkTHUR$DAY FRIDAY etSATURDAY PARKING SPACES ON SITE: TOTAL ACCESSIBLE FOR PERSONS WITH DISABILITIES Jt DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES? -MYES ONO PREVIOUS BUSINESS USE AT THIS ADDRESS �/ ?�� . cg,. _ _ A Pcr--6x s �c ur�� • saI PRRPwETORswv NEE Ly FlM MI OUMSM RRatl N Nct. um N% CrtY. Slek eM MR OuNt WSPHOEW L L jkm Na.(DRAERS LICENSE NO) OR OTHER ID NO. AMWfiWNUI parks $FATEOFPYRTI COUR0.YCFBIRTH PART'E'••flS//XV�-//PM�1MFll1 //�� ' �� - ApLNa.UMNa HOME PHONEN0. DDLND"� 10. DATE OF RlRTjjjJjjjjjjjMbnYANDSTATEDFgRfI ,000pLpy UFBpN ' PMINERBMP-P FR 2' NnuE r ' ACDRER� Gov i ass ' ' — 5 cam.:/ "" L. Pat � s���" � APLIb..DNNn r5�7` Nove PHONE NO.6�Z) am NO RATE OF BIRTH CORPOIIAlEO�' Id NemO RMNan. 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